SAĞLIKTA SİMÜLASYON: ACİL SERVİS

Acil servis yönetimi, birçok karmaşıklığı barındıran temel bir hastane problemidir. Sağlık sistemleri ve tıp eğitiminde uygulanan simülasyon, sistemlere optimize edilmiş ve idealleştirilmiş bir işlev sağlamaktadır. Sağlık sistemine etkinlik, verimlilik ve eşitlik sağlar. Bu çalışmada sağlık sistemleri sorunları ve simülasyon yöntemleri tanımlanmış, simülasyonun sağlık hizmetlerine nasıl değer kattığı açıklanmış, incelenen konular zorluklar ve geleceğe bakış açılarıyla ele alınmıştır. Acil serviste kullanılan optimizasyon parametreleri sağlık sisteminin tüm alanlarında da kullanılmaktadır. Bu derlemede, mevcut simülasyon uygulamalarının acil servis yönetimindeki katkılarını ve etkili bir model geliştirmek için dikkate alınması gereken ana parametreleri vurgulamaktır. İki yüz on araştırma ve derleme makalesinde yinelenenler çıkarıldıktan sonra yüz otuz beş çalışma incelenmiştir. Ayrıca, sorunun çözümünde karşılaşılan temel sorunlar ve iyileştirilmesi gereken alanlar da tartışılmaktadır. Yapılan araştırmalara dayanarak, simülasyonun disiplinler arası bir çerçeve sağlayarak hasta bakım altyapıları ve acil servis uygulamaları için önemli bir metodoloji olduğu sonucuna varılabilir.

A REVIEW OF SIMULATION STUDIES IN HEALTHCARE: EMERGENCY SERVICE APPLICATIONS

Managing the emergency service, including many complexities, is one of the main problems for hospitals. A simulation that is implemented health systems and medical education promote optimized and idealized function to systems. It provides effectiveness, efficiency, and equity to the health care system. In this study, the health systems problems and simulation methods were defined, how simulation adds value in healthcare clarified, challenges and issues examined by future perspectives. Optimization parameters used in the emergency department of healthcare are highlighted in all areas of the health system. In order to do those one hundred thirty-five studies were examined after removing duplicates in two hundred ten research and review articles. In addition, the main problems faced in solving the problem and areas that need to be improved are also discussed. Based on the research carried out, it can be concluded that simulation is a crucial methodology for patient care infrastructures and emergency service applications by providing an interdisciplinary framework.

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