Riba:
- Ƙarfin fahimtar abubuwan da ke shafar ƙimar rashin nunawa da amfani da hankali na wucin gadi don ƙirƙirar rarrabuwar haɗari da tsararrun tunatarwa.
- Ƙarfin tsara ƙarfin asibiti na waje, rarraba ramuka da kuma jujjuyawar lissafi akan yanayin yanayi tare da tallafin fasaha na wucin gadi.
- Samun damar karewa cewa fitarwar bayanan sirri shawara ce ta ƙididdiga kuma ginshiƙi na ƙarshe na mai sarrafa ne, la'akari da haƙƙin samun damar haƙuri da adalci.
Ɗayan mafi ban takaicin asarar kula da asibitin waje shine lokacin alƙawari wanda ya bayyana cikakke amma ya kasance babu komai. Mai haƙuri ya yi alƙawari amma bai bayyana ba; wannan ramin (Ramin naɗi - haƙƙin likita don bincika cikin ƙayyadadden lokaci) ya ɓace. Ana kiran wannan ba-show a cikin kula da lafiya. A cikin asibitin jama'a, adadin marasa lafiya na marasa lafiya sau da yawa yana cikin kewayon kashi 20-30; Ma'ana daya cikin kowane alƙawura guda huɗu ya ɓace. Wannan duka ɓata lokaci ne na likita da kuma asarar damar sauran marasa lafiya waɗanda ke son zuwa amma ba za su iya samun wuri ba. A cikin wannan rukunin, za mu yi amfani da AI don ayyuka guda biyu: tsinkaya haɗarin rashin nunawa da kuma tsara iyawar hankali bisa wannan hasashen. Amma bari mu saita iyaka daga farkon: AI yana samar da ƙimar yiwuwar; Wanne majinyaci ne za a ba da alƙawari shine shawarar mai sarrafa, la'akari da haƙƙin samun dama ga majiyyaci da adalci.
Menene ke ƙayyade nuni?
Ba-show hali ba bazuwar; Akwai wasu alamu. Nazarin ƙasa da ƙasa akai-akai yana nuna abubuwa masu zuwa: tsawon lokacin jira tsakanin alƙawarin da jarrabawa, mafi girman abin da ba a nuna ba; da sassafe ko kuma da yamma; babu-show tarihi (mafi karfin tsinkaya); yanayin yanayi; nisan sufuri na mai haƙuri; reshe (a wasu rassan, yawan halarta yana da yawa saboda ci gaba na yau da kullun). AI baya haddace wadannan abubuwan daya bayan daya; Yana fitar da tsari daga bayanan tarihi da kuka ba shi. Amma ku mai da hankali: AI ya sami dangantaka (daidaitacce), ba dalili ba (dalili). Fadin “Babu nuni a ranar Talata ya yi yawa” ba yana nufin Talata mai laifi ba ne; Watakila wani abu yana faruwa a ranar Talata.
A bangaren iya aiki, ra'ayoyi biyu suna da mahimmanci. Ramin shimfidawa shine adadin alƙawura da kuke sanyawa a wane lokaci na rana. Overbooking yana yin ajiyar kuɗi kaɗan fiye da ƙarfin don rama abin da ake tsammanin babu nuni - kamar lokacin da kamfanonin jiragen sama ke ketare jiragen sama. Overbooking ba caca ba ne, ma'auni ne mai ƙididdigewa: idan kun yi kadan, za a sami ramummuka mara kyau, idan kun yi yawa, jerin gwano da jira za su fashe lokacin da kowa ya zo. AI yana da amfani sosai wajen nuna wannan ma'auni ta hanyar yanayi.
Mataki-mataki: babu nuni da ginshiƙi aiki tare da AI
- Shirya bayanan sirri. Babu sunan haƙuri, ID, yarjejeniya; kawai filayen da ba a san su ba kamar "lokacin alƙawari, reshe, ranar jira, adadin da ba a nuna ba, ya zo / bai bayyana ba".
- Rage tsari. Tambayi AI don taƙaita abubuwan da ke tafiya tare da babu nunin.
- Ƙayyade ƙungiyar haɗari. Ƙungiyoyin marasa lafiya a matsayin "babba/matsakaici/ƙananan" kasadar nuni - ƙungiyoyi masu iya sarrafawa, ba maki ɗaya ba.
- Daidaita shiga tsakani. Ƙarin tunatarwa mai ƙarfi (SMS + kira) zuwa ƙungiyar masu haɗari, ramin sassauƙa; Daidaitaccen tunatarwa zuwa ƙananan haɗari.
- Saita yanayin yin fiye da kima. Yi alƙawura a lissafta ƙarin alƙawura nawa za a yi dangane da ƙimar nunin da ake tsammanin.
