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Layout design of outpatient department: simulation study and implementation

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Background: Hospital layout is one important factor affecting hospital service quality and, consequently, patient satisfaction. Generally, the layout is designed based on the experience of the hospital specialists without any systematic approaches. Purpose: Due to the increasing number of patients, the case study hospital has built a new multi-floor building to move its Outpatient Department (OPD) to operate there. Therefore, this study aims to apply the Activity Relationship Analysis (ARA) and simulation to design a new OPD layout. Methodology: Data of the previous system were analyzed using the ARA. The results were then used to design three scenarios (A, C, and D) and the other three scenarios (B, E, and F) were proposed by hospital specialists. Then, six layouts were evaluated using simulation tests and the efficiencies of the designs were measured by an average total service time per patient. Results: The simulation results showed that the average total service time of scenario A, D, E, and F were lower than scenario B and C. While the average total service time at the sub-service unit of D was the longest compared to scenario A, E, and F. These results demonstrated that scenario A, E, and F were the most efficient layouts. However, when considered thoroughly by the hospital specialists, scenario A was eventually selected. Conclusion: This study can contribute to scientific literature as it demonstrates the application of the ARA and simulation in the design of the multi-floor layout, an aspect under-researched in existing studies. This study also provides the practical implication suggesting that these techniques should be used together in the layout designs because they can help to determine the correctness and efficiency of the layout design before actual implementation.
Czasopismo
Rocznik
Strony
185--196
Opis fizyczny
Bibliogr. 35 poz., rys., tab., wykr.
Twórcy
  • Centre of Healthcare Engineering System, Department of Industrial Engineering, Faculty of Engineering, Chiang Mai University, Thailand
  • Centre of Healthcare Engineering System, Department of Industrial Engineering, Faculty of Engineering, Chiang Mai University, Thailand
  • Centre of Healthcare Engineering System, Department of Industrial Engineering, Faculty of Engineering, Chiang Mai University, Thailand
Bibliografia
  • 1. Affifah, G., 2019, Redesign of office layout using activity relationship chart (ARC) at the “X” department administration office of a “Y” university. In IOP Conference Series: Materials Science and Engineering, 528(1), 12056.
  • 2. Arnolds, I.V., Gartner, D., 2018, Improving hospital layout planning through clinical pathway mining. Annals of Operations Research, 263(1), 453-477, https://doi.org/10.1007/s10479-017-2485-4
  • 3. Benitez, G.B., Da Silveira, G.J., Fogliatto, F.S., 2019, Layout planning in healthcare facilities: a systematic review. HERD: Health Environments Research and Design Journal, 12(3), 31-44, https://doi.org/10.1177%2F1937586719855336
  • 4. Boonmee, C., Kasemset, C., 2019, The improvement of healthcare management in Thailand via IE tools: A survey, In Proceeding of the 2019 International Conference on Industrial Engineering and Operations Management, Bangkok, 264-274.
  • 5. Boonmee, C., Kosayanon, A., Chitapanarux, I., Kasemset, C, 2020, Radiotherapy service improvement: simulation study. Industrial Engineering and Management Systems, 19(4), 758-773 https://doi.org/10.7232/iems.2020.19.4.758
  • 6. Boonmee, C., Pisutha-Arnond, N., Chattinnawat, W., Muangwong, P., Nobnop, W., Chitapanarux, I., 2021, Decision Support System for Radiotherapy Patient Scheduling: Thai Cancer Center Case Study. In 2021 5th International Conference on Medical and Health Informatics, 168-175, https://doi.org/10.1145/3472813.3473185
  • 7. Elshafei, A.N., 1977, Hospital layout as a quadratic assignment problem. Journal of the Operational Research Society, 28(1), 167-179, https://doi.org/10.1057/jors.1977.29
  • 8. Francis, R.L., McGinnis, L.F., White, J.A., 1992, Facility layout and location: an analytical approach. Pearson College Division.
  • 9. Gallagher, T.H., Etchegaray, J.M., Bergstedt, B., Chappelle, A.M., Ottosen, M.J., Sedlock, E.W., Thomas, E.J., 2016, Improving communication and resolution following adverse events using a patient - created simulation exercise. Health Services Research, 51, 2537-2549, https://doi.org/10.1111/1475-6773.12601
  • 10. Gosavi, A., Cudney, E.A., Murray, S.L., Masek, C.M., 2016, Analysis of clinic layouts and patient-centered procedural innovations using discrete-event simulation. Engineering Management Journal, 28(3), 134-144, https://doi.org/10.1080/10429247.2016.1195664
  • 11. Günal, M.M., Pidd, M., 2011, DGHPSIM: generic simulation of hospital performance. ACM Transactions on Modeling and Computer Simulation (TOMACS), 21(4), 1-22, https://doi.org/10.1145/2000494.2000496
  • 12. Hillier, F., Lieberman, G, 2015, Introduction to Operations Research, 10th ed., McGraw-Hill, Singapore.
