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首页> 外文期刊>Brazilian Journal of Operations and Production Management >Prioritization of Patients in ICU: Composite Approach of Multiple-Criteria Decision-Making and Discrete Event Simulation
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Prioritization of Patients in ICU: Composite Approach of Multiple-Criteria Decision-Making and Discrete Event Simulation

机译：ICU患者的优先级：多标准决策和离散事件模拟的复合方法

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摘要

Goal: This article aims to present a systematic approach to improve the resource allocation and human queues prioritization patterns. Design / Methodology / Approach: To achieve such a purpose, effective criteria using a fuzzy-Delphi method, and subject-related researchers' views were obtained. Utilizing the Analytic Network Process method, the weights of each criterion was measured. Then, considering the established weights and using a fuzzy-TOPSIS method, a prioritization system via Discrete Event Simulation was developed. Results: Results indicate that the established approach properly improved the performance of the prioritization system in terms of resources and facilities allocation in neurology's ICUs. Limitations of the investigation: A drawback of this research can be in states of emergency which limits the options at hand and the criteria proposed may set a drawback on the aim of the study. Practical implications: The results show that the proposed model can modify patient entry based on multiple criteria in terms of productivity and social justice in the patient queuing strategy. Originality / Value: The contribution of this research is threefold: the literature has been reviewed to conclude the criteria concerning decisions around ICUs, the concluded criteria filtered through an expert panel which can be relied based on the method, a real application of the steps proposed is presented which allows comparing the accuracy and efficiency of the decisions made in the hospitals.
机译：目标：本文旨在提出一种系统的方法来改善资源分配和人体队列优先级模式。设计/方法/方法：实现使用模糊德尔斐方法的这样一种目的，有效标准，并获得了与科目有关的研究人员的观点。利用分析网络处理方法，测量每个标准的重量。然后，考虑到既定的权重以及使用模糊TopSIS方法，开发了通过离散事件仿真的优先级系统。结果：结果表明，成立的方法在神经学icu的资源和设施分配方面正确提高了优先级系统的性能。调查的局限性：这项研究的缺点可以在紧急情况下，限制手头的选择，提出的标准可能会对研究目的进行缺点。实际意义：结果表明，拟议的模型可以根据患者排队策略中的生产力和社会正义方面根据多重标准修改患者进入。原创性/价值：本研究的贡献是三倍：该文献已被审查，以得出关于ICU周围决定的标准，通过专家小组过滤的结束标准，该方法可以基于该方法依赖于该方法，这是建议的步骤的实际应用介绍，允许比较医院中制造的决策的准确性和效率。

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