Abstract:
In this paper, a simulation model of an emergency department (ED) at a large community hospital, Central Baptist Hospital in Lexington, KY, is developed. Using such a mod...Show MoreMetadata
Abstract:
In this paper, a simulation model of an emergency department (ED) at a large community hospital, Central Baptist Hospital in Lexington, KY, is developed. Using such a model, we can accurately emulate the patient flow in the ED and carry out sensitivity analysis to determine the most critical process for improvement in quality of care (in terms of patient length of stay). In addition, a what-if analysis is performed to investigate the potential change in operation policies and its impact. Floating nurse, combining registration with triage, mandatory requirement of physician's visit within 30 min, and simultaneous reduction of operation times of some most sensitive procedures can all result in substantial improvement. These recommendations have been submitted to the hospital leadership, and implementations are in progress.
Published in: IEEE Transactions on Systems, Man, and Cybernetics - Part A: Systems and Humans ( Volume: 42, Issue: 6, November 2012)
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- IEEE Keywords
- Index Terms
- Length Of Stay ,
- Community Hospitals ,
- Sensitivity Analysis ,
- Simulation Model ,
- Operation Time ,
- Physician Visits ,
- Ambulatory ,
- Chest Pain ,
- Arrival Time ,
- Volume In Patients ,
- Patient Visits ,
- Patient Rooms ,
- Discrete Event Simulation ,
- Emergency Department Staff ,
- Impact Of Efforts ,
- Primary Nurses ,
- Patient Arrival ,
- Number Of Emergency Department ,
- Radiological Tests ,
- Longer Length Of Stay ,
- Urgent Patients ,
- Impact Of Procedures
- Author Keywords
Keywords assist with retrieval of results and provide a means to discovering other relevant content. Learn more.
- IEEE Keywords
- Index Terms
- Length Of Stay ,
- Community Hospitals ,
- Sensitivity Analysis ,
- Simulation Model ,
- Operation Time ,
- Physician Visits ,
- Ambulatory ,
- Chest Pain ,
- Arrival Time ,
- Volume In Patients ,
- Patient Visits ,
- Patient Rooms ,
- Discrete Event Simulation ,
- Emergency Department Staff ,
- Impact Of Efforts ,
- Primary Nurses ,
- Patient Arrival ,
- Number Of Emergency Department ,
- Radiological Tests ,
- Longer Length Of Stay ,
- Urgent Patients ,
- Impact Of Procedures
- Author Keywords