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Master in Statistics

and Operations Research

UNIVERSITAT POLITCNICA DE CATALUNYA

Modeling surgical pavilions and a


unit of anesthesia on a Chilean
hospital using a formal language

J.Leiva

Content
Introduction
Objectives
Literature review
The Hospital and the Anesthesia units and surgical pavilions (UAPQ)
Methods
Modeling the UAPQ
Simulation and results

Conclusions

Introduction
High demand
Introduction

Objectives

Complexity of the system


Cost of operation
User dissatisfaction

Literature
review

Hospital
and
the UAPQ

Methods

Modeling
the UAPQ

Simulation
and results

Conclusions

Scarce resources

Anesthesia units and surgical pavilions (UAPQ)


Introduction

Objectives

Strategic Role

Literature
review

Hospital
and
the UAPQ

Methods

Compliance with
health goals

Quality and
opportunity of
patient care

Modeling
the UAPQ

Simulation
and results

Conclusions

Permanently examines strategies to improve their use

Optimize its use

Introduction

Objectives

Understand its
functioning
Literature
review

Hospital
and
the UAPQ

Methods

Modeling
the UAPQ

Specification and
documentation of each
of the processes.

Simulation
and results

Conclusions

Model

These factors influence

Introduction

The increase of suspended surgeries.


Objectives

The underutilization of the resource.


Literature
review

Hospital
and
the UAPQ

Methods

Modeling
the UAPQ

Simulation
and results

Conclusions

The failure of health targets.


The increase in user dissatisfaction

Objectives

Introduction

Objectives

General objective
Develop a theoretical model of the activity of the Unit of
Anesthesia and surgical wards.

Literature
review

Hospital
and
the UAPQ

Methods

Modeling
the UAPQ

Simulation
and results

Conclusions

Specific Objectives
1. Collect information about the operation, supply, resources,
needs and current restrictions on the UAPQ.
2. Describe the system in a formal language that allows its
study in a structured and modular.
3. Specify a part of the system to allow a simulation.

Correct model

Introduction

Objectives

Literature
review

Hospital
and
the UAPQ

Methods

well implemented
Modeling
the UAPQ

Simplified version of the Modeling Process


(Sargent, Robert - 2007)
Simulation
and results

Conclusions

A model by itself is a product


(Brade, Dirk - 2000)

Literature review

Introduction

Modeling

Simulation

Optimization

Objectives

Clinical

Administrative

Literature
review

Hospital
and
the UAPQ

Improve clinical techniques


Improve the diagnostic process

System description
Quantify occupation times
Assess capacity and optimal use

Methods

Some of the techniques and software used in other works are:


Modeling
the UAPQ

Simulation
and results

Conclusions

Matlab
Arena
Excel
Visual Basic
MedModel
Witness

Queuing theory
Discrete simulation
Resampling methods
Data analysis
Structural equation models
Data mining

Flowchart

Linear programming
Integer programming
Stochastic programming
Heuristics methods

Introduction

Many studies characterize the anesthesia units and surgical


pavilions (UAPQ) as a resource and not as a system.

Objectives

No distinction between surgery rooms


Literature
review

Hospital
and
the UAPQ

Methods

Modeling
the UAPQ

Simulation
and results

Conclusions

Establishing that the entities are related, but no describing its


relational behavior (channels of communication, signals, data,
directionality, temporality, hierarchy, etc.).

This study include the following features into the UAPQ specification:

Introduction

Administrative processes and clinical threads.


Objectives

Literature
review

Hospital
and
the UAPQ

Methods

Modeling
the UAPQ

Simulation
and results

Conclusions

Channels, signals, directionality, temporality and hierarchy that


are related or define the processes.
Categorization of pavilions.
Use where possible, a graphic language that allows participation
and understanding inside a multidisciplinary group (doctors,
clinical staff, administrative).
Use a formal language and software that allows a modular
simulation, thus facilitating the study by stages.