Diseño de un modelo de simulación para la mejora de la oportunidad de atención en urgencias de una Clínica de Barranquilla

dc.contributorOrtiz Barrios, Miguel Ángel
dc.contributorSalas Navarro, Katherinne Paola
dc.creatorNúñez Pérez, Nixon De Jesús
dc.date2018-11-03T18:02:06Z
dc.date2018-11-03T18:02:06Z
dc.date2017-09-06
dc.date.accessioned2023-10-03T19:59:58Z
dc.date.available2023-10-03T19:59:58Z
dc.identifierhttp://hdl.handle.net/11323/338
dc.identifierCorporación Universidad de la Costa
dc.identifierREDICUC - Repositorio CUC
dc.identifierhttps://repositorio.cuc.edu.co/
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/9173719
dc.descriptionEl tiempo de espera es una medida de rendimiento crucial en los departamentos de A & E. En este sentido, los tiempos de espera más largos están relacionados con la baja satisfacción del paciente, altas tasas de mortalidad y complicaciones de salud física más graves. Este trabajo tiene como objetivo diseñar y pre-test de escenarios de mejora a la atención de la atención ED a través de la utilización de la simulación de eventos discretos (DES). En primer lugar, se realiza el análisis de datos de entrada. Posteriormente, se desarrolla y valida el modelo DES para establecer si es estadísticamente comparable con el mundo real. A continuación, se calculan y analizan los indicadores de rendimiento del sistema actual. Finalmente, las estrategias de mejora son propuestas y evaluadas mediante modelos de simulación y pruebas estadísticas. Se presenta un estudio de caso de un departamento de A & E de una clínica general del distrito para validar el marco propuesto. En particular, validaremos la eficacia de la introducción de un sistema de triaje (Escenario 3), una estrategia que no es actualmente adoptada por la clínica. Los resultados demostraron que los tiempos de espera podrían disminuir significativamente sobre la base de los enfoques propuestos en este documento
dc.descriptionWaiting time is a crucial performance metric in A&E departments. In this regard, longer waiting times are related to low patient satisfaction, high mortality rates and more severe physical health complications. This paper aims to design and pretest improvement scenarios to ED care delivery via using Discrete Event Simulation (DES). First, input data analysis is carried out. Afterward, the DES model is developed and validated to establish whether it is statistically comparable with the real-world. Then, performance indicators of the current system are computed and analyzed. Finally, improvement strategies are proposed and evaluated by simulation modelling and statistical tests. A case study of an A&E department from a district general clinic is presented to validate the proposed framework. In particular, we will validate the effectiveness of introducing a triage system (Scenario 3), a strategy that is not currently adopted by the clinic. Results demonstrated that waiting times could be meaningfully diminished based on the proposed approaches within this paper.
dc.formatapplication/pdf
dc.languagespa
dc.publisherMaestría en Ingeniería
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dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightshttp://purl.org/coar/access_right/c_abf2
dc.subjectSimulación de eventos discretos
dc.subjectAccidentes y emergencias
dc.subjectDepartamento de urgencias
dc.titleDiseño de un modelo de simulación para la mejora de la oportunidad de atención en urgencias de una Clínica de Barranquilla
dc.typeTrabajo de grado - Pregrado
dc.typehttp://purl.org/coar/resource_type/c_7a1f
dc.typeText
dc.typeinfo:eu-repo/semantics/bachelorThesis
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typehttp://purl.org/redcol/resource_type/TP
dc.typeinfo:eu-repo/semantics/acceptedVersion
dc.typehttp://purl.org/coar/version/c_ab4af688f83e57aa


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