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Simulation Modeling for Process Improvement in a General Surgery Service

並列摘要


The aim of the study is to improve the General Surgery patients' treatment duration in order to eliminate the bottlenecks by speeding up the process. For this purpose, some model proposals were carried out to allow reorganizing the processes to serve more patients by improving the productivity of the clinic. The study has been carried out in the general surgery clinic at the well known, training and research hospital. First of all, the simulation model of the existing system was demonstrated. The simulation model has been developed via PROMODEL software program. In the simulation model installed, four scenarios have been established in order to determine the critical factors which effect patients' waiting durations. Thus, the goal of the study was to reduce the waiting times by considering what-if analysis using simulation. The model has been worked on for six months and ten times repetitively, so to get some statistics. It has been determined that an improvement of 17% efficiency of operations in clinic may be considerable in case of reviewing and redesigning the processes of the General Surgery clinic. It was found that a decrease of 76, 57 and 52% in the duration patients' being in the system for Medical Treatment (MTP), Operation (OP), and Urgent Operations (UOP), respectively. All outcomes of study showed that an improvement in the efficiency could be acquired without any financial burden for the hospital budget by enhancing the processes in General Surgery clinic via using simulation modeling.

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