- Tace mai gudanarwa. Duban gaskiya: babu ƙungiyar marasa lafiya da aka keɓe daga shiga; overbooking yana da ma'ana; Manajan ya amince da jadawalin ƙarshe.
Tsanaki: Ba a taɓa yin amfani da alamar haɗari don "yin alƙawari ga wannan majiyyaci". Makin shine kawai don tara tunatarwa, sauƙaƙe samun dama da iya daidaitawa. In ba haka ba, tauye haƙƙin majiyyaci ne.
uku mini lokuta
Case 1 - Tuna da tsananin. A cikin asibitin huhu na huhu, adadin ba a nuna shi ya kai kashi 28 cikin ɗari. Ƙungiyar ingancin ta ba da bayanan watanni 6 da ba a san su ba ga YZ kuma ta ƙayyade ƙungiyar haɗari: Marasa lafiya da suka jira fiye da kwanaki 14 kuma ba su zo aƙalla sau ɗaya ba. An yi amfani da kiran SMS + mai mataki biyu zuwa wannan rukunin, kwanaki 3 da kwana 1 kafin jarrabawar. Bayan watanni uku, babu wasan kwaikwayo a cikin wannan rukunin ya ragu daga kashi 28 zuwa kashi 17; Adadin marasa lafiya na marasa lafiya na gabaɗaya ya ragu zuwa kashi 21 cikin ɗari. Wuraren da ba kowa ba ya ragu kuma an gajarta jerin jira.
Hali na 2 - Matsakaicin wuce gona da iri. Ɗaya daga cikin asibitin dermatology yana da ramummuka 40 a kowace rana, tare da matsakaicin rashin nuni na kashi 25 (watau ~10 babu kowa). Manajan ya nemi AI don yanayin wuce gona da iri. AI ta ba da yanayi guda uku: +4 alƙawari (ƙananan haɗari, ɗan ƙaramin yuwuwar layin layi), +8 (daidaitacce), +12 (m, jira mai tsanani idan kowa ya nuna). Manajan ya fara da +6; kallo har tsawon wata guda. Ramin kyauta ya ragu daga kashi 25 zuwa kashi 9, yayin da matsakaicin ƙarin jira ya karu da mintuna 7 kawai. Hukuncin na mutum ne; AI kawai ya sanya zaɓuɓɓukan a bayyane.
Hali na 3 - Koma daga rashin amfani. A cikin ɗayan ɗayan, ma'aikaci yana so ya fassara ma'aunin haɗarin AI a matsayin "babban haɗari bai kamata a ba mutane alƙawari ba". Jami'in ingancin ya ƙi wannan: wannan zai cire marasa galihu (masu wahalar isa, masu ƙarancin kuɗi) marasa lafiya daga tsarin kuma duka biyu ne na ɗabi'a da keta doka. Ba a yi amfani da makin don keɓancewa ba, amma don sassauƙan alƙawari da ƙarin tunatarwa waɗanda suka sauƙaƙe don isa ga majinyacin.
Samfura huɗu masu kwafi
1) Binciken abubuwan da ba a nuna ba:
Matsayinku: Mataimakin mataimakin mai nazarin ayyukan marasa lafiya. A ƙasa akwai bayanan alƙawari na sirri (babu suna/bayani): Lokacin alƙawari, reshe, ranar jira, babu nunin baya, sakamako (wanda aka nuna/babu nunawa). Aiki: (1) jera abubuwa guda 5 waɗanda suka fi yin ƙarfi tare da babu nuni, (2) rubuta bayanin jumla ɗaya ga kowane, (3) bayyana cewa wannan haɗin gwiwa ne, ba da'awar dalili ba. Kada ku sanya wasu lambobi waɗanda ban ba da bayanai don su ba.
2) Risk band da daidaita ma'amala:
Ba da shawara mai sauƙi, ƙa'idodi masu gaskiya (ba akwatunan baƙar fata, ƙofofin da za a iya bayyanawa) waɗanda za su raba marasa lafiya zuwa ƙungiyoyi 3 na babban / matsakaici / ƙananan haɗarin gazawa dangane da alamu a sama. Ga kowane ƙungiya, ba da shawarar tunatarwa/sa baki mai sauƙi wanda ke hana shiga. Babu wata shawara da yakamata ta ware majiyyaci daga alƙawari.
3) Halin da ya wuce kima:
Ramin yau da kullun: 40. Matsakaicin ƙarancin nuni: 25.3% Samar da yanayin wuce gona da iri (mai ra'ayin mazan jiya / daidaitawa / m). Ga kowane yanayi: jimlar alƙawuran da za a yi, marasa lafiya masu shigowa da ake tsammanin, nauyi mai yawa wanda zai faru idan kowa ya bayyana, da kiyasin ƙarin jira. Nuna tsarin lissafin don in tabbatar da su da hannu.
