title: Hybrid expert-system approach to nurse scheduling.
abstract: The objective of this research was to develop a hybrid expert system entitled NURSE-HELP to achieve flexible and effective scheduling for nurses. NURSE-HELP was developed with the emphasis on following the ergonomics guidelines, which will improve the performance of nurses. Moreover, the combination of linear zero-one goal programming and an expert system program reduces the program run time while maintaining the quality of the schedule. The system was evaluated by comparing 18 sets of 4-week schedules generated by the head nurses manually and by NURSE-HELP. Concerning the amount of time required to generate the schedules, NURSE-HELP averaged less than 20 minutes, whereas head nurses spent from 2 to 4 hours. The quality of the schedules was measured using the following four criteria: 1) minimum staff level not satisfied, 2) day off request not granted, 3) backward rotation, and 4) maximum consecutive work periods on the night shift. NURSE-HELP was superior in all these aspects.
authors.affiliation: Department of Industrial Engineering, University of Houston, Texas 77204-4812.
authors.forename: J G
authors.initials: JG
authors.lastname: Chen
authors.forename: T W
authors.initials: TW
authors.lastname: Yeung
mesh_terms: D006804:Ergonomics; D005069:Evaluation Studies as Topic; D005103:Expert Systems; D007588:Job Satisfaction; D009740:Nursing Staff / Q000523:psychology / Q000600:supply & distribution*; D010562:Personnel Staffing and Scheduling Information Systems; D012986:Software Validation; D014940:Work Schedule Tolerance