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Volumn 2, Issue 4, 2013, Pages 66-74

Modeling the impact of changing patient flow processes in an emergency department: Insights from a computer simulation study

Author keywords

Discrete event simulation; Emergency department; Resource allocation; Split flow

Indexed keywords


EID: 84888031359     PISSN: 22116923     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.orhc.2013.04.001     Document Type: Article
Times cited : (92)

References (77)
  • 2
    • 84888035163 scopus 로고    scopus 로고
    • Institute for clinical care improvement, report on the current state of the art for medical/health care home, Available at: (last accessed: June 2012).
    • C.J. Peek, Institute for clinical care improvement, report on the current state of the art for medical/health care home, Available at: (last accessed: June 2012). http://www.health.state.mn.us/healthreform/homes/documents/HCH_ICSIReport.pdf.
    • Peek, C.J.1
  • 3
    • 77957366098 scopus 로고    scopus 로고
    • New directions in emergency service operations and planning
    • Zilm F., Crane J., Roche K. New directions in emergency service operations and planning. J. Ambulatory Care Manage. 2010, 33(4):296-306.
    • (2010) J. Ambulatory Care Manage. , vol.33 , Issue.4 , pp. 296-306
    • Zilm, F.1    Crane, J.2    Roche, K.3
  • 5
    • 48949116157 scopus 로고    scopus 로고
    • Systematic review of emergency department crowding: causes, effects, and solutions
    • Hoot N.R., Aronsky D. Systematic review of emergency department crowding: causes, effects, and solutions. Ann. Emerg. Med. 2008, 52(2):126-136.
    • (2008) Ann. Emerg. Med. , vol.52 , Issue.2 , pp. 126-136
    • Hoot, N.R.1    Aronsky, D.2
  • 6
    • 77952369579 scopus 로고    scopus 로고
    • Exploring new intake models for the emergency department
    • Welch S., Davidson S. Exploring new intake models for the emergency department. Am. J. Med. Qual. 2010, 25(3):172-180.
    • (2010) Am. J. Med. Qual. , vol.25 , Issue.3 , pp. 172-180
    • Welch, S.1    Davidson, S.2
  • 7
    • 84888063671 scopus 로고    scopus 로고
    • Hospital admissions that began in the emergency department, Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Statistical Brief #1, February Available at: (last accessed: April 2012).
    • P. Owens, A. Elixhauser, Hospital admissions that began in the emergency department, Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Statistical Brief #1, February 2006. Available at: (last accessed: April 2012). http://www.hcupus.ahrq.gov/reports/statbriefs/sb1.jsp.
    • (2006)
    • Owens, P.1    Elixhauser, A.2
  • 10
    • 71449088049 scopus 로고    scopus 로고
    • A systematic review interventions to solve overcrowding in hospital emergency services
    • Bittencourt R.J., Hortale V.A. A systematic review interventions to solve overcrowding in hospital emergency services. Cad. Saúde Pública. 2009, 25(7):1439-1454.
    • (2009) Cad. Saúde Pública. , vol.25 , Issue.7 , pp. 1439-1454
    • Bittencourt, R.J.1    Hortale, V.A.2
  • 12
    • 84888068643 scopus 로고    scopus 로고
    • Emergency department crowding information paper. Irving (TX): American College of Emergency Physicians, Available from: (last accessed: April 2012).
    • R.B. Case, D.L. Fite, S.M. Davis, S. Hoxhaj, W.P. Jaquis, T. Seay, C.S. Yeh, Emergency department crowding information paper. Irving (TX): American College of Emergency Physicians, 2004. Available from: (last accessed: April 2012). http://www.acep.org/WorkArea/DownloadAsset.aspx?id%3D8872.
    • (2004)
    • Case, R.B.1    Fite, D.L.2    Davis, S.M.3    Hoxhaj, S.4    Jaquis, W.P.5    Seay, T.6    Yeh, C.S.7
  • 13
    • 80051558770 scopus 로고    scopus 로고
    • Adherence to the guideline 'triage in emergency departments': a survey of dutch emergency departments
    • Janssen M., van Achterberg T., Adriaansen M., Kampshoff C.S., Mintjes-de Groot J. Adherence to the guideline 'triage in emergency departments': a survey of dutch emergency departments. J. Clin. Nurs. 2011, 20(17-18):2458-2468.
