Simulating an emergency department “is as much fun as…”

Abstract

The purpose of this project is to improve the operation of Peninsula Regional Medical Center's (PRMC) Emergency Department (ED) and decrease patient dissatisfaction with length of stay. The goal is to reduce patient throughput times and determine the appropriate staffing levels. An additional goal is to aid in identifying other system changes to improve patient and department flows in the ED through the use of simulation.

A study of response surface in simulation of emergency room systems

“…Other efforts that show the importance of simulation in health care systems include McGuire (1994), Garcia et al (1995), and Kirtland et al (1995). McGuire (1994) addresses this issue of customer satisfaction by applying simulation to reduce the length of stay for patients within the ER.…”

Modeling and analysis of triage nurse ordering in emergency departments

“…As highlighted in [8] and [4], most of TNO interventions are limited to some radiographs, mostly joints and bones of distal limbs [13,16,18]. However, some include additional diagnostic test requesting such as blood tests, urinalysis, electrocardiogram [20,23,10,24] and radiographs of other parts like the skull [22]. Even if there is some unanimity about distal limb radiographs, the choice of the diagnosis type for TNO is rarely justified in the literature and still remains unclear.…”

“…In the OR/OM domain, we identify very limited contributions. Reference [24] uses simulation to test several staffing and process alternatives in order to reduce the patients LOS in an ED (TNO, fast track, point of care testing, etc.). There was no significant time savings related to TNO (3.6 minutes on the total average LOS).…”

Modelagem e análise de serviços de saúde baseados em Redes de Petri interpretadas

“…IGarcia, 1995;Kirtland, 1995;McGuire, 1994;Pardue, 1995;Pau l, 1995} [Cao, 1991;Ho, 1992J: • Processo Semi Markov Generalizado [Miyagi PE, 1996) • A marcação indica que o estado do sistema atual é "paciente na pré-consulta ".…”