This paper describes an emergency care center simulation (ECC) project at Sarasota Memorial Hospital in Sarasota, Florida. The objective was to project bed requirements for an emergency care center expansion. The project team also analyzed the impact on downstream departments that are an integral part of the ECC. The simulation model was developed at a macro level and targeted the capacity requ...

introduction: emergency department performance index (epi) greatly influences the function of other hospital’s units and also patient satisfaction. recently, the iranian ministry of health has defined specific national epi containing five indexes. in the present study, the performance indexes of emergency department (ed) in one educational hospital has been assessed before and after establishme...

INTRODUCTION Emergency department overcrowding is a serious problem nationwide. Of an estimated 14 million visits to hospital emergency departments, only 12.9% are considered emergent. Many emergency departments, however, employ only physicians despite the fact that nurse practitioners have a proven record of providing high quality, cost-effective care in the emergency department. The purpose o...

OBJECTIVE To establish the current and predicted distribution of formal emergency nurse practitioner services in major accident and emergency departments in the United Kingdom; to determine organisational variations in service provision, with specific reference to funding, role configuration, training, and scope of clinical activity. METHODS Postal survey of senior nurses of all major acciden...

Hospital emergency departments are a critical part of the U.S. health care system, providing the only guaranteed source of health care for the uninsured and offering around-the-clock health care access to everyone. In 2006, more than ten million visits were made to California hospital emergency departments. Heavy use of emergency departments, including use by patients seeking treatment for nonu...

This paper presents an Agent-Based modeling and simulation to design a decision support system (DSS) for the operation of Healthcare Emergency Departments (ED). This DSS aims to aid EDs managers in setting up strategies and management guidelines to optimize the operation of EDs. This ongoing research is being performed by the Research Group on Individual Oriented Modeling (IoM) of CAOS in the U...

Problems related to patient scheduling and queueing in emergency departments are gaining increasing attention theory, the fields of operations research healthcare services, practice. This paper aims provide an extensive review studies addressing queueing-related problems explicitly departments. We have reviewed 229 articles books spanning seven decades sought organize information they contain a...

INTRODUCTION The American College of Emergency Physicians (ACEP) Task Force on Boarding described high-impact initiatives to decrease crowding. Furthermore, some emergency departments (EDs) have implemented a novel initiative we term "vertical patient flow," i.e. segmenting patients who can be safely evaluated, managed, admitted or discharged without occupying a traditional ED room. We sought t...

We apply Agent-Based Modeling and Simulation (ABMS) to investigate a set of problems in a retail context. Specifically, we are working to understand the relationship between human resource management practices and retail productivity. Despite the fact we are working within a relatively novel and complex domain, it is clear that intelligent agents do offer potential for developing organizational...