Patient waiting times and service quality problems characterize emergency departments worldwide. The purpose of this research is to develop a reliable decision support system using the Emergency Severity Index (ESI) triage method to drive improvements in the care delivery process, as part of a hospital Emergency Care Delivery System. Models were developed using first a relatively low fidelity s...

Paediatric Emergency Medicine Department, Imperial College Healthcare NHS Trust and BRC Imperial NIHR, Imperial College, London, UK Department of Paediatric Anaesthesia, Great Ormond Street Hospital for Children, London, UK Department of Anaesthesia, Paediatric Intensive Care and Emergency Medicine, Auf der Bult Children’s Hospital, Hannover, Germany Paediatric Intensive Care Department, Hospit...

STUDY OBJECTIVE Emergency departments (EDs) with both low- and high-acuity treatment areas often have fixed allocation of resources, regardless of demand. We demonstrate the utility of discrete-event simulation to evaluate flexible partitioning between low- and high-acuity ED areas to identify the best operational strategy for subsequent implementation. METHODS A discrete-event simulation was...

OATAO is an open access repository that collects the work of Toulouse researchers and makes it freely available over the web where possible. To cite this version : Gürcan, Önder and Dikenelli, Oguz and Bernon, Carole A generic testing framework for agent-based simulation models. Agent-based modelling and simulation (ABMS) had an increasing attention during the last decade. However, the weak val...

Agent-Based Modeling and Simulation (ABMS) is a simple and yet powerful method for simulation of interactions among individual agents. Using ABMS, different phenomena can be modeled and simulated without spending additional time on unnecessary complexities. Although ABMS is well-matured in many different fields such as economic, social, and natural phenomena, it has not received much attention ...

Emergency departments in hospitals are having many difficulties achieving the performance levels required by health regulators and society. The waiting times as well total throughput time examples of indicators that emergency need to improve order provide a better service community. To achieve improvement performance, present paper shows methodology assist design process an department using sim...

The design of Emergency Department (ED) is rather complicated. Hospital leadership and architects have to make decisions taking into consideration many complex and interdependent factors, including evolving market demands, patient volume, care models, operational processes, staffing, and medical equipment. The application of digital tools such as Discrete Event Simulation (DES) and Space Syntax...

The public health system is plagued by inefficient use of resources. Frequently, the results are lengthy patient treatment waiting times. While many solutions for patient scheduling in health systems exist, few address the problem of coordination between independent autonomous departments. In this study, we describe the use of a distributed dynamic constraint optimisation algorithm (Support Bas...