Chemotherapy scheduling template development using an optimization approach.
Purpose: The purpose of this paper is to develop a chemotherapy scheduling template that accounts for nurse resource availability and patient treatment needs to alleviate the mid-day patient load and provide quality services for patients.Design/methodology/approach: Owing to treatment complexity in...
| Publicado en: | International Journal of Health Care Quality Assurance (09526862) Vol. 32; no. 1; pp. 59 - 71 |
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| Autores principales: | , , |
| Formato: | Journal Article |
| Publicado: |
Emerald Publishing Limited
2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135266002&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 135266002 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09526862 CQA jtl: International Journal of Health Care Quality Assurance (09526862) issn: 09526862 maglogo: N pubinfo: dt: 2019 vid: 32 iid: 1 pid: 465 pub: Emerald Publishing Limited artinfo: ui: 135266002 135266002 NLM30859880 10.1108/IJHCQA-10-2017-0187 NLM30859880 135266002 ppf: 59 ppct: 12 formats: tig: atl: Chemotherapy scheduling template development using an optimization approach. aug: au: Huang, Yu-Li Bach, Sarah M. Looker, Sherry A. affil: College of Medicine, Mayo Clinic, Rochester, Minnesota, USA sug: subj: Personnel Staffing and Scheduling Administration Drug Therapy Standards Quality Improvement Administration Workload Oncology Nursing Administration Nursing Staff, Hospital Administration Ambulatory Care Drug Therapy Trends Qualitative Studies Male Minnesota Nurse-Patient Relations Patient Safety Female Academic Medical Centers Ferrans and Powers Quality of Life Index Male Female ab: Purpose: The purpose of this paper is to develop a chemotherapy scheduling template that accounts for nurse resource availability and patient treatment needs to alleviate the mid-day patient load and provide quality services for patients.Design/methodology/approach: Owing to treatment complexity in chemotherapy administration, nurses are required at the beginning, end and during treatment. When nurses are not available to continue treatment, the service is compromised, and the resource constraint is violated, which leads to inevitable delay that risks service quality. Consequently, an optimization method is used to create a scheduling template that minimizes the violation between resource assignment and treatment requirements, while leveling patient load throughout a day. A case study from a typical clinic day is presented to understand current scheduling issues, describe nursing resource constraints, and develop a constraint-based optimization model and leveling algorithm for the final template.Findings: The approach is expected to reduce the variation in the system by 24 percent and result in five fewer chemo chairs used during peak hours. Adjusting staffing levels could further reduce resource constraint violations and more savings on chair occupancy. The actual implementation results indicate a 33 percent reduction on resource constraint violations and positive feedback from nursing staff for workload.Research Limitations/implications: Other delays, including laboratory test, physician visit and treatment assignment, are potential research areas.Originality/value: The study demonstrates significant improvement in mid-day patient load and meeting treatment needs using optimization with a unique objective. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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