A Queue-Based Monte Carlo Analysis to Support Decision Making for Implementation of an Emergency Department Fast Track

المؤلفون المشاركون

Fitzgerald, Kristin
Pelletier, Lori
Reznek, Martin A.

المصدر

Journal of Healthcare Engineering

العدد

المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-8، 8ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2017-03-28

دولة النشر

مصر

عدد الصفحات

8

التخصصات الرئيسية

الصحة العامة
الطب البشري

الملخص EN

Emergency departments (EDs) are seeking ways to utilize existing resources more efficiently as they face rising numbers of patient visits.

This study explored the impact on patient wait times and nursing resource demand from the addition of a fast track, or separate unit for low-acuity patients, in the ED using a queue-based Monte Carlo simulation in MATLAB.

The model integrated principles of queueing theory and expanded the discrete event simulation to account for time-based arrival rates.

Additionally, the ED occupancy and nursing resource demand were modeled and analyzed using the Emergency Severity Index (ESI) levels of patients, rather than the number of beds in the department.

Simulation results indicated that the addition of a separate fast track with an additional nurse reduced overall median wait times by 35.8 ± 2.2 percent and reduced average nursing resource demand in the main ED during hours of operation.

This novel modeling approach may be easily disseminated and informs hospital decision-makers of the impact of implementing a fast track or similar system on both patient wait times and acuity-based nursing resource demand.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Fitzgerald, Kristin& Pelletier, Lori& Reznek, Martin A.. 2017. A Queue-Based Monte Carlo Analysis to Support Decision Making for Implementation of an Emergency Department Fast Track. Journal of Healthcare Engineering،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1181153

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Fitzgerald, Kristin…[et al.]. A Queue-Based Monte Carlo Analysis to Support Decision Making for Implementation of an Emergency Department Fast Track. Journal of Healthcare Engineering No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1181153

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Fitzgerald, Kristin& Pelletier, Lori& Reznek, Martin A.. A Queue-Based Monte Carlo Analysis to Support Decision Making for Implementation of an Emergency Department Fast Track. Journal of Healthcare Engineering. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1181153

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-1181153