A simulation model of bed-occupancy in a critical care unit

被引:25
|
作者
Griffiths, J. D. [1 ]
Jones, M. [1 ]
Read, M. S. [2 ]
Williams, J. E. [1 ]
机构
[1] Cardiff Sch Math, Cardiff CF24 4AG, S Glam, Wales
[2] Univ Wales Hosp, Crit Care Unit, Cardiff CF4 4XW, S Glam, Wales
基金
英国工程与自然科学研究理事会;
关键词
health service; costing; simulation;
D O I
10.1057/jos.2009.22
中图分类号
TP39 [计算机的应用];
学科分类号
081203 ; 0835 ;
摘要
This article focuses on the Critical Care Unit (CCU) of a large teaching hospital. The aim of the study was to optimise the number of beds available in order to minimise cancellations of Elective surgery and maintain an acceptable level of bed-occupancy. The CCU is where critically ill patients are cared for and often requires one-to-one nursing care. The discrete event simulation model, built in Visual Basic for Applications for Excel, seeks to simulate the bed-occupancy of the CCU as well as monitoring any cancellations of Elective surgery. Several 'what-if' scenarios are run including increasing bed numbers, 'ring-fencing' beds for Elective patients, reducing length of stay to account for delayed discharge and changing the scheduling of Elective surgery, and the results are reported.
引用
收藏
页码:52 / 59
页数:8
相关论文
共 50 条
  • [31] Intensive care unit occupancy and patient outcomes
    Iwashyna, Theodore J.
    Kramer, Andrew A.
    Kahn, Jeremy M.
    CRITICAL CARE MEDICINE, 2009, 37 (05) : 1545 - 1557
  • [32] Geographic Variation In Critical Care Bed Supply And Intensive Care Unit Case Mix: Does Bed Supply Drive Utilization?
    Cooke, C. R.
    Iwashyna, T. J.
    Wunsch, H.
    Kahn, J. M.
    AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2011, 183
  • [33] The engineering modular simulation model for circulating fluidized bed boiler unit
    Gao, JQ
    Ma, LY
    Ma, YG
    2002 IEEE REGION 10 CONFERENCE ON COMPUTERS, COMMUNICATIONS, CONTROL AND POWER ENGINEERING, VOLS I-III, PROCEEDINGS, 2002, : 2007 - 2010
  • [34] Neurocritical Care Unit Bed Allocation: Optimization Based on Prioritization Using Simulation
    Nateghinia, Saeedeh
    Kazemi, Mohammad Ali Afshar
    Sepehri, Mohammad Mehdi
    Goharani, Reza
    ARCHIVES OF NEUROSCIENCE, 2018, 5 (03)
  • [35] SIMULATION OF TRANSIENT PROCESS IN THE METALLURGICAL UNIT (THERMAL MODEL IN A FIXED BED)
    Bogatyryova, M. N.
    JOURNAL OF MINING INSTITUTE, 2006, 167 (02): : 227 - 229
  • [36] BED OCCUPANCY RATE OF HUNGARIAN INTENSIVE CARE UNITS
    Varga, S.
    Gresz, M.
    Agoston, I
    Vas, G.
    Sebestyen, A.
    Betlehem, J.
    Kriszbacher, I
    Nagy, Z.
    Boncz, I
    VALUE IN HEALTH, 2009, 12 (07) : A238 - A238
  • [37] Bed occupancy in intensive care has diurnal variation
    Taneja, R
    Read, MS
    Findlay, GP
    INTENSIVE CARE MEDICINE, 2001, 27 : S175 - S175
  • [38] The impact of bed occupancy on patient flow in intensive care
    Williams, T.
    Swiney, T.
    Phillips, M.
    Leslie, G.
    Rankin, S.
    Brearley, L.
    Dobb, G.
    AUSTRALIAN CRITICAL CARE, 2014, 27 (01) : 60 - 60
  • [39] Impact of staffing model conversion from a mandatory critical care consultation model to a closed unit model in the medical intensive care unit
    Ko, Sung Jun
    Cho, Jaeyoung
    Choi, Sun Mi
    Park, Young Sik
    Lee, Chang-Hoon
    Yoo, Chul-Gyu
    Lee, Jinwoo
    Lee, Sang-Min
    PLOS ONE, 2021, 16 (10):
  • [40] Unique Telemedicine Intensive Care Unit Model Improves Rural Critical Care
    Colarusso, Jeni
    Nirula, Raminder
    McCrum, Marta
    Kimball, Edward
    CRITICAL CARE NURSE, 2018, 38 (02) : E69 - E69