ABSTRACT
Queues at emergency rooms (ER) are prioritized based on the patient's sickness level. As a consequence, patients with low priority frequently have to wait excessively long. At Mercy Hospital, we began to study means by which such time would be reduced, without putting in jeopardy the life of critical patients. As an initial effort, we studied the flow of patients at the Emergency Department (ED) and decided to model it with and without a fast track lane. A simulation study revealed that indeed a fast track lane reduces by almost 25% the time in the system for patients with low priority without negatively affecting the times of patients with higher priority.
- Kleckley, J. W., B. L. Killingsworth, and M. G. Kletke. 1991. Simulation Model for Estimating Health Care Service Demand: A Knowledge-Based System Approach. Simulation in Health Care, ed. J. G. Anderson, 194-201.Google Scholar
- Kraitsik, M. J. and A. Bossmeyer. 1992. Simulation Applied to Planning an Emergency Department Expansion. In Proceedings of the 1992 Western Simulation Multi conference: Simulation in Health Care and Social Services, ed. J. G. Anderson, 19- 27.Google Scholar
- Pegden, C. D., R. E. Shannon, and R. P. Sadowski. 1990. Introduction to Simulation Using SIMAN, McGraw-Hill, Inc. New Jersey. Google ScholarDigital Library
- Vincent, S. G., and A. M. Law. 1993. UNIFIT II: Total Support for Simulation Input Modeling. In Proceedings of the 1993 Winter Simulation Conference', ed. G. W. Evans, M. Mollaghasemi, E. C. Russell, W. E. Biles, 199-204. Google ScholarDigital Library
- Schellenberger, R. E., B. L. Killingsworth, and J. W. Kleckley. 1992. A Medical Market Share Simulation: Methodology and Results. In Proceedings of the 1992 Western Simulation Multi conference: Simulation in Health Care and Social Services, ed. J. G. Anderson, 3-7.Google Scholar
- Singh, V. K., A. J. Chandran, and B. R. Dey. 1990. Operation Research for Estimation of Ambulance Requirement in a Hospital. Computer Methods and Programs in Biomedicine, 59-63.Google ScholarCross Ref
Index Terms
- Reducing time in an emergency room via a fast-track
Recommendations
The impact of operations strategies for emergency room in Taiwan
DEVS 13: Proceedings of the Symposium on Theory of Modeling & Simulation - DEVS Integrative M&S SymposiumFirst aid is a primary part in the medical system; however, large-scale medical centers are facing the dilemma of overcrowding. When the number of emergency patients increases over the allocation of manpower and equipment, emergency is likely to be ...
Predicting Pre-triage Waiting Time in a Maternity Emergency Room Through Data Mining
ICSH 2015: Revised Selected Papers of the International Conference on Smart Health - Volume 9545An unsuitable patient flow as well as prolonged waiting lists in the emergency room of a maternity unit, regarding gynecology and obstetrics care, can affect the mother and child's health, leading to adverse events and consequences regarding their ...
Physician Staffing for Emergency Departments with Time-Varying Demand
Fluctuations in emergency department ED patient arrivals during the day are one of the main causes of the long waiting times that are frequently encountered, and ED staffing is one of the key drivers of ED service quality improvement. This paper first ...
Comments