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A discrete event simulation model for waiting time management in an emergency department: A case study in an Egyptian hospital

机译:急诊部门等待时间管理的离散事件仿真模型 - 以埃及医院为例

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摘要

This paper presents a discrete event simulation model to help improving healthcare service provided by an emergency department at a private hospital at Zagazig, Egypt. We construct a patient flow division model by dividing patients according to their severity level. Although patients division and routing have significant evidence in improving health service in terms of waiting times and Length of Stay (LoS), there is a lack in a detailed system evaluation and implementation under this configuration. Based on system observation and health care provider's interviews, a comprehensive and clear picture of the system has been drawn along with a conceptual model showing different patient flows through the studied system. A discrete event simulation model of the Emergency Department is built using collected data. Different operational scenarios were tested against the baseline scenario to study the impact of patient flow division, including different staff capacities and different patient magnitudes. Results indicate that waiting times and length of patient stay can be significantly improved under the proposed system configuration.
机译:本文介绍了离散事件仿真模型,以帮助改善埃及Zagazig私营医院的急诊部门提供的医疗服务。我们通过根据其严重程度划分患者来构建患者流动划分模型。虽然患者部门和路由在等待时间和逗留时间(LOS)方面有重大证据,但在这种配置下缺乏详细的系统评估和实施。基于系统观察和医疗保健提供者的访谈,已经绘制了系统的全面和清晰的画面以及通过研究系统的不同患者流动的概念模型。使用收集的数据构建了紧急部门的离散事件仿真模型。对基线情景进行了测试的不同操作场景,以研究患者流动部门的影响,包括不同的员工容量和不同的患者量大。结果表明,根据所提出的系统配置,可以显着改善等待时间和患者保持的长度。

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