    • (2011) J. Clin. Nurs. , vol.20 , Issue.17-18 , pp. 2458-2468
    • Janssen, M.1    van Achterberg, T.2    Adriaansen, M.3    Kampshoff, C.S.4    Mintjes-de Groot, J.5
  • 14
    • 33645052177 scopus 로고    scopus 로고
    • The association between hospital overcrowding and mortality among patients admitted via western Australian emergency departments
    • Sprivulis P.C., Da Silva J., Jacobs I.G., Frazer A.R., Jelinek G.A. The association between hospital overcrowding and mortality among patients admitted via western Australian emergency departments. Med. J. Aust. 2006, 184(5):208-212.
    • (2006) Med. J. Aust. , vol.184 , Issue.5 , pp. 208-212
    • Sprivulis, P.C.1    Da Silva, J.2    Jacobs, I.G.3    Frazer, A.R.4    Jelinek, G.A.5
  • 16
    • 83655182352 scopus 로고    scopus 로고
    • Practical implications of implementing emergency department crowding interventions: summary of a moderated panel
    • Pines J.M., Pilgrim R.L., Schneider S.M., Siegel B., Viccellio P. Practical implications of implementing emergency department crowding interventions: summary of a moderated panel. Acad. Emerg. Med. 2011, 18(12):1278-1282.
    • (2011) Acad. Emerg. Med. , vol.18 , Issue.12 , pp. 1278-1282
    • Pines, J.M.1    Pilgrim, R.L.2    Schneider, S.M.3    Siegel, B.4    Viccellio, P.5
  • 17
    • 82955207162 scopus 로고    scopus 로고
    • Swedish emergency department triage and interventions for improved patient flows: a national update
    • Farrokhnia N., Göransson K.E. Swedish emergency department triage and interventions for improved patient flows: a national update. Scand. J. Trauma Resusc. Emerg. Med. 2011, 19(1):72-77.
    • (2011) Scand. J. Trauma Resusc. Emerg. Med. , vol.19 , Issue.1 , pp. 72-77
    • Farrokhnia, N.1    Göransson, K.E.2
  • 19
    • 9644258612 scopus 로고    scopus 로고
    • The quality gap: searching for the consequences of emergency department crowding
    • Magid D.J., Asplin B.R., Wears R.L. The quality gap: searching for the consequences of emergency department crowding. Ann. Emerg. Med. 2004, 44(6):586-588.
    • (2004) Ann. Emerg. Med. , vol.44 , Issue.6 , pp. 586-588
    • Magid, D.J.1    Asplin, B.R.2    Wears, R.L.3
  • 20
    • 0034080309 scopus 로고    scopus 로고
    • Survey of directors of emergency departments in California on overcrowding
    • Richards J.R., Navarro M.L., Derlet R.W. Survey of directors of emergency departments in California on overcrowding. West. J. Med. 2000, 172(6):385-388.
    • (2000) West. J. Med. , vol.172 , Issue.6 , pp. 385-388
    • Richards, J.R.1    Navarro, M.L.2    Derlet, R.W.3
  • 21
    • 0025864572 scopus 로고
    • Emergency departments and crowding in United States teaching hospitals
    • Andrulis D.P., Kellermann A., Hintz E.A. Emergency departments and crowding in United States teaching hospitals. Ann. Emerg. Med. 1991, 20:980-986.
    • (1991) Ann. Emerg. Med. , vol.20 , pp. 980-986
    • Andrulis, D.P.1    Kellermann, A.2    Hintz, E.A.3
  • 22
    • 0037390680 scopus 로고    scopus 로고
    • Impact of critical bed status on emergency department patient flow and overcrowding
    • Liu S., Hobgood C., Brice J.H. Impact of critical bed status on emergency department patient flow and overcrowding. Acad. Emerg. Med. 2003, 10(4):382-385.
