A data-integrated simulation-based optimization for assigning nurses to patient admissions
2010
Health Care Manag Sci
3
13
210-21
Journal_Article
Personnel_Planning_and_Scheduling
Probability_Markov_processes||Dynamic_programming_Stochastic_decision_processes||Simulation
Tactical
No
No
Article Link
Sundaramoorthi, D. C., V. C.; Rosenberger, J. M.; Kim, S. B.; Buckley-Behan, D. F. (2010). A data-integrated simulation-based optimization for assigning nurses to patient admissions. [Journal Article]. Health Care Manag Sci, 13(3), 210-221.
The health care system in the United States has a shortage of nurses. A careful planning of nurse resources is needed to ease the health care system from the burden of the nurse shortage and standardize nurse workload. An earlier research study developed a data-integrated simulation to evaluate nurse-patient assignments (SIMNA) at the beginning of a shift based on a real data set provided by a northeast Texas hospital. In this research, with the aid of the same SIMNA model, two policies are developed to make nurse-to-patient assignments when new patients are admitted during a shift. A heuristic (HEU) policy assigns a newly-admitted patient to the nurse who has performed the least assigned direct care among all the nurses. A partially-optimized (OPT) policy seeks to minimize the difference in workload among nurses for the entire shift by estimating the assigned direct care from SIMNA. Results comparing HEU and OPT policies are presented.