Abstract

Despite the recent developments of discrete event simulation (DES) techniques as well as the growing tendency for employing DES in health care quite often many DES projects still fail to implement successfully. According to several studies, the application of project risk management can reduce the incidence of DES project failure in health care however, far too little attention has been paid to this part. In this study, a risk management framework is provided for DES projects in health care order to reduce the occurrence of failure and increase the chance of success in the DES project. This work investigates both managerial and technical risks and tries to identify, evaluate, and control them by using a set of adopted methods. Emergency department seems to be the most popular area of DES projects in health care The proposed framework is applied to an emergency department that serves more than 23000 patients per year. The results of this investigation indicate that the risk management of the DES project not only provides a proactive approach for project managers to implement successfully but also improves scenario ranking process which is one of the main outputs for principal stakeholders.

摘要

尽管最近离散事件模拟 (DES) 技术的发展以及在医疗保健中使用 DES 的趋势不断增长，但许多 DES 项目仍然未能成功实施。根据多项研究，项目风险管理的应用可以降低医疗保健中DES项目失败的发生率，但对这部分的关注太少。在这项研究中，为医疗保健中的DES项目提供了一个风险管理框架，以减少失败的发生，增加DES项目的成功机会。这项工作调查了管理和技术风险，并尝试使用一套采用的方法来识别、评估和控制它们。急诊科似乎是医疗保健中 DES 项目最受欢迎的领域 拟议的框架适用于每年为超过 23000 名患者提供服务的急诊科。这项调查的结果表明，DES 项目的风险管理不仅为项目经理成功实施提供了一种积极主动的方法，而且还改进了情景排序过程，这是主要利益相关者的主要输出之一。