    • (2003) Acad. Emerg. Med. , vol.10 , Issue.4 , pp. 382-385
    • Liu, S.1    Hobgood, C.2    Brice, J.H.3
  • 23
    • 25444484921 scopus 로고    scopus 로고
    • Emergency department overcrowding: the impact of resource scarcity on physician job satisfaction
    • Rondeau K.V., Francescutti L.H., Zanardelli J. Emergency department overcrowding: the impact of resource scarcity on physician job satisfaction. J. Healthcare Manage. 2005, 50(5):327-340.
    • (2005) J. Healthcare Manage. , vol.50 , Issue.5 , pp. 327-340
    • Rondeau, K.V.1    Francescutti, L.H.2    Zanardelli, J.3
  • 24
    • 80054043124 scopus 로고    scopus 로고
    • ED throughput: a key to patient safety
    • Jarousse L.A. ED throughput: a key to patient safety. Hosp. Health Networks 2011, 85(8):33.
    • (2011) Hosp. Health Networks , vol.85 , Issue.8 , pp. 33
    • Jarousse, L.A.1
  • 25
    • 79957941979 scopus 로고    scopus 로고
    • Overcrowding in emergency departments and adverse outcomes
    • McCarthy M. Overcrowding in emergency departments and adverse outcomes. Br. Med. J. 2011, 6(342):d2830.
    • (2011) Br. Med. J. , vol.6 , Issue.342
    • McCarthy, M.1
  • 26
    • 84858996807 scopus 로고    scopus 로고
    • Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada
    • Guttmann A., Schull M., Vermeulen M., Stukel T. Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. Br. Med. J. 2011, 342:1250-1258.
    • (2011) Br. Med. J. , vol.342 , pp. 1250-1258
    • Guttmann, A.1    Schull, M.2    Vermeulen, M.3    Stukel, T.4
  • 27
    • 1542749982 scopus 로고    scopus 로고
    • Going with the flow. Tracking system helps midwest hospital streamline patient flow and lower emergency room divert rate
    • Jensen J. Going with the flow. Tracking system helps midwest hospital streamline patient flow and lower emergency room divert rate. Health Manag. Technol. 2003, 24(12):43-45.
    • (2003) Health Manag. Technol. , vol.24 , Issue.12 , pp. 43-45
    • Jensen, J.1
  • 28
    • 33845721728 scopus 로고    scopus 로고
    • The financial impact of ambulance diversions and patient elopements
    • Falvo T., Grove L., Stachura R., Zirkin W. The financial impact of ambulance diversions and patient elopements. Acad. Emerg. Med. 2007, 14(1):58-62.
    • (2007) Acad. Emerg. Med. , vol.14 , Issue.1 , pp. 58-62
    • Falvo, T.1    Grove, L.2    Stachura, R.3    Zirkin, W.4
  • 29
    • 34447556702 scopus 로고    scopus 로고
    • Impact of a triage liaison physician on emergency department overcrowding and throughput: a randomized controlled trial
    • Holroyd B.R., Bullard M.J., Latoszek K., Gordon D., Allen S., Tam S., Blitz S., Yoon P., Rowe B.H. Impact of a triage liaison physician on emergency department overcrowding and throughput: a randomized controlled trial. Acad. Emerg. Med. 2007, 14(8):702-708.
    • (2007) Acad. Emerg. Med. , vol.14 , Issue.8 , pp. 702-708
    • Holroyd, B.R.1    Bullard, M.J.2    Latoszek, K.3    Gordon, D.4    Allen, S.5    Tam, S.6    Blitz, S.7    Yoon, P.8    Rowe, B.H.9
  • 30
    • 84888064511 scopus 로고    scopus 로고
    • Finance Department, Saint Vincent Hospital, Worcester MA, USA. Personal Correspondence.
    • J. Zuba, Finance Department, Saint Vincent Hospital, Worcester MA, USA. Personal Correspondence.
    • Zuba, J.1
  • 32
    • 0033251637 scopus 로고    scopus 로고
    • Re-evaluating triage in the new millennium: a comprehensive look at the need for standardization and quality
    • Gilboy N., Travers D., Wuerz R. Re-evaluating triage in the new millennium: a comprehensive look at the need for standardization and quality. J. Emerg. Nursing. 1999, 25(6):468-473.
