scholarly journals 007 "Virtual ED": utilisation of a discrete event simulation-based framework in identifying "real-time" strategies to improve Patient Experience Times in an Emergency Department

2011 ◽  
Vol 28 (Suppl 1) ◽  
pp. A3-A4
Author(s):  
W. Abohamad ◽  
J. McInerney ◽  
A. Arisha
2016 ◽  
Vol 19 (7) ◽  
pp. A624 ◽  
Author(s):  
RA Ribeiro ◽  
EN Baungratz ◽  
G Vaccaro ◽  
PS Schmitz ◽  
AK Fernandes ◽  
...  

Author(s):  
Ana Carolina Pereira de Vasconcelos Silva ◽  
Daniel Bouzon Nagem Assad ◽  
Thais Spiegel

The operations management is a multidisciplinary field that investigates, for instance, the design, management and processes improvement focused on the development, production, distribution and delivery of products and services, encompassing activities such as the implementation of policies, making quota decisions, identification and problem solving, response to uncertainty, among others. Regarding the resources dimensioning in hospitals, the Brazilian scenario is limited to legislative instruments that assume a prior and added sizing. This chapter uses a discrete event simulation tool to set the amount of operation rooms needed for patient care in an emergency department, so that emergency patients have guaranteed compliance, minimizing the cancellation of elective surgeries because of this type of demand. As a result, it was found that the minimum amount established by normative instruments was not appropriate to the specific requirements of the organization.


2012 ◽  
Vol 4 (4) ◽  
pp. 16-28
Author(s):  
T. Eugene Day ◽  
Ajit N. Babu ◽  
Steven M. Kymes ◽  
Nathan Ravi

The Veteran’s Health Administration (VHA) is the largest integrated health care system in the United States, forming the arm of the Department of Veterans Affairs (VA) that delivers medical services. From a troubled past, the VHA today is regarded as a model for healthcare transformation. The VA has evaluated and adopted a variety of cutting-edge approaches to foster greater efficiency and effectiveness in healthcare delivery as part of their systems redesign initiative. This paper discusses the integration of two health care analysis platforms: Discrete Event Simulation (DES), and Real Time Locating systems (RTLS) presenting examples of work done at the St. Louis VA Medical Center. Use of RTLS data for generation and validation of DES models is detailed, with prescriptive discussion of methodologies. The authors recommend the careful consideration of these relatively new approaches which show promise in assisting systems redesign initiatives across the health care spectrum.


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