Article

Modeling emergency care in hospitals: a paradox - the patient should not drive the process

Authors:

Andrew M. Hay,

Edwin C. Valentin,

Rienk A. BijlsmaAuthors Info & Claims

WSC '06: Proceedings of the 38th conference on Winter simulation

Pages 439 - 445

Published: 03 December 2006 Publication History

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Abstract

The objective in the creation of domain specific discrete event simulation environments is to facilitate model development in the chosen domain. In the creation of such environments, there has been a tendency to adopt a factory based world view. In this paper, we describe an approach to the creation of a generic modeling environment in the healthcare domain that breaks away from the conventional entity driven request for resource. Our approach has enabled us to create models of emergency care in four UK NHS hospitals that reflect more realistically the way emergency care is actually delivered. It appears, paradoxically, that in simulating emergency care, it is best if the patient does not come first.

References

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Harrell, C. R.; V. Lange. "Healthcare simulation modelling and optimisation using Medmodel" Proceedings of the 2001 Winter Simulation Conference, pp.233--238, 2001

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Rossetti, M. D, G. F. Trzcinski and S. A. Syverod. "Emergency department simulation and determination of optimal attending physician schedules. Proceedings of the 1999 Winter Simulation Conference, pp.1532--1540, 1999.

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Samaha, S., W. S. Armel and D. W. Starks. "The use of simulation to reduce the length of stay in an emergency department." Proceedings of the 2003 Winter Simulation Conference, pp.1907--1911, 2003.

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Sinreich, D. and Y. N. Marmor. "A simple and intuitive simulation tool for analyzing emergency department operations." Proceedings of the 2004 Winter Simulation Conference, pp.1994--2002, 2004.

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Takakuwa, S. and H. Shiozaki. "Functional analysis for operating emergency department of a general hospital." Proceedings of the 2004 Winter Simulation Conference, pp.2003--2011, 2004.

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Cited By

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Mes MBruens MRose OUhrmacher A(2012)A generalized simulation model of an integrated emergency postProceedings of the Winter Simulation Conference10.5555/2429759.2429862(1-11)Online publication date: 9-Dec-2012
https://dl.acm.org/doi/10.5555/2429759.2429862
Sengupta SDeneweth MVan Til R(2011)A better approach to modeling emergency care serviceProceedings of the Winter Simulation Conference10.5555/2431518.2431661(1202-1210)Online publication date: 11-Dec-2011
https://dl.acm.org/doi/10.5555/2431518.2431661
Thorwarth MArisha AHarper PDunkin AIngalls R(2009)Simulation model to investigate flexible workload management for healthcare and servicescape environmentWinter Simulation Conference10.5555/1995456.1995725(1946-1956)Online publication date: 13-Dec-2009
https://dl.acm.org/doi/10.5555/1995456.1995725
Show More Cited By

Modeling emergency care in hospitals: a paradox - the patient should not drive the process
1. Applied computing
  1. Life and medical sciences
  2. Operations research

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Published In

WSC '06: Proceedings of the 38th conference on Winter simulation

December 2006

2429 pages

ISBN:1424405017

Editors:
L. Felipe Perrone
Bucknell University
,
Barry G. Lawson
University of Richmond
,
Jason Liu
Colorado School of Mines
,
Frederick P. Wieland
Sensis Corporation
,
General Chair:
David Nicol
University of Illinois, Urbana-Champaign
,
Program Chair:
Richard Fujimoto
College of Computing, Georgia Tech

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Winter Simulation Conference

Publication History

Published: 03 December 2006

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WSC06

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IIE
ASA
IEICE ESS
IEEE-CS\DATC
SIGSIM
NIST
(SCS)
INFORMS-CS

WSC06: Winter Simulation Conference 2006

December 3 - 6, 2006

California, Monterey

Acceptance Rates

WSC '06 Paper Acceptance Rate 177 of 252 submissions, 70%;

Overall Acceptance Rate 3,413 of 5,075 submissions, 67%

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Mes MBruens MRose OUhrmacher A(2012)A generalized simulation model of an integrated emergency postProceedings of the Winter Simulation Conference10.5555/2429759.2429862(1-11)Online publication date: 9-Dec-2012
https://dl.acm.org/doi/10.5555/2429759.2429862
Sengupta SDeneweth MVan Til R(2011)A better approach to modeling emergency care serviceProceedings of the Winter Simulation Conference10.5555/2431518.2431661(1202-1210)Online publication date: 11-Dec-2011
https://dl.acm.org/doi/10.5555/2431518.2431661
Thorwarth MArisha AHarper PDunkin AIngalls R(2009)Simulation model to investigate flexible workload management for healthcare and servicescape environmentWinter Simulation Conference10.5555/1995456.1995725(1946-1956)Online publication date: 13-Dec-2009
https://dl.acm.org/doi/10.5555/1995456.1995725
Raunak MOsterweil LWise AClarke LHenneman P(2009)Simulating patient flow through an Emergency Department using process-driven discrete event simulationProceedings of the 2009 ICSE Workshop on Software Engineering in Health Care10.1109/SEHC.2009.5069608(73-83)Online publication date: 18-May-2009
https://dl.acm.org/doi/10.1109/SEHC.2009.5069608
Valentin EBijlsma Rde Gast VJefferson TFowler JIngalls R(2008)Empowering decision support with simulation technologyProceedings of the 40th Conference on Winter Simulation10.5555/1516744.1516796(236-244)Online publication date: 7-Dec-2008
https://dl.acm.org/doi/10.5555/1516744.1516796

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Emergency Telemedical Operation System for Pre-hospital Emergency Care

Prevalence of Subacute Patients in Acute Care: Results of a Study of VA Hospitals

Pre-Positioning of Emergency Items for CARE International

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