  • 13. Jamali, N., Leung, R.K., Verderber, S., 2020, A review of computerized hospital layout modelling techniques and their ethical implications. Frontiers of Architectural Research. 9(3), 498-513, https://doi.org/10.1016/j.foar.2020.01.003
  • 14. Kasemset, C., Pangsuta, T., Boonmee, C., 2021, The application of revenue management in chilled storage area allocation: simulation study. CMUJ. Nat. Sci, 20(2), e2021029, https://doi.org/10.12982/CMUJNS.2021.029
  • 15. Katsaliaki, K, Mustafee, N., 2011, Applications of simulation within the healthcare context. Journal of the Operational Research Society, 62 (8), 1431-1451, https://doi.org/10.1057/jors.2010.20
  • 16. Kelton, W. D., Sadowski, R. P., Swets, N. B., 2010, Simulation with Arena, 5th ed., McGraw Hill.
  • 17. Lagergren, M., 1998, What is the role and contribution of models to management and research in the health services? A view from Europe, European Journal of Operational Research, 105(2), 257-266, https://doi.org/10.1016/S0377-2217(97)00233-6
  • 18. Law, A.M., McComas, M. G., 1987, Simulation of manufacturing systems. In Proceedings of the 19th conference on Winter simulation, 631-643, https://doi.org/10.1145/318371.318675
  • 19. Lin, Q., Wang, D., 2019, Facility layout planning with SHELL and Fuzzy AHP method based on human reliability for operating theatre. Journal of Healthcare Engineering, 2019, https://doi.org/10.1155/2019/8563528
  • 20. Luo, L., Luo, L., Zhang, X., He, X., 2017, Hospital daily outpatient visits forecasting using a combinatorial model based on ARIMA and SES models. BMC Health Services Research, 17(1), 1-13, https://doi.org/10.1186/s12913-017-2407-9
  • 21. Mikell, P.G., 2014, Work systems. the methods, measurement and management of work. Pearson.
  • 22. Montgomery, D.C., Runger, G.C., 2014, Applied statistics and probability for engineers, 6th ed., Wiley, Singapore.
  • 23. Motaghi, M., Hamzenejad, A., Riyahi, L., Soheili, K.M., 2011, Optimization of hospital layout through the application of heuristic techniques (Diamond Algorithm) in Shafa hospital (2009). International Journal of Management and Business Research Summer 2011, 1(3), 133-138.
  • 24. Murphy, D.R., Klein, R.W., Smolen, L J., Klein, T.M., Roberts, S.D., 2013, Using common random numbers in health care cost‐effectiveness simulation modeling. Health Services Research, 48(4), 1508-1525, https://doi.org/10.1111/1475-6773.12044
  • 25. Muther, R., 1955, Practical plant layout. McGraw-Hill College.
  • 26. Nanda, S., Miller, A., 1996, Risk analysis in the valuation of medical practices, Health Care Management Review, 21(4), 26-32, https://www.jstor.org/stable/44950790
  • 27. Sepúlveda, J.A., Thompson, W.J., Baesler, F.F., Alvarez, M.I., Cahoon, L. E., 1999, The use of simulation for process improvement in a cancer treatment center. In 1999 Winter Simulation Conference Proceedings.'Simulation-A Bridge to the Future`, 1541-1548, https://doi.org/10.1109/WSC.1999.816890
  • 28. Soriano-Meier, H., Forrester, P.L., Markose, S., Garza-Reyes, J.A., 2011, The role of the physical layout in the implementation of lean management initiatives. International Journal of Lean Six Sigma, 2(3), 254-269, https://doi.org/10.1108/20401461111157204
  • 29. Sower, V., Duffy, J., Kilbourne, W., Kohers, G., Jones, P., 2001, The dimensions of service quality for hospitals: development and use of the KQCAH scale. Health Care Management Review, 26(2), 47-59, https://www.jstor.org/stable/44951016
  • 30. Sugandhi, S.D., Bharule, A., 2016, Fine blanking plant layout improvement using systematic layout planning. International Journal of Scientific Engineering and Research (IJSER), 4(4), 1-4, https://www.ijser.in/archives/v4i4/IJSER15735.pdf.
  • 31. Tompkins, J.A., White, J.A., Bozer, Y.A., Tanchoco, J.M.A., 2010, Facilities planning. John Wiley and Sons.
  • 32. Tsui, Y.M., Fong, B.Y., 2018, Waiting time in public hospitals: case study of total joint replacement in Hong Kong. Public Administration and Policy, 21(2), 120-133, https://doi.org/10.1108/PAP-10-2018-009
  • 33. Vahdat, V., Namin, A., Azghandi, R., Griffin, J., 2019, Improving patient timeliness of care through efficient outpatient clinic layout design using data-driven simulation and optimization. Health Systems, 8(3), 162-183, https://doi.org/10.1080/20476965.2018.1561160
  • 34. Ward, K.F., Rolland, E., Patterson, R.A., 2005, Improving outpatient health care quality: understanding the quality dimensions.Health Care Management Review, 30(4), 361-371.
  • 35. Zhao, Y., Mourshed, M., Wright, J., 2009, Factors influencing the design of spatial layouts in healthcare buildings. In Proceedings of the 25th Annual ARCOM Conference. Association of Researchers in Construction Management, 1041-1049.
Uwagi
PL
Opracowanie rekordu ze środków MEiN, umowa nr SONP/SP/546092/2022 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2022-2023).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-b4412707-7e1c-4bc4-9aae-bafb94ee0757
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