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

共 50 条

[41] An evaluation and selection methodology for discrete-event simulation software
Tewoldeberhan, TW
Verbraeck, A
Valentin, E
Bardonnet, G
[J]. PROCEEDINGS OF THE 2002 WINTER SIMULATION CONFERENCE, VOLS 1 AND 2, 2002, : 67 - 75
[42] Evaluation and Improvement of Parallel Discrete Event Simulation Performance Predictions: A Rough-Set-based Approach
Muka, Laszlo
Derka, Istvan
[J]. ACTA POLYTECHNICA HUNGARICA, 2016, 13 (06) : 125 - 145
[43] Discrete Event Systems Theory for Fast Stochastic Simulation via Tree Expansion
Zeigler, Bernard P.
[J]. SYSTEMS, 2024, 12 (03):
[44] On event ordering in Parallel Discrete Event Simulation
Rönngren, R
Liljenstam, M
[J]. THIRTEENTH WORKSHOP ON PARALLEL AND DISTRIBUTED SIMULATION - PROCEEDINGS, 1999, : 38 - 45
[45] MARKED EVENT METHOD IN DISCRETE EVENT SIMULATION
LI, S
[J]. 1989 WINTER SIMULATION CONFERENCE PROCEEDINGS, 1989, : 719 - 728
[46] On event ordering in parallel discrete event simulation
Ronngren, Robert
Liljenstam, Michael
[J]. Proceedings of the Workshop on Parallel and Distributed Simulation, PADS, 1999, : 38 - 45
[47] Qualitative discrete event simulation
Leow-Sehwail, YP
Ingalls, RG
[J]. PROCEEDINGS OF THE 2005 WINTER SIMULATION CONFERENCE, VOLS 1-4, 2005, : 648 - 653
[48] Agents in discrete event simulation
Uhrmacher, AM
Schattenberg, B
[J]. ESS'98 - SIMULATION TECHNOLOGY: SCIENCE AND ART, 1998, : 129 - 136
[49] DISCRETE-EVENT SIMULATION
GARZIA, RF
GARZIA, MR
ZEIGLER, BP
[J]. IEEE SPECTRUM, 1986, 23 (12) : 32 - 36
[50] PARALLEL DISCRETE EVENT SIMULATION
FUJIMOTO, RM
[J]. COMMUNICATIONS OF THE ACM, 1990, 33 (10) : 30 - 53

← 1 2 3 4 5 →