Looking in the wrong place for healthcare improvements: A system dynamics study of an accident and emergency department

Journal of the Operational Research Society

Volumn 51, Issue 5, 2000, Pages 518-531

  Lane, D C ^a   Monefeldt, C ^a   Rosenhead, J V ^a  

^a LONDON SCHOOL OF ECONOMICS   (United Kingdom)

Author keywords

Health service; Hospitals; Planning; Scenarios; Simulation; Systems; Validation

Indexed keywords

EMERGENCY ADMISSIONS; SYSTEM DYNAMICS MODEL;

COMPUTER SIMULATION; EMERGENCY ROOMS; HEALTH CARE; MATHEMATICAL MODELS; QUEUEING THEORY; STRATEGIC PLANNING; VALUE ENGINEERING;

OPERATIONS RESEARCH;

EID: 0033742565     PISSN: 01605682     EISSN: 14769360     Source Type: Journal    
DOI: 10.1057/palgrave.jors.2600892     Document Type: Article

References (46)

1. Audit Commission (1996). By Accident or Design: Improving A&E Services in England and Wales. HMSO: London.
2. Department of Health (1996). The Patient’s Charter. HMSO: London.
3. NHS Confederation Royal College of Physicians (1997). Tackling NHS Emergency Admissions: Policy into practice. NHS Confederation: Birmingham.
4. Department of Health (1998). Outpatient and Ward Attenders, England: Financial year 1996-1997. HMSO: London.
5. Hadfield J, Yates D and Berry A (1994). The emergency department and the community: model for improved cooperation. J Roy Soc Med 87: 663-665.
6. Lane DC (1994). System dynamics practice: a comment on a case study in community care using systems thinking. J Opl Res Soc 45: 361-363.
7. Audit Commission (1997). The Coming of Age: Improving care services for older people. Audit Commission Publications: Abingdon.
8. Dale J, Green J, Reeds F (1995). Primary care in the accident and emergency department: 1. Prospective identification of patients. Brit Med J, 311: 423-426.
9. Leydon GM, Lawrenson R, Meakin R and Roberts JA (1996). The Cost of Alternative Models Of Accident and Emergency Care: A systematic review. Report to North Thames Regional Health Authority: London.
10. Middleton EL and Whitney FW (1993). Primary care in the emergency room: a collaborative model. Nurs Connect 6: 29-40.
11. Davies R and Davies H (1994). Modelling patient flows and resource provision in health systems. Omega 22: 123-131.
12. Paul R (1995). Outpatient clinics. OR Insight 8(2): 24-27.
13. O’Kane PC (1981). Simulation model of a diagnostic radiology department. Eur J Opl Res 6: 38-45.
14. Riley J (1995). Visual interactive simulation of accident and emergency departments. In: Kastelein A, Vissers J, van Merode GG and Delesie L (eds). Proceedings of ORAHS 21 Managing Health Care Under Resource Constraints. Eindhoven University Press: Maastricht, pp 135-141.
15. Altinel IK and Ulas E (1996). Simulation modelling for emergency bed requirement planting. A Opl Res 67: 183-210.
16. Romanin-Jacur G and Faechin P (1987). Optimal planning of a pediatric semi-intensive care unit via simulation. Eur J Opl Res 29: 192.
17. Mejia A, Shirazi R, Beech R and Balmer D (1998). Planning midwifery services to deliver continuity of Care. J Opl Res Soc. 49: 33-41.
18. Forrester JW (1961). Industrial Dynamics. MIT Press: Cambridge, MA.
19. Taylor KS and Lane DC (1998). Simulation applied to health services: opportunities for applying the system dynamics approach. J Health Services Res and Policy 3: 226-232.
20. Lane DC (1999). System Dynamics Modelling of Patient Flows Through Acute Hospitals. Report for the NHS Executive: London.
21. Richardson GP (1991). Feedback Thought in Social Science and Systems Theory. Univ. Pennsylvania: Philadelphia.
