Araştırma Makalesi
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HASTANE SEÇİMİNDE AMBULANS HİZMETİ: TÜRKİYE YOZGAT İLİ OPTİMİZASYON İLE KESİKLİ-OLAY SİMÜLASYON UYGULAMASI

Yıl 2021, Cilt: 3 Sayı: 1, 112 - 122, 29.04.2021

Yasemin Ayaz Atalan

https://doi.org/10.46387/bjesr.902298
Cited By: 1

Öz

Bu çalışma, ambulans hizmetinde hastayı en yakın hastaneye değil, hastanın hastalığına daha iyi yanıt veren uygun bir hastaneye sevk etmek için yeni bir yaklaşım geliştirmeyi amaçlamaktadır. Bir hastanede personel ve ekipman eksikliği nedeniyle, hastaların başka bir hastaneye nakledilme olasılığı çok yüksektir. Bu araştırmada geliştirilmiş bir ambulans hizmeti akış şeması için ayrık olay simülasyon yöntemiyle bir vaka çalışması gerçekleştirildi. Vaka çalışması, iki hastane (şehir ve üniversite), bir acil çağrı merkezi ve altı ambulans istasyonu sahip Yozgat ilinde gerçekleştirilmiştir. Her bir ambulans istasyonun bir adet olmak üzere ambulans aracı bulunmaktadır. Kullanılan veriler Ocak 2018'den Ocak 2019'a kadar olan bir yılı kapsamaktadır. Bu çalışma için geliştirilen yöntem ambulans hizmetinde %21,14'lük bir iyileşme sağlanmıştır. Bulgular arasında dikkat çeken en önemli nokta, hastanın en yakın hastaneden ziyade en uygun hastaneye sevk edilmesinin hem sevk süresi hem de hastanın hayatı tehdit edici durumu açısından önemli olduğu bu çalışma ile tespit edilmiştir.

Anahtar Kelimeler

Şehir Hastanesi Üniversite Araştırma Hastanesi Ambulans Servisi Kesikli-olay Simülasyonu Sevk Süresi

Kaynakça

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AMBULANCE SERVICE FOR HOSPITAL SELECTION: OPTIMIZATION WITH DISCRETE-EVENT SIMULATION APPLICATION FOR YOZGAT PROVINCE OF TURKEY

Yıl 2021, Cilt: 3 Sayı: 1, 112 - 122, 29.04.2021

Yasemin Ayaz Atalan

https://doi.org/10.46387/bjesr.902298
Cited By: 1

Öz

This study aims to develop a new approach in the ambulance service to refer the patient not to the nearest hospital but to a suitable hospital that responds better to his/her illness. Due to the lack of staff and equipment in a hospital, patients are often very likely to be transferred to another hospital. A case study was performed with a discrete-event simulation method for an improved ambulance service flowchart in this research. The case study was conducted in Yozgat province of Turkey, including two hospitals (city and university), one emergency call center, and six ambulance stations. Each of them has one vehicle. The data used covers the one-year from January 2018 to January 2019. The method developed for this study resulted in a 21.14 % improvement in ambulance service. The most crucial point that was noteworthy among the findings was that referral of the patient to the most appropriate hospital, rather than the nearest hospital, was important in terms of both dispatching time and the life-threatening condition of the patient.

Anahtar Kelimeler

City Hospital University Hospital Ambulance Service Discrete-Event Simulation Dispatching Time

Kaynakça

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  • [6] S. Nickel, M. Reuter-Oppermann, and F. Saldanha-da-Gama, “Ambulance location under stochastic demand: A sampling approach,” Oper. Res. Heal. Care, vol. 8, pp. 24–32, Mar. 2016, doi: 10.1016/J.ORHC.2015.06.006.
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  • [20] A. D. Hanchate, M. K. Paasche-Orlow, K. S. Dyer, W. E. Baker, C. Feng, and J. Feldman, “Geographic Variation in Use of Ambulance Transport to the Emergency Department,” Ann. Emerg. Med., vol. 70, no. 4, pp. 533-543.e7, Oct. 2017, doi: 10.1016/J.ANNEMERGMED.2017.03.029.
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  • [21] S. Enayati, M. E. Mayorga, H. K. Rajagopalan, and C. Saydam, “Real-time ambulance redeployment approach to improve service coverage with fair and restricted workload for EMS providers,” Omega, vol. 79, pp. 67–80, Sep. 2018, doi: 10.1016/J.OMEGA.2017.08.001.
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  • [28] State Turkish Meteorological Service, “Extreme Maximum, Minimum and Average Temperatures Measured in Long Period (°C),” 2019. https://www.mgm.gov.tr/veridegerlendirme/il-ve-ilceler-istatistik.aspx?m=YOZGAT.
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Toplam 62 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Endüstri Mühendisliği
Bölüm Araştırma Makaleleri
Yazarlar

