Applying Systems Engineering Principles in Improving Health Care Delivery

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• 作者：Renata Kopach-Konrad MSc (2)
  Mark Lawley PhD (1)
  Mike Criswell MSN ; RN ; CCNS (3)
  Imran Hasan MSc (2)
  Santanu Chakraborty MSc (2)
  Joseph Pekny PhD (4)
  Bradley N. Doebbeling MD ; MSc (5) (6) (7)
  
• 关键词：health care engineering ; patient modeling ; systems approach ; systems engineering ; health services research
• 刊名：Journal of General Internal Medicine
• 出版年：2007
• 出版时间：December 2007
• 年：2007
• 卷：22
• 期：3-supp
• 页码：431-437
• 全文大小：254KB
• 参考文献：1. Starfield B. Deficiencies in US medical care. JAMA. 2000;284(17):2184鈥?. CrossRef
  2. McGlynn E, Asch S, Adams J, et al. The quality of health care delivered to adults in the United States. N Engl J Med. 2003;348(26):2635鈥?5. CrossRef
  3. American College of Physicians. The Advanced Medical Home: a Patient-centered, Physician-guided Model of Health Care. United States: American College of Physicians Monograph; 2005.
  4. Kohn L, Corrigan J, Donaldson M. To Err is Human Building a Safer Health System Committee on Quality of Health Care in America. Washington DC: Institute of Medicine National Academy Press; 1999.
  5. Murphy J, Chang H, Montgomery J, Rogers W, Safran D. The quality of physician鈥損atient relationships: patients experiences, 1996鈥?999. J Fam Pract. 2001;50:123鈥?.
  6. Wu S, Green A. A Projection of Chronic Illness Prevalence and Cost Inflation. Santa Monica, Calif: RAND Health; 2000.
  7. Proctor P, Compton WD, Grossman J, Fanjiang G. Building a Better Delivery System: a New Engineering/Health Care Partnership, Committee on Engineering and the Health Care System. Washington DC: National Academy of Engineering and Institute of Medicine, National Academy Press; 2005.
  8. Kossiakoff A, Sweet W. Systems Engineering Principles and Practice. New York: Wiley; 2003.
  9. Kerzner H. Project Management: A Systems Approach to Planning, Scheduling, and Controlling, 8th edn. New Jersey: Wiley; 2003.
  10. Endress A, Aydeniz B, Wallwiener D, Kurek R. The critical path method to analyze and modify OR-workflow: integration of an image documentation system. Minim Invasive Ther Allied Technol. 2006;15(3):177鈥?6 CrossRef
  11. Park C. Fundamentals of Engineering Economics. New Jersey: Prentice-Hall; 2003.
  12. Neftci S. Principles of Financial Engineering. New York: Academic Press; 2004.
  13. Steenstra I, Anema J, van Tulder M, Bongers P, de Vet H, van Mechelen W. Economic evaluation of a multi-stage return to work program for workers on sick-leave due to low back pain. J Occup Rehabil. 2006;16(4):557鈥?8. CrossRef
  14. Ross S. Introductory Statistics, 2nd edn. New York: Academic Press; 2005.
  15. Montgomery D. Design and Analysis of Experiments, 6th edn. New Jersey: Wiley; 2004.
  16. Montgomery D, Peck E, Vining G. Introduction to Linear Regression Analysis, 3rd edn. New Jersey: Wiley-Interscience; 2001.
  17. Parachoor S, Rosow E, Enderle A. Knowledge management system for benchmarking performance indicators using statistical process control (SPC) and virtual instrumentation (VI). Biomed Sci Instrum. 2003;39:175鈥?.
  18. Durrett R. Essentials of Stochastic Processes. New York: Springer; 2001.
  19. Hauskrecht M, Fraser H. Planning treatment of ischemic heart disease with partially observable Markov decision processes. Artif Intell Med. 2000;18(3):221鈥?4. Mar CrossRef
  20. Rardin R. Optimization in Operations Research. New Jersey: Prentice-Hall; 1997.
  21. Brennan P, Ferris M, Robinson S, Wright S, Marquard J. Modeling participation in the NHII: operations research approach. AMIA Annu Symp Proc. 2005;76鈥?0.
  22. Lehto M, Buck J, Buck M. Introduction to Human Factors and Ergonomics for Engineers. Hillsdale, NJ: Lawrence Erlbaum Associates; 2007.
  23. Koubek R, Benysh D, Buck M, Harvey C, Reynolds M. The development of a theoretic framework and design tool for process usability assessment. Ergonomics 2003;46(1鈥?):220鈥?1. CrossRef
  24. vanderAalst W, vanHee K. Workflow Management: Models, Methods, and Systems. Cambridge, Mass: The MIT Press; 2004.
  25. Gupta D, Natarajan M, Gafni A, Wang L, Shilton D, Holder D, Yusuf S. Capacity planning for cardiac catheterization: a case study. Health Policy. 2007;82(1):1鈥?1. CrossRef
  26. Law A, Kelton D. Simulation Modeling and Analysis, 3rd edn. London: McGraw-Hill; 1999.
  27. Kelton D, Sadowski R, Sturrock D. Simulation with Arena, 4th edn. London: McGraw-Hill; 2007.
  28. Hung G, Whitehouse S, O鈥橬eill C, Gray A, Kissoon N. Computer modeling of patient flow in a pediatric emergency department using discrete event simulation. Pediatr Emerg Care 2007;23(1):5鈥?0. CrossRef
  29. Brandeau M, Sainfort F, Pierskalla W, eds. Handbook of Operations Research/Management Science Applications in Health Care. Dordrecht: Kluwer Academic Publishers; 2004.
  30. Sullivan KL, Besarab A, Bonn J, Shapiro MJ, Gardiner GA, Moritz MJ.Hemodynamics of Failing Dialysis Grafts. J Radiol. 1993;186(3):867鈥?2.
  31. Kaye M, Baird C, McCloskey B, Oscar G, D鈥橝virro M. Two years sequential hemodynamic data on polytetrafluoroethylene (PTFE) grafts used for hemodialysis. Proc Eur Dial Transplant Assoc. 1979;16:266鈥?1
  32. Alagoz O, Maillart L, Schaefer A, Roberts, M. Determining the acceptance of cadaveric livers using an implicit model of the waiting list. Oper Res. 2007;55(1):24鈥?6. CrossRef
  33. Alagoz O, Maillart L, Schaefer A, Roberts M. The optimal timing of living-donor liver transplantation. Manage Sci. 2004;50(10):1420鈥?0. CrossRef
  34. Schaefer A, Bailey M, Shechter S, Roberts M. Medical decisions using Markov decision processes. In: Sainfort F, Brandeau M, Pierskalla W, eds. Handbook of Operations Research/Management Science Applications in Health Care. Dordrecht: Kluwer Academic Publishers, 2004;597鈥?16.
  35. Shepard D, Ferris C, Olivera G, Mackie T. Optimizing the delivery of radiation therapy to cancer patients. SIAM Rev. 1999;41(4):721鈥?4. CrossRef
  36. Rardin R, Preciado-Walters F, Langer F, Thai V. Column generation for IMRT cancer therapy optimization with implementable segments. Ann Oper Res. 2006;148(1):65鈥?9. CrossRef
  37. Rardin R, Preciado-Walters F, Langer F, Thai V. A coupled column generation, mixed-integer approach to optimal planning of intensity modulated radiation therapy for cancer. Math Program. 2004;101:319鈥?8.
  38. Su X, Zenios S. Patient choice in kidney allocation: a sequential stochastic assignment model. Oper Res. 2005;53(3):443鈥?5. CrossRef
  39. Jeffrey A, Xia X, Craig I. When to initiate HIV therapy: a control theoretic approach. IEEE Trans Biomed Eng. 2003;50(11):1213鈥?0. CrossRef
  40. Pardalos P, Chaovalitwongse W, Iasemidis L, et al. Seizure warning algorithm based on optimization and nonlinear dynamics. Math Program Ser B. 2004;101:365鈥?5. CrossRef
  41. Wu J, Wein L, Perelson A. Optimization of influenza vaccine selection. Oper Res. 2005;53(3):456鈥?6. CrossRef
  42. Peterson J. Petri Net Theory and the Modeling of Systems. New Jersey: Prentice-Hall; 1981.
  43. Haas P. Stochastic Petri Nets Modeling, Stability, Simulation. New York: Springer; 2002.
  44. American National Standards Institute. HL7 Version 3 Normative Edition, Health Level Seven. United States: American National Standards Institute; 2006.
  45. Cooperrider D, Whitney D. Appreciative Inquiry. San Francisco, CA: Berrett-Koehler Communications; 1999.
  46. Goldstein M, Coleman R, Tu S, et al.Translating research into practice: sociotechnical integration of automated decision support for hypertension in three medical centers. J Am Med Inform Assoc. 2004;11(5):368鈥?6. CrossRef
  
