Patient streaming as a mechanism for improving responsiveness in emergency departments

Operations Research

Volumn 60, Issue 5, 2012, Pages 1080-1097

  Saghafian, Soroush ^a   Hopp, Wallace J ^b   Van Oyen, Mark P ^c   Desmond, Jeffrey S ^d   Kronick, Steven L ^d  

^a Arizona State University   (United States)

^b UNIVERSITY OF MICHIGAN   (United States)

^c UNIVERSITY OF MICHIGAN   (United States)

^d UNIVERSITY OF MICHIGAN HOSPITALS   (United States)

Author keywords

Emergency department; Healthcare operations management; Patient flow; Patient sequencing

Indexed keywords

COMMUNITY IS; EMERGENCY DEPARTMENTS; EMERGENCY MEDICINE; OPERATIONS MANAGEMENT; PATIENT FLOW; PATIENT SEQUENCING;

COMPUTER SIMULATION; HEALTH CARE;

EMERGENCY ROOMS;

EID: 84869746203     PISSN: 0030364X     EISSN: 15265463     Source Type: Journal    
DOI: 10.1287/opre.1120.1096     Document Type: Article

References (43)

1. Allon G, Deo S, Lin W (2012) The impact of size and occupancy of hospital on the extent of ambulance diversion: Theory and evidence. Working paper, Kellogg School of Business, Northwestern University, Evanston, IL.
2. American College of Emergency Physicians (2006) American College of Emergency Physicians national report card on the state of emergency medicine. http://www.acep.org/assets/0/16/648/1994/00FA9DFA-9B89-4DA8-A3D8-5FBD37DD858D. pdf.
3. Andradóttir S, Ayhan H, Down DG (2003) Dynamic server allocation for queueing networks with flexible servers. Oper. Res. 51(6):952-968.
4. Argon NT, Ziya S (2009) Priority assignment under imperfect information on customer type identities. Manufacturing Service Oper. Management 11(4):674-693.
5. Ben-Tovim DI, Bassham JE, Bennett DM, Dougherty ML, Martin MA, O'Neill SJ, Sincock JL, Szwarcbord MG (2008) Redesigning care at the Flinders Medical Centre: Clinical process redesign using "lean thinking." Medical J. Australia 188(6):27-31.
6. Cochran JK, Roche KT (2009) A multi-class queueing network analysis methodology for improving hospital emergency department performance. Comput. Oper. Res. 36(1):1497-1512.
7. Dobson G, Tezcan T, Tilson V (2012) Optimal workflow decisions for investigators in systems with interruptions. Management Sci. Forthcoming.
8. Duenyas I, Gupta D, Olsen T (1998) Control of a single-server tandem queueing system with setups. Oper. Res. 46(2):218-230.
9. Fernandes CM, Daya MR, Barry S, Palmer N (1994) Emergency department patients who leave without seeing a physician: The Toronto hospital experience. Ann. Emergency Medicine 24(6):1092-1096.
10. Gordon JA, Billings J, Asplin BR, Rhodes KV (2001) Safety net research in emergency medicine: Proceedings of the Academic Emergency Medicine Consensus Conference on "the unraveling safety net." Acad. Emergency Medicine 8(11):1024-1029.
11. Graff LG, Wolf S, Dinwoodie R, Buono D, Mucci D (1993) Emergency physician workload: A time study. Ann. Emergency Medicine 22(7):1156-1163.
12. Green LV, Soares J, Giglio JF, Green RA (2006) Using queuing theory to increase the effectiveness of emergency department provider staffing. Academic Emergency Medicine 13(1):61-68.
13. Holdgate A, Morris J, Fry M, Zecevicl M (2007) Accuracy of triage nurses in predicting patient disposition. Emergency Medicine Australasia 19:341-345.
14. Hollingsworth JC, Chisholm CD, Giles BK, Cordell WH, Nelson DR (1998) How do physicians and nurses spend their time in the emergency department? Ann. Emergency Medicine 31(1):87-91.
15. Hoot NR, Aronsky D (2008) Systematic review of emergency department crowding: Causes, effects, and solutions. Ann. Emergency Medicine 52(2):126-136.
16. Hopp WJ, Iravani SMR, Shou B (2005) Serial agile production systems with automation. Oper. Res. 53(5):852-866.
17. Howell EE, Bessman ES, Rubin HR (2004) Hospitalists and an innovative emergency department admission process. J. General Internal Medicine 19(3):266-268.
18. Hu B, Benjaafar S (2009) Partitioning of servers in queueing systems during rush hour. Manufacturing Service Oper. Management 11(3):416-428.
