基于手术室综合运作成本的手术排程优化.pdfVIP

第 16 .:4总第 6 掏 科技与管理 Vol. 16 NO.6 2014 年 11 月 Science-T echnology and Management Nov. , 2014 文章编号 :1 ∞8 -7133(2014)06- ∞67 -05 基于手术室综合运作成本的手术排程优化 李冲，项薇 (宁波大学机械工程与力学学院，浙江宁波 315211) 摘 要:手术室是医院收入和支出的重要部门，其运作管理是医院科学管理的核心环节，因此合理安排 手术排程，控制手术室综合运作成本显得尤为重要。为了提升模型的实用性，在调研国内医院手术室运 作现状基础上，以最优化手术室综合运作成本为目标函数，考虑完整的手术流程和多种源于国内医护现 状的资源约束、手术优先级、及运作约束等实际因素，构建了手术排程的数学模型。在经典蚁群算法基 础上，改进设计了新的内外层蚂蚁路径图结构，实现外层蚂蚁选择手术顺序，内层蚂蚁选择对应的资源 序列。并以国内某三级甲等医院一天的手术为算例进行计算和算法评价。对比结果表明，此排程算法 在排程效率、资源平衡性和手术室综合成本多个指标方面都有优越性。 关键词:手术调度;手术成本;多资源约束:蚁群算法 申固分类号: TP399 文献标志码 :A Integrated operatioo cost based 00 the operatiog room scheduling optimization LI Chong, XIANG Wei (Faculty of Mechanical Engineering and Mechanics , Nin怜。 University ， Ningbo 315211 , China) Abs仕act : Due to the operating room is one of the important department of hospital income and expenditure , and its operation management is the key link in hospital scientific management , the reasonable arrangement of operation schedule , it is particularly importarit to comprehensive utilization of control operating costs. To enhance the practica? bility of tbe model , this paper on the basis of the domestic current situation of the hospital operating room opera? tion , comprehensive utilization cost as the 0均 ective function to optimize the operating room , the paper analyzes a complete operation process and various derived from the present situation of domestic medical resou陀es ， priorities , and operating constraints such as the actual factors , constructs the mathematical model of the operation schedule. Based on classical ant colony algorithm , the