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Possibilities of simulation modeling in the practice of the healthcare system

https://doi.org/10.24884/1607-4181-2022-29-3-17-23

Abstract

Introduction. This article presents the experience of five years of using simulation modeling to optimize work in the field of healthcare organization. Works are considered on the example of organizing the process of a three-level system for organizing emergency medical care in the regions, and examples of the practical application of computer modeling to improve the work of an inpatient emergency department are presented.

The objective was to study various methods and approaches to the implementation of simulation modeling used in practice in the healthcare system. Consider the possibilities of simulation modeling on the FlexsimHC platform.

Methods and materials. The analysis of methods and software used to create a simulation model in the healthcare sector was carried out. The main possibilities of using process modeling on the FlexsimHC platform were considered on the example of designing work inside and outside the hospital.

Results. After a series of experiments in the virtual space, the data obtained were put into practice. On the example of the completed project of the simulation model of the region, a real way to optimize the emergency medical care in the region was proposed. Experiments were also carried out on models of an inpatient emergency department, the results of which revealed ways to optimize the workflow aimed at reducing the duration of stay inside the department, at an adequate distribution of patient flows, allowing timely implementation of all necessary medical and diagnostic measures without additional burden on medical personnel.

Conclusion. Simulation modeling is the key to solving the logical problems of modern planning, allowing to reduce the risks of logistics errors in real time. 

About the Authors

E. A. Tsebrovskaya
Pavlov University
Russian Federation

Junior Research Fellow of the Laboratory of Healthcare Organization, Assistant of the Department of Emergency Medicine and Injury Surgery, Doctor of the Inpatient Emergency Department,

197022, Санкт-Петербург, ул. Льва Толстого, д. 6-8



V. M. Teplov
Pavlov University
Russian Federation

Dr. of Sci. (Med.), Head of the Emergency Department, Associate Professor of the Department of Emergency Medicine and Injury Surgery,

197022, Санкт-Петербург, ул. Льва Толстого, д. 6-8



K. S. Klyukovkin
Pavlov University

Vice-Rector for Postgraduate Education, Professor of the Department of Public Health and Healthcare with a Course in Economics and Healthcare Management, Dr. of Sci. (Med.), 

197022, Санкт-Петербург, ул. Льва Толстого, д. 6-8



D. M. Prasol
Pavlov University
Russian Federation

Doctor of the Inpatient Emergency Department, 

197022, Санкт-Петербург, ул. Льва Толстого, д. 6-8



S. F. Bagnenko
Pavlov University

Dr. of Sci. (Med.), Professor, Academician of the Russian Academy of Sciences, Rector, 

197022, Санкт-Петербург, ул. Льва Толстого, д. 6-8



References

1. Yakimov I. M. et al. Comparison of simulation systems for probabilistic objects with graphical input of block diagrams // Proceedings of the Samara Scientific Center of the Russian Academy of Sciences. 2016;18(2(3)). (In Russ.).

2. Korablev U. A. Simulation modeling. Moscow, KNORUS, 2017:146. (In Russ.).

3. Pal’mov S. V., Zhuykova A.A. An overview of the capabilities of the Flexsim simulation system in the field of healthcare //International scientific research and. 2018;(1):124–127. (In Russ.).

4. Yakimov I. M. Simulation modeling of probabilistic objects in the Flexsim system // Bulletin of the Technological University. 2016;19(21). (In Russ.).

5. Teplov V. M. et al. Simulation modeling of a three-level system of medical care in an emergency form in the Chechen Republic // Emergency medical care. 2020;21(2):9–14. (In Russ.).

6. Tsebrovskaya E. A. et al. Using Flex Sim Healthcare to optimize the work of an inpatient emergency department // Simulation Modeling: Theory and practice. IMMOD – 2017. SPb., 2017:592. (In Russ.).

7. Teplov V. M. et al. Ultrasound diagnostics in the hands of an inpatient emergency department doctor (ED): simulation modeling and practical implementation // Kazan Medical Journal. 2019;(100(3)):488–491. (In Russ.).

8. Teplov V. M. et al. The use of simulation modeling to optimize the work of an inpatient emergency department in a multidisciplinary hospital in the context of reprofiling a medical institution to receive patients with a new coronavirus infection // Emergency medical care. 2020;(4):11–16. (In Russ.).


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For citations:


Tsebrovskaya E.A., Teplov V.M., Klyukovkin K.S., Prasol D.M., Bagnenko S.F. Possibilities of simulation modeling in the practice of the healthcare system. The Scientific Notes of the Pavlov University. 2022;29(3):17-23. (In Russ.) https://doi.org/10.24884/1607-4181-2022-29-3-17-23

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ISSN 1607-4181 (Print)
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