19. Khare RK, Powell ES, Reinhardt G, Lucenti M (2008) Adding more beds to the emergency department or reducing admitted patient boarding times: Which has a more significant influence on emergency department congestion? Ann. Emergency Medicine 53(5):575-585.
20. King DL, Ben-Tovim DI, Bassham J (2006) Redesigning emergency department patient flows: Application of lean thinking to health care. Emergency Medicine Australasia 18:391-397.
21. Kinsman L, Champion R, Lee G, Martin M, Masman K, May E, Mills T, Taylor MD, Thomas P, Williams RJ, Zalstein S (2008) Assessing the impact of streaming in a regional emergency department. Emergency Medicine Australasia 20:221-227.
22. Kronick SL, Desmond JS (2009) Blink: Accuracy of physician estimates of patient disposition at the time of ED triage. SAEM Midwest Regional Meeting, Ann Arbor, MI.
23. Liew D, Liew D, Kennedy MP (2003) Emergency department length of stay independently predicts excess inpatient length of stay. Medical J. Australia 179(17):524-526.
24. Mandelbaum A, Reiman MI (1997) On pooling in queueing networks. Management Sci. 44(7):971-981.
25. McCaig LF, Ly N (2002) National hospital ambulatory medical care survey: 2000 emergency department summary. National Health Statist. Report. Adv. Data 2001, 321, 1-31.
26. Miro O, Sanchez M, Espinosa G, Coll-Veient B, Bragulat E, Milla J (2003) Analysis of patient flow in the emergency department and the effect of an extensive reorganisation. Emergency Medicine J. 20:143-148.
27. Pitts SR, Niska RW, Xu J, Burt CW (2008) National hospital ambulatory medical care survey: 2006 emergency department summary. Natl. Health Statist. Rep. 7:1-39.
28. Richardson D (2003) Reducing patient times in emergency department. Medical J. Australia 179(17):516-517.
29. Richardson D (2006) Increase in patient mortality at 10 days associated with emergency department overcrowding. Medical J. Australia 184:213-216.
30. Rothkopf MH, Rech P (1987) Perspective on queues: Combining queues is not always beneficial. Oper. Res. 35(6):906-909.
31. Saghafian S, Van Oyen MP, Kolfal B (2011) The "W" network and the dynamic control of unreliable flexible servers. IIE Trans. 43(12): 893-907.
32. Schull MJ, Kiss A, Szali J-P (2007) The effect of low complexity patients on emergency department waiting times. Ann. Emergency Medicine 49(3):257-264.
33. Solberg LI, Asplin BR, Magid DJ, Weinick RM (2003) Emergency department crowding: Consensus development of potential measures. Ann. Emergency Medicine 42(6):824-834.
34. SoRelle R (2006) Homicide charges against Illinois ED stun EM. Emergency Medicine News 28(12):1, 35.
35. SoRelle R (2010) Breaking news: Health reform and the ED: Prepare for the surge. Emergency Medicine News 32(5):1, 20.
36. Sprivulis PC, Da Silva JA, Jacobs IG, Frazer RL, Jelinek GA (2006) The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments. Medical J. Australia 184:208-212.
37. Tekin E, Hopp WJ, Van Oyen MP (2009) Pooling strategies for service center agent cross-training. IIE Trans. 41:546-561.
38. Thomas EJ, Studdert DM, Burstin HR, Orav EJ, Zeena T, Williams EJ, Howard KM, Weiler PC, Brennan TA (2000) Incidence and type of adverse events and negligent care in Utah and Colorado. Medical Care 38(3):261-271.
39. Trzeciak S, Rivers EP (2003) Emergency department overcrowding in the United States: An emerging threat to patient safety and public health. Emergency Medical J. 20(5):402-405.
40. Van Dijk NM, Van Der Sluis E (2008) To pool or not to pool in call centers. Production Oper. Management 17(3):296-305.
41. Van Oyen MP, Gel EGS, Hopp WJ (2001) Opportunity for workforce agility in collaborative and non-collaborative work systems. IIE Trans. 33(9):761-777.
42. Welch SJ (2009) Patient segmentation: Redesigning flow. Emergency Medicine News 31(8).
43. Whitt W (1999) Partitioning customers into service groups. Management Sci. 45:1579-1592.