A Framework for Development of an Intra-Hospital Patient Transfer Using Queue Management System

Meephu, Ekkarat; Arwatchananukul, Sujitra; Aunsri, Nattapol

doi:10.1109/gws.2018.8686487

Cited by 1 publication

(1 citation statement)

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“…The duration of the transfer procedure was utilized as a baseline for the current process, and the duration of each work was observed using a stopwatch. An example of the IHT workflow from the departure facility to another facility is shown in Fig 1 [38]. 2.…”

Section: Iht Workflow and Designmentioning

confidence: 99%

Enhancement of Intra-hospital patient transfer in medical center hospital using discrete event system simulation

2023

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The intra-hospital transfer of critically ill patients are associated with complications at up to 70%. Numerous issues can be avoided with optimal pre-transport planning and communication. Simulation models have been demonstrated to be an effective method for modeling processes and enhancing on-time service and queue management. Discrete-event simulation (DES) models are acceptable for general hospital systems with increased variability. Herein, they are used to improve service effectiveness. A prospective observational study was conducted on 13 official day patient transfers, resulting in a total of 827 active patient transfers. Patient flow was simulated using discrete-event simulation (DES) to accurately and precisely represent real-world systems and act accordingly. Several patient transfer criteria were examined to create a more realistic simulation of patient flow. Waiting times were also measured to assess the efficiency of the patient transfer process. A simulation was conducted to identify 20 scenarios in order to discover the optimal scenario in which where the number of requests (stretchers or wheelchairs) was increased, while the number of staff was decreased to determine mean waiting times and confidence intervals. The most effective approach for decreasing waiting times involved prioritizing patients with the most severe symptoms. After a transfer process was completed, staff attended to the next transfer process without returning to base. Results show that the average waiting time was reduced by 21.78% which is significantly important for emergency cases. A significant difference was recorded between typical and recommended patient transfer processes when the number of requests increased. To decrease waiting times, the patient transfer procedure should be modified according to our proposed DES model, which can be used to analyze and design queue management systems that achieve optimal waiting times.

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Section: Iht Workflow and Designmentioning

confidence: 99%