Proposição de um modelo matemático para elaboração e avaliação do quadro de lotação em uma instituição hospitalar com o uso de otimização combinatória

Abstract

The operating performance of hospitals have directly related of rostering colaboration. Thus, the construction of the same task requires attention to the many details to obtain good results. In this context, a model computationally feasible to prepare the rostering nursing, capable of generating elements to assess its influence on the hospital's operating performance, it is important. The contribution of this research is to present a formal mathematical model, based on restrictions to allow the construction of scheduling nursing with computer support. In addition, the study presents elements for evaluating the Board's work team Capacity. Personal climbing task is responsible for time-consuming and not always ensure compliance with existing laws and regulations, as it is usually a manual process, without the use of customizable computational tools to the particularities of each hospital. The study was conducted from data collected at the inpatient unit of a hospital in Porto Alegre/ RS. They were obtained from the information field study on working range of needs in this particular reality, beyond the performance indicators survey. Experiments were conducted to evaluate the effect of the decision variables and the influence of the parameters of the Evolutionary Algorithm in the final solution. To validate the model we used cases of hypothetical test, based on real data collected in the study. With the application of the model, working scales can be obtained to meet the needs of hospital departments providing less negative impact on the hospital's operating performancer.