Can We Predict Patient Wait Time?

PURPOSE The importance of patient wait-time management and predictability can hardly be overestimated: For most hospitals, it is the patient queues that drive and define every bit of clinical workflow. The objective of this work was to study the predictability of patient wait time and identify its most influential predictors. METHODS To solve this problem, we developed a comprehensive list of 25 wait-related parameters, suggested in earlier work and observed in our own experiments. All parameters were chosen as derivable from a typical Hospital Information System dataset. The parameters were fed into several time-predicting models, and the best parameter subsets, discovered through exhaustive model search, were applied to a large sample of actual patient wait data. RESULTS We were able to discover the most efficient wait-time prediction factors and models, such as the line-size models introduced in this work. Moreover, these models proved to be equally accurate and computationally efficient. Finally, the selected models were implemented in our patient waiting areas, displaying predicted wait times on the monitors located at the front desks. The limitations of these models are also discussed. CONCLUSIONS Optimal regression models based on wait-line sizes can provide accurate and efficient predictions for patient wait time.

[1]  A. Ismaila,et al.  A tutorial on pilot studies: the what, why and how , 2010, BMC Medical Research Methodology.

[2]  Thomas E Locker,et al.  How accurate are predicted waiting times, determined upon a patient's arrival in the Emergency Department? , 2011, Emergency Medicine Journal.

[3]  Yan Sun,et al.  Real-time prediction of waiting time in the emergency department, using quantile regression. , 2012, Annals of emergency medicine.

[4]  Serhan Ziya,et al.  A Spoonful of Math Helps the Medicine Go Down: An Illustration of How Healthcare can Benefit from Mathematical Modeling and Analysis , 2010, BMC Medical Research Methodology.

[5]  M. Laskowski,et al.  Models of Emergency Departments for Reducing Patient Waiting Times , 2009, PloS one.

[6]  Ye Zhang,et al.  Wait time prediction: how to avoid waiting in lines? , 2013, UbiComp.

[7]  L J Shuman,et al.  An emergency department simulation and a neural network metamodel. , 1997, Journal of the Society for Health Systems.

[8]  Laura Schweitzer,et al.  Wait times, patient satisfaction scores, and the perception of care. , 2014, The American journal of managed care.

[9]  Alexander Komashie,et al.  Modeling emergency departments using discrete event simulation techniques , 2005, Proceedings of the Winter Simulation Conference, 2005..

[10]  S. Samaha,et al.  The use of simulation to reduce the length of stay in an emergency department , 2003, Proceedings of the 2003 Winter Simulation Conference, 2003..

[11]  Carl M. Harris,et al.  Fundamentals of queueing theory , 1975 .

[12]  S. Schaffer,et al.  Improving Wait Times and Patient Satisfaction in Primary Care , 2013, Journal for healthcare quality : official publication of the National Association for Healthcare Quality.

[13]  L. Connelly,et al.  Discrete event simulation of emergency department activity: a platform for system-level operations research. , 2004, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[14]  Timothy J Coats,et al.  Mathematical modelling of patient flow through an accident and emergency department , 2001 .

[15]  Fatah Chetouane,et al.  Modeling and Improving Emergency Department Systems using Discrete Event Simulation , 2007, Simul..

[16]  Kiok Liang Teow,et al.  Queueing for Healthcare , 2012, Journal of Medical Systems.

[17]  Roger. T. Anderson,et al.  The relationship between patient's perceived waiting time and office-based practice satisfaction. , 2006, North Carolina medical journal.

[18]  Toni Ruohonen,et al.  Simulation Model for Improving the Operation of the Emergency Department of Special Health Care , 2006, Proceedings of the 2006 Winter Simulation Conference.

[19]  A. K. Erlang The theory of probabilities and telephone conversations , 1909 .