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Emergency departments I: the use of simulation and design of experiments for estimating maximum capacity in an emergency room

Published: 07 December 2003 Publication History

Abstract

This work presents the results obtained after using a simulation model for estimating the maximum possible demand increment in an emergency room of a private hospital in Chile. To achieve this objective the first step was to create a simulation model of the system under study. This model was used to create a curve for predicting the behavior of the variable patient's time in system and estimate the maximum possible demand that the system can absorb. Finally, a design of experiments was conducted in order to define the minimum number of physical and human resources required to serve this demand.

References

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Baesler, F., Sepúlveda, J. A., Thompson, W., Kotnour, T. (1998), Working with Healthcare Practitioners to Improve Hospital Operations with Simulation, in Proceedings of Arena Sphere '98, 122--130.
[2]
Baesler, F., Sepúlveda, J., (2001) "Multi-Objective Simulation Optimization for a Cancer Treatment Center" in Proceedings of Winter Simulation Conference 2001, Virginia, USA. B. A. Peters, J. S. Smith, D. J. Medeiros, and M. W. Rohrer, (eds.) 1405--1411.
[3]
Garcia, M. L., Centeno M. A., Rivera, C., DeCario N. (1995), Reducing Time in an Emergency Room Via a Fast-Track, in Proceedings of the 1995 Winter Simulation Conference, Alexopoulus, Kang, Lilegdon & Goldman (eds.), 1048--1053.
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Pitt, M. (1997), A Generalised Simulation System to Support Strategic Resource Planning in Healthcare, Proceedings of the 1997 Winter Simulation Conference, S. Andradóttir, K. J. Healy, D. H. Withers, and B. L. Nelson (eds), 1155--1162.
[5]
Lowery, J. C. (1996), Introduction to Simulation in Health Care, in Proceedings of the 1996 Winter Simulation Conference, J. M. Charnes, D. J. Morrice, D. T. Brunner, and J. J. Swain (eds), 78--84.
[6]
Sepúlveda, J. A.,., Thompson, W., Baesler, F., Alvarez, M. (1999), "The Use of Simulation for Process Improvement in a Cancer Treatment Center", Proceedings of the 1999 Winter Simulation Conference, Phoenix, Arizona, USA, 1551--1548.

Cited By

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  • (2015)A comprehensive review of emergency department simulation applications for normal and disaster conditionsComputers and Industrial Engineering10.1016/j.cie.2015.02.01883:C(327-344)Online publication date: 1-May-2015
  • (2012)Simulation with data scarcityProceedings of the Winter Simulation Conference10.5555/2429759.2429874(1-12)Online publication date: 9-Dec-2012
  • (2010)The impact of different decision behavior models of emergency physicians on the performance of emergency departmentsProceedings of the 2010 Spring Simulation Multiconference10.1145/1878537.1878614(1-6)Online publication date: 11-Apr-2010
  • Show More Cited By
  1. Emergency departments I: the use of simulation and design of experiments for estimating maximum capacity in an emergency room

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      Information

      Published In

      cover image ACM Conferences
      WSC '03: Proceedings of the 35th conference on Winter simulation: driving innovation
      December 2003
      2094 pages
      ISBN:0780381327

      Sponsors

      • IIE: Institute of Industrial Engineers
      • INFORMS/CS: Institute for Operations Research and the Management Sciences/College on Simulation
      • ASA: American Statistical Association
      • ACM: Association for Computing Machinery
      • SIGSIM: ACM Special Interest Group on Simulation and Modeling
      • IEEE/CS: Institute of Electrical and Electronics Engineers/Computer Society
      • NIST: National Institute of Standards and Technology
      • (SCS): The Society for Modeling and Simulation International
      • IEEE/SMCS: Institute of Electrical and Electronics Engineers/Systems, Man, and Cybernetics Society

      Publisher

      Winter Simulation Conference

      Publication History

      Published: 07 December 2003

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      WSC03
      Sponsor:
      • IIE
      • INFORMS/CS
      • ASA
      • ACM
      • SIGSIM
      • IEEE/CS
      • NIST
      • (SCS)
      • IEEE/SMCS
      WSC03: Winter Simulation Conference 2003
      December 7 - 10, 2003
      Louisiana, New Orleans

      Acceptance Rates

      WSC '03 Paper Acceptance Rate 128 of 189 submissions, 68%;
      Overall Acceptance Rate 3,413 of 5,075 submissions, 67%

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      Cited By

      View all
      • (2015)A comprehensive review of emergency department simulation applications for normal and disaster conditionsComputers and Industrial Engineering10.1016/j.cie.2015.02.01883:C(327-344)Online publication date: 1-May-2015
      • (2012)Simulation with data scarcityProceedings of the Winter Simulation Conference10.5555/2429759.2429874(1-12)Online publication date: 9-Dec-2012
      • (2010)The impact of different decision behavior models of emergency physicians on the performance of emergency departmentsProceedings of the 2010 Spring Simulation Multiconference10.1145/1878537.1878614(1-6)Online publication date: 11-Apr-2010
      • (2009)Resource management and process change in a simplified model of the emergency departmentWinter Simulation Conference10.5555/1995456.1995717(1887-1895)Online publication date: 13-Dec-2009
      • (2009)Input modeling for hospital simulation models using electronic messagesWinter Simulation Conference10.5555/1995456.1995480(134-147)Online publication date: 13-Dec-2009
      • (2007)Emergency departments nurse allocation to face a pandemic influenza outbreakProceedings of the 39th conference on Winter simulation: 40 years! The best is yet to come10.5555/1351542.1351768(1292-1298)Online publication date: 9-Dec-2007
      • (2005)Modeling emergency departments using discrete event simulation techniquesProceedings of the 37th conference on Winter simulation10.5555/1162708.1163203(2681-2685)Online publication date: 4-Dec-2005
      • (2005)A survey of data resources for simulating patient flows in healthcare delivery systemsProceedings of the 37th conference on Winter simulation10.5555/1162708.1162869(926-935)Online publication date: 4-Dec-2005

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