22. Richamond BM, Vescuso P and Peterson S (1990). Think Software Manuals. High Performance Systems, 145 Lyme Road, Hanover, NH 03755, USA.: Hanover NH.
23. Lane DC (1992). Modelling As Learning: a consultancy method-ology for enhancing learning in management teams. Eur J Opl Res 59: 64-84.
24. Lane DC (1995). On a resurgence of management simulations and games. J Opl Res Soc 46: 604-625.
25. Lane DC (1997). From discussion to dialogue: A case study using an interactive system dynamics modelling a approach (De la discussion an dialogue: one etude de cas d’utilisation interactive de la dynamique des systemes). Revue des Sys de Decis 6:251-281.
26. Richardson GP and Pugh AL (1981). Introduction to System Dynamics Modelling with DYNAMO (republished edition). Productivity: Cambridge, MA.
27. Lane DC and Smart C (1996). Reinterpreting generic structure: evolution, application and limitations of a concept. Sys Dyn Rev. 12: 87-120.
28. Randers J (1980). Guidelines for model conceptualisation. In: Randers J (ed). Elements of the System Dynamics Method. MIT Press: Cambridge, MA, pp 117-139.
29. Goodman MR (1974). Study Notes in System Dynamics. MIT Press: Cambridge, MA.
30. Tomlinson B (1992). Report of the Inquiry into London’s Health Service, Medical Education and Research. HMSO: London.
31. Kings Fund Commission (1992). London Health Care 2010: Changing the Future of Services in the Capital. King’s Fund: London.
32. Department of Health (1993). Making London Better. HMSO: London.
33. Lane DC (1995). The Folding Star: a comparative reframing and extension of validity concepts in system dynamics. In: Shima- dar T and Saeed K (eds). Proceedings of the 1995 International System Dynamics Conference: Volume 1-Plenary Program. Gakushuin University and the International System Dynamics Society: Tokyo, pp. 111-130.
34. Forrester JW and Senge PM (1980). Tests for building confidence in system dynamics models. In: Lagasto AA, Forrester JW and Lyneis JM (eds). System Dynamics: TIMS Studies in the Management Science. North-Holland: Oxford, pp 209-228.
35. Monefeldt C and Lane DC (1997). A and E Model: Validation notes. LSE research Notes.
36. Lane DA and Monefeldt C (1999). Client involvement in simulation model building: hints and insights from a case study in a London hospital. LSE OR Department Working Paper Series LSE OR 99/32.
37. Sterman JD (1984). Appropriate summary statistics for evaluating the historical fit of system dynamics models. Dynamica 10: 51-66.
38. Mass NJ (1991). Diagnosing surprise model behavior: a tool for evolving behavioral and policy insights (1981). Sys Dyn Rev 7: 68-86.
39. Lane DC, Monefeldt C and Rosenhead JV (1998). Looking in the wrong place for healthcare improvements: A system dynamics study of an accident and emergency department. LSE OR Department Working Paper Series LSEOR 98.23.
40. Forrester JW (1970). Counterintuitive behaviour of social systems. In: Collected Papers of Jay W Forrester (1975 collection). Wright-Allen Press: Cambridge, MA pp 211-244.
41. Fry L (I960). Casualties and casuals. Lancet 1: 163-166.
42. Royal College of Surgeons of England (1993). British Association for Accident and Emergency Medicine Directory 1993. Royal College of Surgeons of England: London.
43. Kaplan RS and Norton DP (1992). The balanced scorecard-measures that drive performance. Harvard Bus Rev Jan/Feb: 71-79.
44. Ashby WR (1956). An Introduction to Cybernetics. Chapman & Hall: London.
45. Homer JB (1985). Worker Burnout: A dynamic model with implications for prevention and control. Sys Dyn Rev 1: 42-62.
46. Audit Commission (1992) Lying in Wait: The Use of Medical Beds in Acute Hospitals. HMSO: London.