Excavating hospital outpatient process problems based on simulation and field tracking / 中华医院管理杂志

ABSTRACT

Objective:To establish an outpatient operation simulation model by using pediatric outpatient data of a third-level maternal and child health hospital in Shenzhen, then to explore and improve hospital management problems.Methods:The hospital information system was used to extract the parameters of the pediatric outpatient data, and the AnyLogic simulation model was used to compare the hospital operation data and simulation data. Through the ideal operation status of the model and the actual state data of the hospital, the problems that were easily overlooked and difficult to investigate were identified. Then the problems were confirmed through on-site tracking investigations, improve process execution, and reduce waiting and congestion.Results:The gap between simulation data and hospital operation data was reflected in the waiting links of the first visit, inspection project and report interpretation. The process transformation of these three links could be the key to improving the overall service capability.Conclusions:Simulation and field tracking are effective ways to explore process problems. The method that simulation model is used to realize the method path of "big data→simulation→site tracking→management analysis improvement" , is suitable for the application and research of hospital process problem discovery.