4) Daftarin sakon tunatarwa:
Rubuta mai ladabi da bayyanan tunatarwar SMS (a ƙasa da haruffa 160) don aika zuwa ƙungiyar masu haɗari. Samar da hanya mai sauƙi don soke/ jinkirta alƙawari. Kar a yi amfani da harshen zargi. Baturke, na yau da kullun amma dumi.
Rauni mai ƙarfi / Ƙarfi mai ƙarfi
Rawanin faɗakarwa:
Rage rashin nuni.
Wannan buƙatar ba ta da mahallin mahallin: ba a bayyana ko wane reshe ba, wane bayanai, wanne ƙuntatawa; AI yana ba da shawara na gabaɗaya, mara amfani.
Ƙarfi mai ƙarfi:
Akwai ramummuka 40 a kowace rana a cikin asibitin likitan fata na mu, kuma matsakaicin rashin nunin shine 25%. Ina da bayanan alƙawari na tsawon watanni 6. Ina so in rage ramin kyauta yayin kiyaye damar dama. Ka ba ni (1) ƙa'idar haɗari mai lamba 3, (2) ƙarfin tunatarwa mai dacewa ga kowace ƙungiya, (3) tasirin da ake tsammani na yanayin overbooking +6.
kusanci
ramin fanko
samun damar haƙuri
Hadarin da'a
yi komai ba
babba
tsaka tsaki
A'a amma akwai sharar gida
Ƙarin tunatarwa ga mutane masu haɗari
fadi
An karewa/ƙara
Babu
Matsakaici overbooking
saukad da hankali
Haɗarin wutsiya kaɗan
Ƙananan, dole ne a duba
Ba yin alƙawari ga mutane masu haɗari ba
fadi
an keta shi
Babban - ba zai yiwu ba
Kuskuren gama gari
- Yin kuskuren maki azaman hanyar keɓewa. Sakamakon hadarin ba don kawar da mai haƙuri ba, amma don isa gare shi.
- Tsananin wuce gona da iri. Yin wuce gona da iri da kuma yin alƙawura da yawa zai ƙara yawan layi da korafe-korafe.
- Kuskuren daidaitawa don dalili. Fadin “Talata tana da hadari” ba yana nufin haramta Talata ba; Gano ainihin dalilin da ke tattare da shi.
- Yanke shawara tare da bayanan zama ɗaya. Yin dokoki na dindindin bisa bayanan wata ɗaya yaudara ce; Ana buƙatar aƙalla ƴan watanni na alamu.
- Ketare binciken adalci. Tabbatar a duba cewa shiga tsakani baya ware ƙungiyoyi marasa galihu.
Tukwici: Koyaushe fara overbooking tare da ƙaramin mataki (misali +2/+3) kuma bi shi har tsawon mako guda, sannan ƙara. Halin AI shine tsinkaya; Ainihin ƙimar ku na babu nuni a filin yana buƙatar ku sabunta yanayin.
a takaice
No-show ne shiru maƙiyi na outpatient iya aiki. AI taimako ne mai ƙarfi wajen fitar da tsarin babu nuni daga bayanan da ba a san su ba na tarihi da kuma sanya majiyyata cikin haɗarin haɗari da kuma sa al'amuran wuce gona da iri. Amma duk abin da aka samar shine kimanta yiwuwar yiwuwar. Rikicin haɗari ba shine kayan aiki don keɓancewa ba; don tunatarwa da sauƙaƙewa wanda ke kare damar shiga. Ya kamata ya zama mai araha da aunawa fiye da kima, kuma a gwada shi cikin ƙananan matakai. Taswirar ƙarshe na mai gudanarwa ne, la'akari da adalci da haƙƙin haƙuri.
Aikin aikace-aikace
Sami adadin ramummuka a kowace rana da matsakaicin ƙimar nuni daga rukunin ku (ko hasashe). Tambayi AI don yanayi uku tare da samfurin "Overbooking Scenario" a sama. Sannan tabbatar da dabarar da hannu (misali 40 ramummuka, 25% babu nuni → ana tsammanin 30 babu nuni; idan +6 ya ba da alƙawura 46, ana tsammanin ~ 34-35 babu nuni). Rubuta wane yanayin da kuka zaɓa kuma me yasa a cikin abubuwa 5; Ƙara binciken gaskiya shima.
jerin abubuwan dubawa
- [ ] Shin na ɓoye bayanan (babu suna/ID/ yarjejeniya)?
- [ ] Shin na yi amfani da makin haɗari don kiyaye shiga, ba ware ba?
- [ ] Shin na tabbatar da yanayin fiye da kima tare da dabarar?
- [ ] Na fara overbooking a cikin ƙananan matakai kuma na kafa tsarin sa ido?
- [ ] Na wuce jadawalin ƙarshe ta hanyar tace gaskiya kuma na ƙaddamar da shi ga amincewar manajan?