An evaluation of 'fast track' in AE: a discrete event simulation approach

被引：15

作者：

Maull, R. S. ^{[1
]}

Smart, P. A. ^{[1
]}

Harris, A. ^{[2
]}

Karasneh, A. Al-Fatah ^{[3
]}

机构：

[1] Univ Exeter, Exeter Ctr Strateg Proc & Operat XSPO, Sch Business & Econ, Exeter, Devon, England

[2] Royal Devon & Exeter Hosp, Dept Accid & Emergency, Exeter EX2 5DW, Devon, England

[3] Yarmouk Univ, Dept Management Informat Syst, Fac Informat Technol, Irbid, Jordan

来源：

SERVICE INDUSTRIES JOURNAL | 2009年 / 29卷 / 07期

关键词：

service operations; process design; discrete event simulation; healthcare; performance measurement; 'see and treat'; fast track; NHS; PATIENT SATISFACTION; COMPUTER-SIMULATION; ONE SIZE; EMERGENCY; CARE; ACCIDENT; DYNAMICS; SERVICES; ISSUES; TIME;

D O I：

10.1080/02642060902749534

中图分类号：

C93 [管理学];

学科分类号：

12 ; 1201 ; 1202 ; 120202 ;

摘要：

This longitudinal study provides primary evidence on the impact that a fast-track strategy in a hospital Emergency Department has on patient wait time. The study uses a discrete event simulation model to predict output within a variety of triage categories and compares these with post-implementation results. The results of the study indicate a significant reduction in patient wait time with 13.2% of the population waiting longer than 4 h prior to implementation compared with 1.4% post-implementation. However, while this fast-track strategy significantly improves service delivery to patients with minor conditions, service for patients with more acute conditions is not proportionately improved.

引用

页码：923 / 941

页数：19

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