    • (1999) J. Emerg. Nursing. , vol.25 , Issue.6 , pp. 468-473
    • Gilboy, N.1    Travers, D.2    Wuerz, R.3
  • 33
    • 34548019932 scopus 로고    scopus 로고
    • Impact of streaming "fast track" emergency department patients
    • O'Brien D., Williams A., Blondell K., Jelinek G.A. Impact of streaming "fast track" emergency department patients. Aust. Health Rev. 2006, 30(4):525.
    • (2006) Aust. Health Rev. , vol.30 , Issue.4 , pp. 525
    • O'Brien, D.1    Williams, A.2    Blondell, K.3    Jelinek, G.A.4
  • 34
    • 84888020506 scopus 로고    scopus 로고
    • The Advisory Board Company, the High Performance ED: Practice #8: Split-Flow Management. Available at: (last accessed: June 2012).
    • The Advisory Board Company, the High Performance ED: Practice #8: Split-Flow Management. Available at: (last accessed: June 2012). http://www.advisoryboardcompany.com/.
  • 37
    • 27944509169 scopus 로고    scopus 로고
    • Impact of rapid entry and accelerated care at triage on reducing emergency department patient wait times, lengths of stay, and rate of left without being seen
    • Chan T.C., Killeen J.P., Kelly D., Guss D.A. Impact of rapid entry and accelerated care at triage on reducing emergency department patient wait times, lengths of stay, and rate of left without being seen. Ann. Emerg. Med. 2005, 46(6):491-497.
    • (2005) Ann. Emerg. Med. , vol.46 , Issue.6 , pp. 491-497
    • Chan, T.C.1    Killeen, J.P.2    Kelly, D.3    Guss, D.A.4
  • 38
    • 84859842319 scopus 로고    scopus 로고
    • Industrial and Systems Engineering and Health Care: Critical Areas of Research-Final Report
    • Agency for Healthcare Research and Quality, Rockville, MD, (prepared under contract no. 290-09-00027U)
    • Valdez R.S., Ramly E., Brennan P.F. Industrial and Systems Engineering and Health Care: Critical Areas of Research-Final Report. AHRQ Publication no. 10-0079 2010, Agency for Healthcare Research and Quality, Rockville, MD, (prepared under contract no. 290-09-00027U).
    • (2010) AHRQ Publication no. 10-0079
    • Valdez, R.S.1    Ramly, E.2    Brennan, P.F.3
  • 39
    • 77949707263 scopus 로고    scopus 로고
    • Discrete event simulation for performance modelling in health care: a review of the literature
    • Günal M., Pidd M. Discrete event simulation for performance modelling in health care: a review of the literature. J. Simul. 2010, 4(1):42-51.
    • (2010) J. Simul. , vol.4 , Issue.1 , pp. 42-51
    • Günal, M.1    Pidd, M.2
  • 40
    • 77955608015 scopus 로고    scopus 로고
    • A systematic review of simulation studies investigating emergency department overcrowding
    • Paul S.A., Reddy M.C., DeFlitch C.J. A systematic review of simulation studies investigating emergency department overcrowding. Simulation 2010, 86(8-9):559-571.
    • (2010) Simulation , vol.86 , Issue.8-9 , pp. 559-571
    • Paul, S.A.1    Reddy, M.C.2    DeFlitch, C.J.3
  • 41
    • 83655203274 scopus 로고    scopus 로고
    • Review of modeling approaches for emergency department patient flow and crowding research
    • Wiler J.L., Griffey R.T., Olsen T. Review of modeling approaches for emergency department patient flow and crowding research. Acad. Emerg. Med. 2011, 18(12):1371-1379.
    • (2011) Acad. Emerg. Med. , vol.18 , Issue.12 , pp. 1371-1379
    • Wiler, J.L.1    Griffey, R.T.2    Olsen, T.3
  • 42
    • 17744388178 scopus 로고    scopus 로고
    • Functional analysis for operating emergency department of a general hospital, in: Proc 2004 Winter Simul Conf
    • S. Takakuwa, H. Shiozaki, Functional analysis for operating emergency department of a general hospital, in: Proc 2004 Winter Simul Conf., 2004, pp. 2003-2011.
    • (2004) , pp. 2003-2011
    • Takakuwa, S.1    Shiozaki, H.2
  • 43
    • 1642436746 scopus 로고    scopus 로고
    • Healthcare process analysis: the use of simulation to evaluate hospital operations between the emergency department and a medical telemetry unit, in: Proc 2003 Winter Simul Conf.
