Article

A simulation model for bioterrorism preparedness in an emergency room

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Lisa PatvivatsiriAuthors Info & Claims

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

Pages 501 - 508

Published: 03 December 2006 Publication History

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Abstract

The use of biological agents as weapons can cause disease and deaths in sufficient numbers that can greatly impact a city or region. Consequently, concerns about the preparedness and efficiency of healthcare systems for bioterrorism events have increased dramatically among hospital managements. This paper presents an innovative and sophisticated computer simulation model of the emergency room (ER) at the hospital featured in this study. The objective was to analyze patient flow throughout the treatment process, assess the utilization of ER resources, evaluate the impact of a hypothetical bioterrorist attack, and determine the appropriate resource and staff levels for such a bioterrorism scenario. The recommended staffing strategy at two bottlenecked areas of the hospital's treatment facility would allow a significant reduction in patients' total time in the ER and an improvement in the utilization of resources. A sensitivity analysis was also performed to investigate the effect of changes in input parameters.

References

[1]

Koehler, J. 2001. Communicable Disease Control, Epidemiology & Immunization Section, Public Health -- Seattle & King County. Surveillance and Preparedness for Agents of Biological Terrorism (presentation).

Google Scholar

[2]

Law, A. M., and W. D. Kelton. 2000. Simulation Modeling and Analysis, 3 rd ed., McGraw-Hill Book Company, New York.

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Google Scholar

[3]

Oh, P. Y., R. Zhang, C. Mode, and S. Jurgens. 2004. Information Technologies for Civilian Bioterrorism Response. Drexel University. Online, Available at <http://prism2.mem.drexel.edu/~paul/papers/finalOhCimercCcct2003.pdf>. Accessibility verified October.

Google Scholar

[4]

Osterholm, M. T. 2001. How to Vaccinate 30,000 People in Three Days: Realities of Outbreak Management. Public Health Reports, March-April.

Google Scholar

[5]

Systems Modeling Corporation. 1994. Arena User's Guide, Sewickley, Pennsylvania.

Google Scholar

[6]

Walden, J., and E. H. Kaplan. 2004. Estimating Time and Size of Bioterror Attack. Emerging Infectious Diseases, Vol. 10, No. 7, pp. 1202--1205.

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Gul MGuneri A(2015)A comprehensive review of emergency department simulation applications for normal and disaster conditionsComputers and Industrial Engineering10.1016/j.cie.2015.02.01883:C(327-344)Online publication date: 1-May-2015
https://dl.acm.org/doi/10.1016/j.cie.2015.02.018
Shao G(2011)System testing using use cases for simulation model of an emergency roomInternational Journal of Advanced Intelligence Paradigms10.1504/IJAIP.2011.0397433:2(96-111)Online publication date: 1-Apr-2011
https://dl.acm.org/doi/10.1504/IJAIP.2011.039743
Rico FSalari ECenteno GTew J(2007)Emergency departments nurse allocation to face a pandemic influenza outbreakProceedings of the 39th conference on Winter simulation: 40 years! The best is yet to come10.5555/1351542.1351768(1292-1298)Online publication date: 9-Dec-2007
https://dl.acm.org/doi/10.5555/1351542.1351768
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A simulation model for bioterrorism preparedness in an emergency room
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

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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

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

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

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Gul MGuneri A(2015)A comprehensive review of emergency department simulation applications for normal and disaster conditionsComputers and Industrial Engineering10.1016/j.cie.2015.02.01883:C(327-344)Online publication date: 1-May-2015
https://dl.acm.org/doi/10.1016/j.cie.2015.02.018
Shao G(2011)System testing using use cases for simulation model of an emergency roomInternational Journal of Advanced Intelligence Paradigms10.1504/IJAIP.2011.0397433:2(96-111)Online publication date: 1-Apr-2011
https://dl.acm.org/doi/10.1504/IJAIP.2011.039743
Rico FSalari ECenteno GTew J(2007)Emergency departments nurse allocation to face a pandemic influenza outbreakProceedings of the 39th conference on Winter simulation: 40 years! The best is yet to come10.5555/1351542.1351768(1292-1298)Online publication date: 9-Dec-2007
https://dl.acm.org/doi/10.5555/1351542.1351768
Paul JHariharan GTew J(2007)Hospital capacity planning for efficient disaster mitigation during a bioterrorist attackProceedings of the 39th conference on Winter simulation: 40 years! The best is yet to come10.5555/1351542.1351741(1139-1147)Online publication date: 9-Dec-2007
https://dl.acm.org/doi/10.5555/1351542.1351741

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Modeling bioterrorism preparedness with simulation in rural healthcare system

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