Item type:Thesis, Open Access

Entwicklung eines Algorithmus zur elektiven OP-Einbestellung in der Klinik für Orthopädie und Rheumatologie

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Date

2006-04-11

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Philipps-Universität Marburg
DOI

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Abstract

The following paper develops need-oriented long-term operating room scheduling. The given basic conditions of the clinic for orthopedic surgery and rheumatology in Marburg are identified and considered. Avowed goal is the reduction of the pre-operative stay and thus a reduction of the entire hospitalization. The quantity of operations per year is to remain unchanged. With the assistance of a process analysis the given workflows are examined and described as well as discussed with a particularly developed documentation tool (MaPDok). The basic conditions of the clinic are identified as internal and external conditions from the patient’s view. Internal conditions are choices for the patient, external conditions are defaults, on which the patient does not have any influence. From these conditions four characteristics are identified, which are considered for the development of an algorithm for operating room scheduling. Different algorithms with various degrees of complexity are developed. A comparison of the developed algorithms with the actual situation by stochastic simulation examines the hypothesis of the reduction of the pre-operative stay and the entire hospitalization. Already the simplest algorithm can achieve an obvious reduction of the pre-operative stay and the entire hospitalization. Algorithms with higher degrees of complexity will effect no substantial improvement and however are more difficult in use. The favored algorithm can be used with or without support by EDP mostly free from intervention and investment.

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Dates
Created: 2005Issued: 2006-04-11Updated: 2011-08-10
DOI
https://doi.org/10.17192/z2006.0237
Faculty
Medizin
Publisher
Philipps-Universität Marburg
Language
ger
Data types
DoctoralThesis
Keywords
Process analysisMedModelAlgorithmOrthopedic surgeryMarburger Prozess DokumentationMonte-carlo-simulationDiscrete event simulationMaPDok
DFG-subjects
Orthopädische ChirurgieAlgorithmusSimulationComputersimulationSimulation OrthopMonte-Carlo-SimulationDiskrete Simulation
DDC-Numbers
610
License
https://rightsstatements.org/vocab/InC-NC/1.0/
URI
https://open.uni-marburg.de/handle/10.17192/z2006.0237
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Hauser, Marc P.: Entwicklung eines Algorithmus zur elektiven OP-Einbestellung in der Klinik für Orthopädie und Rheumatologie. : Philipps-Universität Marburg 2006-04-11. DOI: https://doi.org/10.17192/z2006.0237.

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This item has been published with the following license: In Copyright