• 作者单位：Renata Kopach-Konrad MSc (2)
  Mark Lawley PhD (1)
  Mike Criswell MSN, RN, CCNS (3)
  Imran Hasan MSc (2)
  Santanu Chakraborty MSc (2)
  Joseph Pekny PhD (4)
  Bradley N. Doebbeling MD, MSc (5) (6) (7)
  
  2. School of Industrial Engineering, Regenstrief Center for Healthcare Engineering, Purdue University, West Lafayette, IN, USA
  1. School of Biomedical Engineering, Regenstrief Center for Healthcare Engineering, Purdue University, West Lafayette, IN, USA
  3. School of Nursing, Regenstrief Center for Healthcare Engineering, Purdue University, West Lafayette, IN, USA
  4. School of Chemical Engineering, Regenstrief Center for Healthcare Engineering, Purdue University, West Lafayette, IN, USA
  5. Health Services Research & Development Center of Excellence on Implementing Evidence-based Practice, Roudebush Veterans Affairs Medical Center, Indianapolis, IN, USA
  6. Indiana University Center for Health Services and Outcomes Research, Regenstrief Institute, Inc., Indianapolis, IN, USA
  7. Department of Internal Medicine, Indiana University School of Medicine, Indianapolis, IN, USA
  

文摘

Background In a highly publicized joint report, the National Academy of Engineering and the Institute of Medicine recently recommended the systematic application of systems engineering approaches for reforming our health care delivery system. For this to happen, medical professionals and managers need to understand and appreciate the power that systems engineering concepts and tools can bring to redesigning and improving health care environments and practices. Objective To present and discuss fundamental concepts and tools of systems engineering and important parallels between systems engineering, health services, and implementation research as it pertains to the care of complex patients. Design An exploratory, qualitative review of systems engineering concepts and overview of ongoing applications of these concepts in the areas of hemodialysis, radiation therapy, and patient flow modeling. Results In this paper, we describe systems engineering as the process of identifying the system of interest, choosing appropriate performance measures, selecting the best modeling tool, studying model properties and behavior under a variety of scenarios, and making design and operational decisions for implementation. Conclusions We discuss challenges and opportunities for bringing people with systems engineering skills into health care.