    • R.E. Blasak, D.W. Starks, W.S. Armel, M.C. Hayduk, Healthcare process analysis: the use of simulation to evaluate hospital operations between the emergency department and a medical telemetry unit, in: Proc 2003 Winter Simul Conf., 2003, pp. 1887-1893.
    • (2003) , pp. 1887-1893
    • Blasak, R.E.1    Starks, D.W.2    Armel, W.S.3    Hayduk, M.C.4
  • 44
    • 33846693160 scopus 로고    scopus 로고
    • Modeling emergency departments using discrete event simulation techniques, in: Proc 2005 Winter Simul Conf.
    • A. Komashie, A. Mousavi, Modeling emergency departments using discrete event simulation techniques, in: Proc 2005 Winter Simul Conf., 2005, pp. 2681-2685.
    • (2005) , pp. 2681-2685
    • Komashie, A.1    Mousavi, A.2
  • 45
    • 1642436741 scopus 로고    scopus 로고
    • Emergency departments: the use of simulation to reduce the length of stay in an emergency department, in: Proc 2003 Winter Simul Conf.
    • S. Samaha, W.S. Armel, D.W. Starks, Emergency departments: the use of simulation to reduce the length of stay in an emergency department, in: Proc 2003 Winter Simul Conf., 2003, pp. 1907-1911.
    • (2003) , pp. 1907-1911
    • Samaha, S.1    Armel, W.S.2    Starks, D.W.3
  • 46
    • 0030381484 scopus 로고    scopus 로고
    • A simulation model for evaluating personnel schedules in a hospital emergency department, in: Proc 1996 Winter Simul Conf.
    • G.W. Evans, T.B. Gor, E. Unger, A simulation model for evaluating personnel schedules in a hospital emergency department, in: Proc 1996 Winter Simul Conf., 1996, pp. 1205-1209.
    • (1996) , pp. 1205-1209
    • Evans, G.W.1    Gor, T.B.2    Unger, E.3
  • 47
    • 0023539802 scopus 로고
    • A simulation approach to analysis of emergency services and trauma center management, in: Proc 1987 Winter Simul Conf.
    • T.D. Clark, C.W. Waring, A simulation approach to analysis of emergency services and trauma center management, in: Proc 1987 Winter Simul Conf., 1987, pp. 925-931.
    • (1987) , pp. 925-931
    • Clark, T.D.1    Waring, C.W.2
  • 48
    • 0036923767 scopus 로고    scopus 로고
    • Schedule evaluation: simulation study of Dreyer urgent care facility, in: Proc 2002 Winter Simul Conf.
    • B.A. Tan, A. Gubaras, N. Phojanamongkolkij, Schedule evaluation: simulation study of Dreyer urgent care facility, in: Proc 2002 Winter Simul Conf., 2002, pp. 1922-1927.
    • (2002) , pp. 1922-1927
    • Tan, B.A.1    Gubaras, A.2    Phojanamongkolkij, N.3
  • 49
    • 0035542631 scopus 로고    scopus 로고
    • Mathematical modelling of patient flow through an accident and emergency department
    • Coats T., Michalis S. Mathematical modelling of patient flow through an accident and emergency department. Emerg. Med. J. 2001, 8(3):190-192.
    • (2001) Emerg. Med. J. , vol.8 , Issue.3 , pp. 190-192
    • Coats, T.1    Michalis, S.2
  • 50
    • 0033325678 scopus 로고    scopus 로고
    • Emergency department simulation and determination of optimal attending physician staffing schedules, in: Proc 1999 Winter Simul Conf.
    • M.D. Rossetti, G.F. Trzcinski, S.A. Syverud, Emergency department simulation and determination of optimal attending physician staffing schedules, in: Proc 1999 Winter Simul Conf., 1999, pp. 1532-1540.
    • (1999) , pp. 1532-1540
    • Rossetti, M.D.1    Trzcinski, G.F.2    Syverud, S.A.3
  • 51
    • 0024941017 scopus 로고
    • Discrete simulation application-scheduling staff for the emergency room, in: Proc 1989 Winter Simul Conf.
