INTRODUCTION Caring for dying patients is part of working in a rural emergency department. Rural emergency nurses are prepared to provide life-saving treatments but find there are barriers or obstacles to providing end-of-life (EOL) care. This study was completed to discover the size, frequency, and magnitude of obstacles in providing EOL care in rural emergency departments as perceived by rura...

BACKGROUND Training multidisciplinary teams using simulation allows for communication, development and maintenance of teamwork. In this study we compared the behavior of residents from emergency and anesthesiology departments on treatment of cardiac arrest. METHODS 42 anesthesiology and 29 emergency residents are included in the study. Two scenarios were designed for diagnosis and treatment o...

OBJECTIVE This study was undertaken to describe the site of ambulatory care visits for gynecologic conditions in the United States and to identify patient factors associated with the site of care for these conditions. STUDY DESIGN We conducted a national cross-sectional study using data from the 1995-1996 National Ambulatory Medical Care and National Hospital Ambulatory Medical Care Surveys. ...

Model-driven engineering (MDE) is an approach for improving productivity in software development. This approach was exploited in the context of agent-based modeling and simulation (ABMS) only to a certain extent. Previous work has not shown real evidence of the benefits that MDE promotes in ABMS. This paper thus explores the use of MDE in ABMS with a case study in the traffic domain. We propose...

OBJECTIVES This article explores the potential of discrete event simulation (DES) methods to advance system-level investigation of emergency department (ED) operations. To this end, the authors describe the development and operation of Emergency Department SIMulation (EDSIM), a new platform for computer simulation of ED activity at a Level 1 trauma center. The authors also demonstrate one poten...

Emergency departments’ capacities to deal with a patient surge (the number of patients increases in a short period of time) play an important role in preparedness for natural or man-made disasters. This paper examines how emergency departments could improve their capacities by optimizing the workflow. A framework is proposed to reconfigure the workflow to improve capacity while maintaining trea...

IMPROVING EMERGENCY DEPARTMENT PATIENT FLOW THROUGH NEARREAL-TIME ANALYTICSbySHANSHAN QIUAugust 2014 Advisor: Dr. Ratna Babu ChinnamCo-Advisor: Dr. Alper MuratMajor: Industrial EngineeringDegree: Doctor of Philosophy This dissertation research investigates opportunities for developing effective decisionsupport models that exploit near real-time (NRT) information ...

Urban waterlogging seriously threatens the safety of urban residents and properties. Wargame simulation research on resident emergency evacuation from waterlogged areas can determine the effectiveness of emergency response plans for high risk events at low cost. Based on wargame theory and emergency evacuation plans, we used a wargame exercise method, incorporating qualitative and quantitative ...