Staffs’ and managers’ perceptions of how and when discrete event simulation modeling can be used as a decision support in quality improvement: a focus group discussion study at two hospital settings in Sweden

Objective To explore healthcare staffs’ and managers’ perceptions of how and when discrete event simulation modeling can be used as a decision support in improvement efforts. Design Two focus group discussions were performed. Setting Two settings were included: a rheumatology department and an orthopedic section both situated in Sweden. Participants Healthcare staff and managers (n=13) from the two settings. Interventions Two workshops were performed, one at each setting. Workshops were initiated by a short introduction to simulation modeling. Results from the respective simulation model were then presented and discussed in the following focus group discussion. Results Categories from the content analysis are presented according to the following research questions: how and when simulation modeling can assist healthcare improvement? Regarding how, the participants mentioned that simulation modeling could act as a tool for support and a way to visualize problems, potential...研究目标：探讨医护人员与管理人员对于离散事件仿真建模（discrete event simulation modeling）可如何、何时作为决策支持工具应用于医疗改进工作的认知。 研究设计：开展两次焦点小组讨论（focus group discussion）。 研究场景：纳入两处医疗场景，均位于瑞典，分别为风湿科与骨科。 研究对象：来自上述两处场景的医护人员及管理人员，共计13名。 干预方案：在两处场景各开展一场工作坊。每场工作坊先以简短介绍讲解仿真建模相关知识，随后展示对应仿真模型的结果，并在后续焦点小组讨论中展开探讨。 研究结果：基于内容分析法（content analysis）得到的分类维度，将围绕以下两个研究问题展开呈现：“仿真建模可如何、何时助力医疗改进工作。针对“如何助力”这一问题，参与者指出，仿真建模可作为支持工具，亦是可视化呈现问题与潜在……