    • A. Kumar, R. Kapur, Discrete simulation application-scheduling staff for the emergency room, in: Proc 1989 Winter Simul Conf., 1989, pp. 1112-1120.
    • (1989) , pp. 1112-1120
    • Kumar, A.1    Kapur, R.2
  • 52
    • 0027873529 scopus 로고
    • Multi-hospital validation of critical care simulation model, in: Proc 1993 Winter Simul Conf.
    • J.C. Lowery, Multi-hospital validation of critical care simulation model, in: Proc 1993 Winter Simul Conf., 1993, pp. 1207-1215.
    • (1993) , pp. 1207-1215
    • Lowery, J.C.1
  • 53
    • 84955124347 scopus 로고
    • Simulation of a hospital's surgical suite and critical care area, in: Proc 1992 Winter Simul Conf.
    • J.C. Lowery, Simulation of a hospital's surgical suite and critical care area, in: Proc 1992 Winter Simul Conf., 1992, pp. 1071-1078.
    • (1992) , pp. 1071-1078
    • Lowery, J.C.1
  • 54
    • 84888026530 scopus 로고    scopus 로고
    • In-patient flow analysis using ProModelTM simulation package, FREC Staff Paper 3-6, University of Delaware
    • S. Elbeyli, P. Krishnan, In-patient flow analysis using ProModelTM simulation package, FREC Staff Paper 3-6, University of Delaware, 2000.
    • (2000)
    • Elbeyli, S.1    Krishnan, P.2
  • 55
    • 0033742565 scopus 로고    scopus 로고
    • Looking in the wrong place for healthcare improvements: a system dynamics study of an accident and emergency department
    • Lane D.C., Monefeldt C., Rosenhead J.V. Looking in the wrong place for healthcare improvements: a system dynamics study of an accident and emergency department. J. Oper. Res. Soc. 2001, 51(5):518-531.
    • (2001) J. Oper. Res. Soc. , vol.51 , Issue.5 , pp. 518-531
    • Lane, D.C.1    Monefeldt, C.2    Rosenhead, J.V.3
  • 56
    • 34948898063 scopus 로고    scopus 로고
    • Modeling and improving emergency department systems using discrete event simulation
    • Duguay C., Chetouane F. Modeling and improving emergency department systems using discrete event simulation. Simulation 2007, 3(4):311-320.
    • (2007) Simulation , vol.3 , Issue.4 , pp. 311-320
    • Duguay, C.1    Chetouane, F.2
  • 57
    • 49749085540 scopus 로고    scopus 로고
    • Maximizing hospital financial impact and emergency department throughput with simulation, in: Proc 2007 Winter Simul Conf.
    • D.M. Ferrin, M.J. Miller, D.L. McBroom, Maximizing hospital financial impact and emergency department throughput with simulation, in: Proc 2007 Winter Simul Conf., 2007, pp. 1566-1573.
    • (2007) , pp. 1566-1573
    • Ferrin, D.M.1    Miller, M.J.2    McBroom, D.L.3
  • 58
    • 17744397359 scopus 로고    scopus 로고
    • Fixing the emergency department: a transformational journey with EDSIM, in: Proc 2004 Winter Simul Conf.
    • M.J. Miller, D.M. Ferrin, M.G. Messer, Fixing the emergency department: a transformational journey with EDSIM, in: Proc 2004 Winter Simul Conf., 2004, pp. 1988-1993.
    • (2004) , pp. 1988-1993
    • Miller, M.J.1    Ferrin, D.M.2    Messer, M.G.3
  • 59
    • 1642559437 scopus 로고    scopus 로고
    • Simulating six sigma improvement ideas for a hospital emergency department, in: Proc 2003 Winter Simul Conf.
    • M.J. Miller, D.M. Ferrin, J.M. Szymanski, Simulating six sigma improvement ideas for a hospital emergency department, in: Proc 2003 Winter Simul Conf., 2003, pp. 1926-1929.
    • (2003) , pp. 1926-1929
    • Miller, M.J.1    Ferrin, D.M.2    Szymanski, J.M.3
  • 60
    • 1642559444 scopus 로고    scopus 로고
    • Emergency departments II: pairing emergency severity index5-level triage data with computer aided system design to improve emergency department access and throughput, in: Proc 2003 Winter Simul Conf.
