arXiv:2506.06297cs.LGcs.AI2025-06

用强化学习优化心脏超声检查资源分配,提升医院效率。

Optimal patient allocation for echocardiographic assessments

  • 基于仿真与强化学习,动态分配超声资源。
  • 实时分配比预留策略更适应患者波动,提升整体效率。
  • 适合医疗调度优化与智能管理研究者参考。

医院心脏超声检查排程面临诸多不确定性因素(如患者爽约、到院时间波动、检查时长差异)以及胎儿与非胎儿患者资源需求不对称的问题。本文对斯坦福大学卢西尔·帕克德儿童医院超声实验室一周运营数据进行预处理,估算患者爽约概率,并获取到院时间与检查时长的实证分布。基于此,构建了基于SimPy的离散事件随机仿真模型,并集成Gymnasium开源库。设计对比框架评估实时分配与预约预留策略在不同资源配置比例下的表现。针对胎儿/非胎儿诊室比1:6、超声医师比4:2的配置,结果表明实时分配更具优势,能更好适应患者变异与资源约束。在此基础上,应用强化学习推导近似最优动态分配策略,并与最优规则策略对比,量化差异,为实现数据驱动的高效超声实验室管理提供可操作洞见。

原文摘要 · Abstract (English)

Scheduling echocardiographic exams in a hospital presents significant challenges due to non-deterministic factors (e.g., patient no-shows, patient arrival times, diverse exam durations, etc.) and asymmetric resource constraints between fetal and non-fetal patient streams. To address these challenges, we first conducted extensive pre-processing on one week of operational data from the Echo Laboratory at Stanford University's Lucile Packard Children's Hospital, to estimate patient no-show probabilities and derive empirical distributions of arrival times and exam durations. Based on these inputs, we developed a discrete-event stochastic simulation model using SimPy, and integrate it with the open source Gymnasium Python library. As a baseline for policy optimization, we developed a comparative framework to evaluate on-the-fly versus reservation-based allocation strategies, in which different proportions of resources are reserved in advance. Considering a hospital configuration with a 1:6 ratio of fetal to non-fetal rooms and a 4:2 ratio of fetal to non-fetal sonographers, we show that on-the-fly allocation generally yields better performance, more effectively adapting to patient variability and resource constraints. Building on this foundation, we apply reinforcement learning (RL) to derive an approximated optimal dynamic allocation policy. This RL-based policy is benchmarked against the best-performing rule-based strategies, allowing us to quantify their differences and provide actionable insights for improving echo lab efficiency through intelligent, data-driven resource management.

医疗调度强化学习仿真优化

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