Research on aging-friendly of elderly patient flow in general hospitals based on process mining
In recent years,with the intensification of aging and the improvement of public health awareness,the demand for medical care for the elderly has increased dramatically,and the aging of medical buildings has become a key problem,especially the complex diagnosis and treatment process of large general hospitals very unfriendly towards older patients and the various problems with finding the way have meant that overall diagnostic and treatment efficiency is low.Patient flow data can truly reflect the transmission path of patients in the medical process,help designers clarify the state and relationship between the different parts of the medical process from the patient's perspective in the medical space and time,and provide real information and reliable prior information for the Planning of hospital buildings.Therefore,this article aims to take the geriatric department of The Southwest Hospital of Amu in Chongqing as the research object and the actual diagnosis and treatment process of patients as the starting point to study the aging problem of the influx of elderly patients in large general hospitals.Using field research,it firstly gathered actual data on the diagnosis and treatment processes of elderly patients.It then processed the data using the process mining program DISCO,eliminating low-frequency activities and pathways to create a high-frequency model of the patients'diagnosis and treatments,and summarizing and analyzing the close relationships between the pertinent process nodes.Next,it recorded the number of spatial transfers of elderly patients and the transit distance under the current layout,which is subsequently used as a comparison standard,and it simulated the real patient transfer path by combining it with Southwest Hospital's planar spatial relationship.It then investigated the optimization of the three department positioning and function configuration modes compared with the original mode,based on the high-frequency diagnosis and treatment process,the close relationship between the relevant spatial nodes,and the number of spatial transfers and transit distance as a comparison measure.The results are as follows:(1)The geriatric department is mainly divided into two groups of high-frequency processes:Firstly,the main processes for patients who do not need to undergo medical examination are"Registration(manual window)/Registration(electronic)-Primary waiting-Secondary waiting-Treatment-Manual window payment-Getting drug";secondly,the main process for patients who need to undergo medical examinations is as follows:"Registration(electronic)/Registration(manual)-Primary waiting-Secondary waiting-Treatment-Manual Window Payment/Electronic Payment-Laboratory department-Electrocardiogram-Ultrasound-Radiology(in no particular order)-Receiving Report-Manual Window Registration-Primary Waiting-Secondary Waiting-Treatment-Manual window payment/Electronic Payment-Getting drug.(2)The frequency of medical technology is"Laboratory Department-Electrocardiogram-Radiology-Ultrasound"in descending order.(3)5 flow optimization modes:Functional configuration(clinic+waiting room)+Department positioning(near the registration and payment area and the electrocardiogram area);Functional configuration(clinic+waiting room+exclusive registration and payment)+Department positioning(close to the laboratory);Functional configuration(clinic+waiting room+exclusive registration and payment+electrocardiogram)+Department positioning(near the laboratory);Functional configuration(clinic+waiting room+exclusive registration and payment+ultrasound)+Department positioning(near the laboratory);Functional configuration(clinic+waiting room+exclusive registration and payment+electrocardiogram+ultrasound)+Department positioning(near the laboratory).(4)Functional configuration and design of the Geriatrics Treatment Center.Based on the special outpatient clinic of the geriatrics department,four affiliated clinics for cardiology,endocrinology,respiratory medicine and ophthalmology were established to ensure coordinated treatment with the geriatrics department.In addition,registration and payment,exclusive medical technology,a comprehensive examination room and a common MDT consultation area were added to provide more comprehensive and convenient medical services to geriatric patients with multiple diseases.Using the Southwest Hospital of Amu as an example,this article demonstrates the process mining method's enormous potential for improving patient flow in the geriatric population.In order to give geriatrics accurate and trustworthy information about department positioning and functional configuration design,process mining analysis of the patient flow in the specialty can assist designers in highlighting high-frequency diagnosis and treatment processes from the actual diagnosis and treatment activities of patients.It can also help to clarify the transmission relationship and frequency characteristics between geriatrics and other related departments additional functional spaces.
patient flowprocess miningaging-friendlygeriatricstreatment center
万方数据
维普