Yasemin Ayaz Atalan 0000-0001-7767-0342

Yayımlanma Tarihi 29 Nisan 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 3 Sayı: 1

Kaynak Göster

APA Ayaz Atalan, Y. (2021). AMBULANCE SERVICE FOR HOSPITAL SELECTION: OPTIMIZATION WITH DISCRETE-EVENT SIMULATION APPLICATION FOR YOZGAT PROVINCE OF TURKEY. Mühendislik Bilimleri Ve Araştırmaları Dergisi, 3(1), 112-122. https://doi.org/10.46387/bjesr.902298
AMA Ayaz Atalan Y. AMBULANCE SERVICE FOR HOSPITAL SELECTION: OPTIMIZATION WITH DISCRETE-EVENT SIMULATION APPLICATION FOR YOZGAT PROVINCE OF TURKEY. Müh.Bil.ve Araş.Dergisi. Nisan 2021;3(1):112-122. doi:10.46387/bjesr.902298
Chicago Ayaz Atalan, Yasemin. “AMBULANCE SERVICE FOR HOSPITAL SELECTION: OPTIMIZATION WITH DISCRETE-EVENT SIMULATION APPLICATION FOR YOZGAT PROVINCE OF TURKEY”. Mühendislik Bilimleri Ve Araştırmaları Dergisi 3, sy. 1 (Nisan 2021): 112-22. https://doi.org/10.46387/bjesr.902298.
EndNote Ayaz Atalan Y (01 Nisan 2021) AMBULANCE SERVICE FOR HOSPITAL SELECTION: OPTIMIZATION WITH DISCRETE-EVENT SIMULATION APPLICATION FOR YOZGAT PROVINCE OF TURKEY. Mühendislik Bilimleri ve Araştırmaları Dergisi 3 1 112–122.
IEEE Y. Ayaz Atalan, “AMBULANCE SERVICE FOR HOSPITAL SELECTION: OPTIMIZATION WITH DISCRETE-EVENT SIMULATION APPLICATION FOR YOZGAT PROVINCE OF TURKEY”, Müh.Bil.ve Araş.Dergisi, c. 3, sy. 1, ss. 112–122, 2021, doi: 10.46387/bjesr.902298.
ISNAD Ayaz Atalan, Yasemin. “AMBULANCE SERVICE FOR HOSPITAL SELECTION: OPTIMIZATION WITH DISCRETE-EVENT SIMULATION APPLICATION FOR YOZGAT PROVINCE OF TURKEY”. Mühendislik Bilimleri ve Araştırmaları Dergisi 3/1 (Nisan 2021), 112-122. https://doi.org/10.46387/bjesr.902298.
JAMA Ayaz Atalan Y. AMBULANCE SERVICE FOR HOSPITAL SELECTION: OPTIMIZATION WITH DISCRETE-EVENT SIMULATION APPLICATION FOR YOZGAT PROVINCE OF TURKEY. Müh.Bil.ve Araş.Dergisi. 2021;3:112–122.
MLA Ayaz Atalan, Yasemin. “AMBULANCE SERVICE FOR HOSPITAL SELECTION: OPTIMIZATION WITH DISCRETE-EVENT SIMULATION APPLICATION FOR YOZGAT PROVINCE OF TURKEY”. Mühendislik Bilimleri Ve Araştırmaları Dergisi, c. 3, sy. 1, 2021, ss. 112-2, doi:10.46387/bjesr.902298.
Vancouver Ayaz Atalan Y. AMBULANCE SERVICE FOR HOSPITAL SELECTION: OPTIMIZATION WITH DISCRETE-EVENT SIMULATION APPLICATION FOR YOZGAT PROVINCE OF TURKEY. Müh.Bil.ve Araş.Dergisi. 2021;3(1):112-2.

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