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A simulation analysis of a hospital emergency department

Authors:

Edward L. Hannan,

Richard J. Giglio,

Randall S. SadowskiAuthors Info & Claims

WSC '74: Proceedings of the 7th conference on Winter simulation - Volume 1

Pages 379 - 388

https://doi.org/10.1145/800287.811199

Published: 01 January 1974 Publication History

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Abstract

This paper describes the application of a FORTRAN simulation model in evaluating the potential influence of new patient demand patterns and different administrational decision policies upon the effectiveness of a hospital emergency department. In particular, the study investigated the consequences of increased demand, a higher percentage of true emergency patients, installing laboratory and x-ray facilities in the emergency department, triaging patients and scheduling non-urgency patients to smooth the demand. Total patient time in the system, times until first seen by a nurse and physician, and staff utilization percentages were used as measures of effectiveness.

References

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Garcia, E.C., Hamilton, W.F., and Thomas, J.W. "Simulation Analysis of an Emergency Medical Facility." Presented at the 1973 Winter Simulation Conference, Jan. 17-19, 1973.

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Gibson, Geoffrey. "Status of Urban Services, I," Hospitals, 45: 49-54. (September 1, 1971).

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Hicks, Charles R. Fundamental Concepts in the Design of Experiments. Holt, Rinehart, and Winston, Inc. 1964.

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Miller, Irvin and Freund, John E. Probability and Statistics for Engineers. Prentice-Hall, Inc. 1965.

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O'Boyle, Catherine. "A New Era in Emergency Services," American Journal of Nursing (August, 1972), pp. 1392-1397.

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Ross, Sheldon M. Applied Probability Models with Optimization Applications. Holden-Day, Inc., 1970.

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Faust JMager BMassa C(2023)Healthcare Complexity and the Role of Service Design in Complex Healthcare SystemsHuman-Centered Service Design for Healthcare Transformation10.1007/978-3-031-20168-4_12(197-219)Online publication date: 28-Jan-2023
https://doi.org/10.1007/978-3-031-20168-4_12
Neuner CBocciarelli PD'Ambrogio A(2021)BPMN-based simulation analysis of the COVID-19 impact on emergency departmentsProceedings of the Winter Simulation Conference10.5555/3522802.3523039(1-12)Online publication date: 13-Dec-2021
https://dl.acm.org/doi/10.5555/3522802.3523039
Neuner CBocciarelli PD'Ambrogio A(2021)BPMN-Based Simulation Analysis of the COVID-19 Impact on Emergency Departments: A Case Study in Italy2021 Winter Simulation Conference (WSC)10.1109/WSC52266.2021.9715495(1-12)Online publication date: 12-Dec-2021
https://doi.org/10.1109/WSC52266.2021.9715495
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A simulation analysis of a hospital emergency department

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WSC '74: Proceedings of the 7th conference on Winter simulation - Volume 1

January 1974

385 pages

ISBN:9781450374019

DOI:10.1145/800287

Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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Association for Computing Machinery

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Published: 01 January 1974

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Faust JMager BMassa C(2023)Healthcare Complexity and the Role of Service Design in Complex Healthcare SystemsHuman-Centered Service Design for Healthcare Transformation10.1007/978-3-031-20168-4_12(197-219)Online publication date: 28-Jan-2023
https://doi.org/10.1007/978-3-031-20168-4_12
Neuner CBocciarelli PD'Ambrogio A(2021)BPMN-based simulation analysis of the COVID-19 impact on emergency departmentsProceedings of the Winter Simulation Conference10.5555/3522802.3523039(1-12)Online publication date: 13-Dec-2021
https://dl.acm.org/doi/10.5555/3522802.3523039
Neuner CBocciarelli PD'Ambrogio A(2021)BPMN-Based Simulation Analysis of the COVID-19 Impact on Emergency Departments: A Case Study in Italy2021 Winter Simulation Conference (WSC)10.1109/WSC52266.2021.9715495(1-12)Online publication date: 12-Dec-2021
https://doi.org/10.1109/WSC52266.2021.9715495
Oueida SKadry SIonescu S(2020)Estimating Key Performance Indicators of a New Emergency Department ModelHospital Management and Emergency Medicine10.4018/978-1-7998-2451-0.ch029(580-598)Online publication date: 2020
https://doi.org/10.4018/978-1-7998-2451-0.ch029
Oueida SKadry SChar P(2019)A Recent Systematic Review on Simulation Modeling and Emergency DepartmentsEmergency and Disaster Management10.4018/978-1-5225-6195-8.ch057(1232-1264)Online publication date: 2019
https://doi.org/10.4018/978-1-5225-6195-8.ch057
Oueida SKadry SAbichar PIonescu S(2018)The Applications of Simulation Modeling in Emergency DepartmentsHealth Care Delivery and Clinical Science10.4018/978-1-5225-3926-1.ch051(1014-1045)Online publication date: 2018
https://doi.org/10.4018/978-1-5225-3926-1.ch051
Oueida SKadry SIonescu S(2017)Estimating Key Performance Indicators of a New Emergency Department ModelInternational Journal of User-Driven Healthcare10.4018/IJUDH.20170701017:2(1-16)Online publication date: 1-Jul-2017
https://dl.acm.org/doi/10.4018/IJUDH.2017070101
Oueida SKadry SChar P(2017)A Recent Systematic Review on Simulation Modeling and Emergency DepartmentsInternational Journal of Public Health Management and Ethics10.4018/IJPHME.20170101032:1(40-68)Online publication date: Jan-2017
https://doi.org/10.4018/IJPHME.2017010103
Oueida SKadry SAbichar PIonescu S(2017)The Applications of Simulation Modeling in Emergency DepartmentsHandbook of Research on Data Science for Effective Healthcare Practice and Administration10.4018/978-1-5225-2515-8.ch005(94-125)Online publication date: 2017
https://doi.org/10.4018/978-1-5225-2515-8.ch005
Nahhas AAwaldi AReggelin T(2017)Simulation and the Emergency Department Overcrowding ProblemProcedia Engineering10.1016/j.proeng.2017.01.068178(368-376)Online publication date: 2017
https://doi.org/10.1016/j.proeng.2017.01.068
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Simulation-Based Analysis of Evacuation Elevator Allocation for a Multi-Level Hospital Emergency Department

Simulation study of a Hospital Emergency Command System

Emergency Telemedical Operation System for Pre-hospital Emergency Care

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