Strategic emergency department design: An approach to capacity planning in healthcare provision in overcrowded emergency rooms
Tóm tắt
Healthcare professionals and the public have increasing concerns about the ability of emergency departments to meet current demands. Increased demand for emergency services, mainly caused by a growing number of minor and moderate injuries has reached crisis proportions, especially in the United Kingdom. Numerous efforts have been made to explore the complex causes because it is becoming more and more important to provide adequate healthcare within tight budgets. Optimisation of patient pathways in the emergency department is therefore an important factor. This paper explores the possibilities offered by dynamic simulation tools to improve patient pathways using the emergency department of a busy university teaching hospital in Switzerland as an example.
Tài liệu tham khảo
Exadaktylos AK, Velmahos GC: Emergency medicine and acute care surgery: a modern "Hansel and Gretel" fairytale?. Emerg Med J. 2008, 25 (6): 321-2. 10.1136/emj.2008.058396.
Huddy , Jon : Emergency Department Design: A Practical Guide to Planning for the Future. 2002, 45-
Connelly , Lloyd , Bair , Aaron : Discrete Event Simulation of Emergency Department Activity: A Platform for System-level Operations Research. 1979
Merkle , John F: Computer Simulation: A Methodology to Improve the Efficiency in the Brooke Army Medical Center Family Care Clinic. 1997
Isee Systems:http://www.iseesystems.com
System Dynamics society:http://www.systemdynamics.org
Brailsford , Tarnaras , Lattimer , Turnbull : Emergency and on-demand healthcare: modelling a large complex system. (University of Southampton, Southampton UK); Journal of the Operational Research Society. 2004, 55: 34-42.
Riley , Ann Linda: Applied Simulation as a Decision Support System Tool: The Design of a New Internal Medicine Facility. 1999
Berger , Mike : The Myth of ER Overcrowding.http://www.bergersweb.com/myth/index.html
Berger , Mike : ER index.http://www.bergersweb.com/er/index.html
Gharajedaghi J: Systems Thinking – Managing Chaos and Complexity – A Platform for Designing Business Architecture. 1999
Harrison LM, David O, Friston KJ: Stochastic models of neuronal dynamics. Philos Trans R Soc Lond B Biol Sci. 2005, 360 (1457): 1075-91. 10.1098/rstb.2005.1648.
Qin J, Choi KS, Ho SS, Heng PA: An adaptive transmission protocol for managing dynamic shared states in collaborative surgical simulation. Stud Health Technol Inform. 2008, 132: 387-9.