Simulation Model for Improving the Operation of the Emergency Department of Special Health Care

This paper presents a simulation model which describes the operations in the Emergency Department of Special Health Care at the Central Hospital of Jyvaskyla, Finland. It can be used to test different process scenarios, allocate resources and perform activity based cost analysis. By using the simulation model we demonstrate a new operational method, which makes the operation of the Emergency Department of Special Health Care more effective. This operational method is called the triage-team method and it has been studied from two different points of view. The results showed that this method improves the operation of the Emergency Department of Special Health Care substantially (over 25%), if it is implemented properly and includes all the necessary tasks

[1]  Manuel D. Rossetti,et al.  Emergency department simulation and determination of optimal attending physician staffing schedules , 1999, WSC '99.

[2]  Russell R. Barton,et al.  Proceedings of the 2000 winter simulation conference , 2000 .

[3]  Barbara M. P. Fraticelli,et al.  Pairing emergency severity index5-level triage data with computer aided system design to improve emergency department access and throughput , 2003, Proceedings of the 2003 Winter Simulation Conference, 2003..

[4]  Anthony Kirtland,et al.  Simulating an emergency department “is as much fun as…” , 1995, WSC '95.

[5]  Martha A. Centeno,et al.  Reducing time in an emergency room via a fast-track , 1995, WSC '95.

[6]  P. Sánchez,et al.  A SIMULATION-ILP BASED TOOL FOR SCHEDULING ER STAFF , 2003 .

[7]  Ronald E. Giachetti,et al.  Emergency departments II: a simulation-ilp based tool for scheduling ER staff , 2003, WSC '03.

[8]  N. D. Glick,et al.  Extending Simulation Modeling to Activity-Based Costing for Clinical Procedures , 2000, Journal of Medical Systems.

[9]  G. Fleisher,et al.  Planning model of resource utilization in an academic pediatric emergency department , 1998, Pediatric emergency care.

[10]  S. Brailsford,et al.  Treating ailing emergency departments with simulation: an integrated perspective , 2003 .

[11]  Margaret A. Draeger,et al.  An emergency department simulation model used to evaluate alternative nurse staffing and patient population scenarios , 1992, WSC '92.

[12]  A. I. M. García,et al.  Process improvement with simulation in the health sector , 2003 .

[13]  J. Posnett,et al.  Dynamics of bed use in accommodating emergency admissions: stochastic simulation model , 1999, BMJ.

[14]  Gerald W. Evans,et al.  A simulation model for evaluating personnel schedules in a hospital emergency department , 1996, Winter Simulation Conference.

[15]  S. Mahapatra,et al.  Pairing emergency severity index5-level triage data with computer aided system design to improve emergency department access and throughput , 2003, Proceedings of the 2003 Winter Simulation Conference, 2003..