Abstract:
The appropriate-use optimization of the limited spaces of the Iranian hospitals is believed to be a crucial step towards promoting the efficiency of these healthcare centers. The issue determining the optimization patterns of the layout of units has led to a lot of efforts by researchers as it increases the efficiency of the hospitals through patients’ improvement, changing the location of individuals, patients and facilities. It is right to say that the issue of productivity is neglected in Iranian hospitals concurrently as the question of hospitals layout is not properly addressed.Method-The present study is an applied research. The method of carrying out this research is based on three basic steps: In the first step, the initial layout of various wards in the subject hospital is determined after the hospital layout was received and numbered for the sake of facility. In the next step an A.R.C (Activity Relation Chart) curve was drawn for all wards of the hospital. Then, the efficiency of the initial settlement was calculated using a diamond algorithm. On the basis of specified relationships and also the hospital current process curve, the new layout plan was presented and the efficiency was recalculated.Findings-The presented layout has the capability to be utilized in a hospital unit and can encounter various conditions in the present healthcare centers. After the application of the layout improvements the efficiency of the hospital increased up to 45%.Conclusion-The presented layout pattern in the hospitals to increase efficiency is practically feasible and a real world experience is recommended
Machine summary:
Soheili Kashani 1,3Department of Health Service Management, School of Management and Economics, Science and Research Branch, Islamic Azad University (IAU), Tehran, Iran 2 Department of Management System and Productivity, Faculty of Industrial Engineering, Tehran South Branch, Islamic Azad University (IAU), Tehran, Iran 4Department of Biology, Faculty of Science, Kashan University of Medical science, Kashan, Iran ABSTR ACT: Received 27 Au gust 2011, Accepted 24 October 20 11 The appropriate-use optimization of the limited spaces of the Iranian hospitals is believed to be a crucial step towards promoting the efficiency of these healthcare centers.
The issue determining the optimization patterns of the layout of units has led to a lot of efforts by researchers as it increases the efficiency of the hospitals through patients’ improvement, changing the location of individuals, patients and facilities.
in healthcare centers the relationship activities curve has been used to design the layout and location of various hospital services units and their efficiency in the present study.
One of the strong points in the Optimization of Hospital Layout 5th floor Pavion 21 Ward 5 22 4th floor Ward 4 19 O peration room 20 3rd floor Advanced operation room 17 Ward 3 18 2nd floor Radiology 12 Lab 13 ICU 14 C onference hall 15 Physiotherapy 16 1st floor Em ergency 6 Ward 1 7 M anagem ent 8 Adm ission 9 B one density 10 Specialized clinic 11 Basement CSR 1 Kitchen 2 Technical orthopedics 3 Records 4 Installations 5 Fig u r e 1 : I nitial layo ut plan Figure 2: Activities re lations hip curve fo r the 22 wards of the ho s pital presented design is that in the model attempts have been mad e t o offer g uid el in es t o i n cr eas e t h e complexity of the mathematical model to an acceptable extent in addition to supporting the indefiniteness condition so that solving it by heuristic methods using slight changes can be possible.