Modeling and analysis of the emergency department at University of Kentucky Chandler Hospital using simulations

Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association
Stuart BrennerPatricia Kunz Howard

Abstract

In this article, we present a simulation study conducted in the emergency department at the University of Kentucky Chandler Hospital. Based on analysis of process and flow data, a simulation model of patient throughput in the emergency department has been developed. What-if analyses have been proposed to identify bottlenecks and investigate the optimal numbers of human and equipment resources (eg, nurses, physicians, and radiology technology). The simulation results suggest that 3 additional nurses are needed to ensure desired clinical outcomes. Diagnostic testing, the computed tomography scan in particular, is found to be a bottleneck. As a result, acquisition of an additional computed tomography scanner is recommended. Hospital management has accepted the recommendations, and implementation is in progress. Such a model provides a quantitative tool for continuous improvement and process control in the emergency department and also is applicable to other departments in the hospital.

References

Jan 18, 2007·Pediatric Emergency Care·Geoffrey R HungNiranjan Kissoon
Apr 5, 2008·Annals of Emergency Medicine·Nathan R HootDominik Aronsky

Citations

Apr 17, 2013·Health Care Management Science·Junwen WangPatricia Kunz Howard
Jan 27, 2015·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Chih-Hao LinChong-Ye Huang
Jun 20, 2013·Journal of Healthcare Engineering·Waressara WeerawatPeerapong Subsombat
May 19, 2012·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Patricia Kunz HowardRoger Humphries
Apr 3, 2012·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Blythe Stover-BakerMarc Pollack
Apr 6, 2017·Brazilian Journal of Medical and Biological Research = Revista Brasileira De Pesquisas Médicas E Biológicas·M Yousefi, R P M Ferreira
Apr 1, 2017·Health Care Management Science·Sebastian RachubaMartin Pitt
Dec 11, 2013·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Matthew Harris RutbergTheodore Eugene Day
Apr 17, 2020·International Journal of Environmental Research and Public Health·Miguel Angel Ortíz-Barrios, Juan-José Alfaro-Saíz
Aug 11, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Lauren F LakerRobert L Wears
Jan 5, 2017·Journal of Digital Imaging·Chris MeenanSteve G Langer
Jan 9, 2017·Pediatric Quality & Safety·Nicole M Ferraro, Theodore Eugene Day

Related Concepts

Ancillary Services, Hospital
In Silico
Accident and Emergency Department
Hospitals, University
Personnel Staffing
Tomography, X-Ray Computerized Axial
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Workflow
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