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Simulation-based Models of Emergency Departments: Real-time Control, Operations Planning and Scenario Analysis
| Content Provider | Semantic Scholar |
|---|---|
| Author | Zeltyn, Sergey Marmor, Yariv N. Mandelbaum, Avishai Carmeli, Boaz Greenshpan, Ohad Mesika, Yossi Wasserkrug, Segev Vortman, Pnina Schwartz, Dagan Moskovitch, Kobi Tzafrir, Sara Basis, Fuad Shtub, Avraham Lauterman, Tirza |
| Copyright Year | 2009 |
| Abstract | The Emergency Department (ED) of a modern hospital is a highly complex system that gives rise to numerous managerial challenges, spanning the full spectrum of operational, clinical and financial perspectives. Since realistic ED models are intractable analytically, one resorts to simulation for an appropriate framework to address these challenges, which is what we do here. Specifically, we apply a general and flexible ED simulator to address several central wide-scope problems that arose in a large Israeli hospital. First, we demonstrate that our simulation model can support realtime control by inferring missing data of the current ED state, which then enables short-term prediction and operational planning (e.g. nurse staffing). To this end, we implement a novel simulation-based technique that utilizes the concept of offered-load. Then, using the same simulationbased approach, we evaluate the impact of RFID (Radio Frequency Identification) technology on ED operational metrics and costs. Finally, we analyze design and staffing problems that arose from physical relocation of the ED, which lead to the implementation of design and process improvements. A prerequisite for all of the above is an extensive (cleaned and validated) hospital data-based system, which is the data source for our simulations, presently offline and potentially (after implementing an RFID system) in real-time. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://ie.technion.ac.il/Labs/Serveng/files/ED_simulation_modeling.pdf |
| Alternate Webpage(s) | https://web.iem.technion.ac.il/images/see-lab/ocr/ed_simulation_modeling.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
