Mapping patient flow in a regional Australian emergency department: A model driven approach

Martin, Mary; Champion, R.H.; Kinsman, Leigh; Masman, Kevin

doi:10.1016/j.ienj.2010.03.003

Cited by 43 publications

(25 citation statements)

References 18 publications

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“…References to ‘boarding’ were highlighted in a number of articles. One study reported that the greatest source of delay in ED patient flow was from the submission of an inpatient bed request to a patient exiting ED 19. Where there is a prolonged ED LOS, this is likely to be associated with boarding for more than 2 hours 14…”

Section: Effects Of Exit Blockmentioning

confidence: 99%

Exit block in emergency departments: a rapid evidence review

2016

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Section: Effects Of Exit Blockmentioning

confidence: 99%

Exit block in emergency departments: a rapid evidence review

2016

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“…For example, Martin et al 43 found that the greatest source of delay in patient flow was the waiting time from an admission request for bed to the actual time of exit from the ED for admission. Some researchers have developed a mathematical model using the ED census to predict crowding, daily surge and operational efficiency, the basic pattern of the ED census comprising input, throughput and output.…”

Section: Early Discharge and Patient Flowmentioning

confidence: 99%

Strategies and solutions to alleviate access block and overcrowding in emergency departments

Chan

Cheung

Graham³

et al. 2015

Hong Kong Med J

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Objectives: Access block refers to the delay caused for patients in gaining access to in-patient beds after being admitted. It is almost always associated with emergency department overcrowding. This study aimed to identify evidence-based strategies that can be followed in emergency departments and hospital settings to alleviate the problem of access block and emergency department overcrowding; and to explore the applicability of these solutions in Hong Kong.Data sources: A systematic literature review was performed by searching the following databases: CINAHL, Cochrane Database of Systematic Reviews, EMBASE, MEDLINE (OVID), NHS Evidence, Scopus, and PubMed. Study selection:The search terms used were "emergency department, access block, overcrowding". The inclusion criteria were full-text articles, studies, economic evaluations, reviews, editorials, and commentaries. The exclusion criteria were studies not based in the emergency departments or hospitals, and abstracts.

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“…(10,11) A lot has already been investigated in terms of resource allocation, process standardization, patient classification and prioritization, queuing discipline, implementation of electronic systems and specific process improvements. (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22) However, there seem to be no studies that have improved ED functions through operations management based layout planning.…”

Section: Introductionmentioning

confidence: 99%

Improving Emergency Department Capacity Efficiency

Lehtonen

Lukkarinen²,

Kämäräinen³

et al. 2016

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Objective. The demand for emergency services has risen dramatically around the world. Many Emergency Departments (EDs) have signs of low capacity efficiency (which we define as the rate at which a production facility with limited resources can convert input into output); insufficient resources (staffing, equipment, facilities), inefficient ways to use them, or both. Our purpose was to investigate how to improve ED capacity efficiency through layout planning and present some novel ideas of ED bottlenecks.Methods. We adopted an industrial engineering perspective to one Finnish ED as a case example. In contrary to a simple case report we used more generalizable methods and demand-supply chain analysis to improve capacity efficiency.Results. This study resulted in concrete and generalizable improvements of capacity efficiency concerning both ED premises and staffing. The former includes designing patient locations, organizing beds, improving space usage and optimizing an ED layout. The latter identified the demand for different specialties and optimal allocation of nursing staff.Conclusion. We present a rather unique combination of ways to enhance ED functionality by using methods of industrial engineering.

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Mapping patient flow in a regional Australian emergency department: A model driven approach

Cited by 43 publications

References 18 publications

Exit block in emergency departments: a rapid evidence review

Exit block in emergency departments: a rapid evidence review

Strategies and solutions to alleviate access block and overcrowding in emergency departments

Improving Emergency Department Capacity Efficiency

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