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Analysing the Diana Turbay CAMI emergency and hospitalisation processes using an Arena 10.0 simulation model for optimal human resource distribution
Análisis del proceso de urgencias y hospitalización del CAMI Diana Turbay a través de un modelo de simulación con Arena 10.0 para la distribución óptima del recurso humano
DOI:
https://doi.org/10.15446/ing.investig.v28n1.14880Keywords:
simulation, resource allocation, waiting line (queuing), waiting time, emergency and hospitalisation area, process optimisation (en)simulación, asignación de recursos, líneas de espera, tiempos de espera, área de urgencias y hospitalización, optimización de procesos (es)
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This document presents a simulation model describing the current emergency and hospitalisation procedure for the Diana Turbay Immediate Medical Attention Centre (CAMI), a first level health-providing entity, being a dependency of the state Rafael Uribe Uribe hospital (a social entity) in Bogotá (Colombia). A summary of the study was made as well as an overall record of activities being carried out in current attention in the emergency and hospitalisation area and proposals for improving conditions for attending patients and helping to a optimise the institution’s resources in the aforementioned area. The foregoing was used for contrasting waiting times, the number of people queuing and how personnel were being used, aimed at structuring the triage procedure presented by the Rafael Uribe Uribe hospital’s Public Management and Self-control office as they wanted to implement such model within the framework of CAMI’s Remodeling and Extension project. Arena 10.0 simulation software was thus used for helping to measure the impact of such decisions on an organisation before implementing them; different scenarios were thus designed for evaluating the feasibility of reducing waiting times and the number of people queuing, different alternatives being tested regarding timetables and the availability of back-up resources, thereby revealing patients’ different attention and waiting times.
Este documento presenta un modelo de simulación que describe el procedimiento actual de Atención del Área de Urgencias y Hospitalización del Centro de Atención Médica Inmediata (CAMI) DIANA TURBAY, Entidad Prestadora de Salud de Primer Nivel de carácter oficial en la ciudad de Bogotá. En el proceso se elaboró una síntesis de estudio y registro global de las actividades en las condiciones actuales de atención en el área de Urgencias y Hospitalización, así como propuestas que permitieran mejorar las condiciones de atención a los pacientes y que ayudarán a optimizar los recursos con los que dispone la institución en el área mencionada. Lo anterior se obtuvo contrastando los tiempos de espera, personas en cola y utilización del personal, con la propuesta de estructuración del procedimiento del triage presentado por la oficina de Gestión Pública y Autocontrol del Hospital Rafael Uribe Uribe y cuyo procedimiento se desea implementar en el marco del proyecto de remodelación y ampliación del CAMI. También se ensayan diferentes escenarios para evaluar la factibilidad en la reducción de tiempos de espera y número de personas en cola, probando diferentes alternativas de horarios y disposición de recursos de apoyo, con lo cual se muestra una reducción sustancial en los tiempos de atención y de espera de los pacientes.
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1. Oscar Barros, Richard Weber, Carlos Reveco. (2021). Demand analysis and capacity management for hospital emergencies using advanced forecasting models and stochastic simulation. Operations Research Perspectives, 8, p.100208. https://doi.org/10.1016/j.orp.2021.100208.
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Copyright (c) 2008 Liliana Maria Pantoja Rojas, Luís Antonio Garavito Herrera
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