Simülasyon İle Bütünleşik Çok Kriterli Karar Verme: Bir Hastane Acil Departmanı İçin Senaryo Seçimi Uygulaması

Hospital emergency departments (EDs) are institutes which have to carry on the activities under vagueness conditions. Determination of the resource requirements that an ED needs is difficult and high cost. When the importance of service is taken into consideration, determination of the ED system performance and improvement of the current system enables using of simulation as an efficient tool. In this study scenarios that reduce patient average length of stay (LOS), improve patient throughput (number of patients served in unit time) and enhance utilization of resources and evaluate the level of ED staff with respect to these constraints are aimed to developed. It is tried to evaluate the most appropriate scenario by the integration of MCDM methods and scenarios obtained. The weights of performance measures are determined using fuzzy AHP (Analytical Hierarchical Process). The rankings of the scenarios are determined with VIKOR (Vise Kriterijumska Optimizacija I Kompromisno Resenje) and PROMETHEE (Preference Ranking Organization Method for Enrichment Evaluation) methods and the results compared to each other.

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