集成手术排程和护士排班的中期决策优化研究-计算机工程与应用.pdfVIP

232 2016 ，52（13） Computer Engineering and Applications 计算机工程与应用 集成手术排程和护士排班的中期决策优化研究 1 1 2 李 冲 ，项 薇 ，陈赛峰 1 1 2 LI Chong , XIANG Wei , CHEN Saifeng 1.宁波大学 机械工程与力学学院，浙江 宁波 315211 2.宁波大学 医学院附属医院，浙江 宁波 315211 1.Faculty of Mechanical Engineering and Mechanics, Ningbo University, Ningbo, Zhejiang 315211, China 2.The Affiliated Hospital of School of Medicine, Ningbo University, Ningbo, Zhejiang 315211, China LI Chong, XIANG Wei, CHEN Saifeng. Integrated surgeries scheduling and nurse rostering medium-term decision- making optimization research. Computer Engineering and Applications, 2016, 52 （13）：232-237. Abstract ：Under the situation of the shortage of health care staffs and increasing surgeries demand, how to reasonable arrange surgeries and allocate resources so as to solve the operating room resource load imbalance phenomenon in practi- cal operation becomes the most difficult and essential problem in operating room management. The surgery scheduling and nurses rostering, as the core of the management of operating room decision problem, have a different time domain, and will influence each other. Considering several hard and soft constraints, i.e. the specialty and operating room nurses preference, a medium-term integrated decision-making model integrating surgeries scheduling and operating room nurse rostering has been built. A double nested path structure of ant colony algorithm is designed. The 10-days actual hospital operation data is used for the algorithm comparison analysis and evaluation. It is proved both the feasibility and effective- ness of proposed algorithm for the integrated decision-making problem. Key words ：medium-term decision-making; integration surgery scheduling; nurse rostering; ant colony algorithm 摘 要：在手术需求增大与医护人员短缺的矛盾下如何合理安排手术和配置医护资源，解决手术室实际运作中资源 负荷不均衡现象，是当前手术室运作管理中亟待解决的难题。然而手术排程和手术室护士排班作为手术室科学管 理的核心决策问题，却有着不同的时间域，并且会相互影响。在考