Developing emergency department physician shift schedules optimized to meet patient demand

CJEM
David W SavageDavid Wood

Abstract

1) To assess temporal patterns in historical patient arrival rates in an emergency department (ED) to determine the appropriate number of shift schedules in an acute care area and a fast-track clinic and 2) to determine whether physician scheduling can be improved by aligning physician productivity with patient arrivals using an optimization planning model. Historical data were statistically analyzed to determine whether the number of patients arriving at the ED varied by weekday, weekend, or holiday weekend. Poisson-based generalized additive models were used to develop models of patient arrival rate throughout the day. A mathematical programming model was used to produce an optimal ED shift schedule for the estimated patient arrival rates. We compared the current physician schedule to three other scheduling scenarios: 1) a revised schedule produced by the planning model, 2) the revised schedule with an additional acute care physician, and 3) the revised schedule with an additional fast-track clinic physician. Statistical modelling found that patient arrival rates were different for acute care versus fast-track clinics; the patterns in arrivals followed essentially the same daily pattern in the acute care area; and arrival pat...Continue Reading

References

Oct 8, 1997·Journal of Accident & Emergency Medicine·F L Lau, K P Leung
Feb 3, 1999·The American Journal of Emergency Medicine·I Krakau, E Hassler
Dec 30, 1999·Annals of Emergency Medicine·R W Derlet, J R Richards
Feb 24, 2001·Journal of Quality in Clinical Practice·G BrowneB Fasher
May 17, 2001·Emergency Medicine Journal : EMJ·T J Coats, S Michalis
Nov 23, 2001·Health Care Management Science·M W Carter, S D Lapierre
Feb 26, 2004·The Journal of Emergency Medicine·Gary M VilkeDavid A Guss
May 29, 2004·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Bruno Bucheli, Benedict Martina
Feb 1, 1996·Applied Ergonomics·P Knauth
Oct 6, 2005·Statistics in Medicine·Lyle C GurrinMartin L Hazelton
Apr 14, 2006·Current Opinion in Psychiatry·Michael Bond
Nov 28, 2012·Journal of Neurolinguistics·Mira GoralLoraine K Obler

❮ Previous
Next ❯

Citations

Sep 2, 2016·Pediatric Emergency Care·Kenneth A MichelsonRichard G Bachur
Sep 1, 2017·Journal of Emergencies, Trauma, and Shock·K T Madavan NambiarOttapura Prabhakaran Aslesh
Mar 9, 2021·Technology and Health Care : Official Journal of the European Society for Engineering and Medicine·Yan QiaoYunkai Zhai
Apr 4, 2021·International Journal of Environmental Research and Public Health·Ximena AlvialChristian Fernández-Campusano
Sep 17, 2019·Health Systems·Fanny CamiatLouis-Martin Rousseau

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

BMJ Quality & Safety
Henry J M FergusonNational Surgical Research Collaborative
Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Melissa L McCarthyGabor D Kelen
The Journal of Emergency Medicine
Elizabeth M Schoenfeld, Mary Pat McKay
© 2021 Meta ULC. All rights reserved