background: long wait time interval in emergency department (ed) of hospitals, from the patients’ point of view in ed is a major problem causing patients’ dissatisfaction and may result increasing in patient morbidity and indirectly nurses dissatisfaction. evaluation of wait time intervals in ed and giving nursing feedback may improve the quality of services, as well as patient satisfaction. th...

progress in achieving the ambitious 10-year goals to strengthen health care set out by the country’s federal and provincial leaders in 2004, though it is too early to predict if those goals will ultimately be met, according to the Health Council of Canada. “If we were to use the analogy of a classroom, we are in the process of getting ready for a big exam in 2014 and, overall, the class is not ...

ÐThis paper presents a probabilistic performance analysis of a deadlock detection algorithm in distributed systems. Although there has been extensive study on deadlock detection algorithms in distributed systems, little attention has been paid to the study of the performance of these algorithms. Most work on performance study has been achieved through simulation but not through an analytic mode...

The Toronto Western Hospital is an academic hospital in Toronto, Canada, with an annual Emergency Department (ED) volume of 64,000 patients. Despite increases in patient volumes of almost six percent per annum over the last decade, there have been no commensurate increases in resources, infrastructure, and staffing. This has led to substantial increase in patient wait times, most specifically f...

BACKGROUND Children with complex needs can face barriers to system access and navigation related to their need for multiple services and healthcare providers. Central intake for pediatric rehabilitation was developed and implemented in 2008 in Winnipeg Manitoba Canada as a means to enhance service coordination and access for children and their families. This study evaluates the process and impa...

T article by Snider and associates in the current issue of the Journal (Can J Surg 2005;48:35560) tackles the thorny issue of waiting for access to care in Canada’s public health system. In their study, the investigators surveyed patients who waited for total hip or knee arthroplasty in both community orthopedic practice and an urban academic tertiary care setting. Significantly, over half the ...

This paper considers a no-wait multi product flowshop scheduling problem with sequence dependent setup times. Lot streaming divide the lots of products into portions called sublots in order to reduce the lead times and work-in-process, and increase the machine utilization rates. The objective is to minimize the makespan. To clarify the system, mathematical model of the problem is presented. Sin...