    • S. Mahapatra, C. Koelling, L. Patvivatsiri, B. Fraticelli, D. Eitel, L. Grove, Emergency departments II: pairing emergency severity index5-level triage data with computer aided system design to improve emergency department access and throughput, in: Proc 2003 Winter Simul Conf., 2003, pp. 1917-1925.
    • (2003) , pp. 1917-1925
    • Mahapatra, S.1    Koelling, C.2    Patvivatsiri, L.3    Fraticelli, B.4    Eitel, D.5    Grove, L.6
  • 61
    • 21144468364 scopus 로고
    • A simulation model for scheduling in the emergency room
    • Bardi M.A., Hollingsworth J. A simulation model for scheduling in the emergency room. Int. J. Oper. Prod. Manage. 1993, 13(3):13-24.
    • (1993) Int. J. Oper. Prod. Manage. , vol.13 , Issue.3 , pp. 13-24
    • Bardi, M.A.1    Hollingsworth, J.2
  • 62
    • 1642518508 scopus 로고    scopus 로고
    • Emergency departments: the use of simulation and design of experiments for estimating maximum capacity in an emergency room, in: Proc 2003 Winter Simul Conf.
    • F.F. Baesler, H.E. Jahnsen, M. DaCosta, Emergency departments: the use of simulation and design of experiments for estimating maximum capacity in an emergency room, in: Proc 2003 Winter Simul Conf., 2003, pp. 1903-1906.
    • (2003) , pp. 1903-1906
    • Baesler, F.F.1    Jahnsen, H.E.2    DaCosta, M.3
  • 63
    • 2442550272 scopus 로고
    • Simulation applied to planning an emergency department expansion, in: Proc 1993 SCS Western Multiconference on Simulation: Simulation in Health Sciences and Services
    • M. Kraitsik, A. Bossmeyer, Simulation applied to planning an emergency department expansion, in: Proc 1993 SCS Western Multiconference on Simulation: Simulation in Health Sciences and Services, 1993, pp. 19-27.
    • (1993) , pp. 19-27
    • Kraitsik, M.1    Bossmeyer, A.2
  • 64
    • 0344061933 scopus 로고    scopus 로고
    • An analysis of emergency room wait time issues via computer simulation
    • Blake J.T., Carter M.W., Richardson S. An analysis of emergency room wait time issues via computer simulation. Inf. Syst. Oper. Res. 1996, 34(4):263-273.
    • (1996) Inf. Syst. Oper. Res. , vol.34 , Issue.4 , pp. 263-273
    • Blake, J.T.1    Carter, M.W.2    Richardson, S.3
  • 65
    • 14044265626 scopus 로고    scopus 로고
    • Emergency department operations: the basis for developing a simulation tool
    • Sinreich D., Marmor Y. Emergency department operations: the basis for developing a simulation tool. IIE Trans. 2005, 37(3):233-245.
    • (2005) IIE Trans. , vol.37 , Issue.3 , pp. 233-245
    • Sinreich, D.1    Marmor, Y.2
  • 66
    • 79952447670 scopus 로고    scopus 로고
    • Systematic review of the use of computer simulation modeling of patient flow in surgical care
    • Sobolev B.G., Sanchez V., Vasilakis C. Systematic review of the use of computer simulation modeling of patient flow in surgical care. J. Med. Syst. 2011, 35(1):1-16.
    • (2011) J. Med. Syst. , vol.35 , Issue.1 , pp. 1-16
    • Sobolev, B.G.1    Sanchez, V.2    Vasilakis, C.3
  • 67
    • 0028730653 scopus 로고
    • Barriers to implementing simulation in health care, in: Proc 1994 Winter Simul Conf.
    • J.C. Lowery, B. Hakes, L. Keller, W.R. Lilegdon, K. Mabrouk, F. McGuire, Barriers to implementing simulation in health care, in: Proc 1994 Winter Simul Conf., 1994, pp. 868-875.
    • (1994) , pp. 868-875
    • Lowery, J.C.1    Hakes, B.2    Keller, L.3    Lilegdon, W.R.4    Mabrouk, K.5    McGuire, F.6
  • 69
    • 13844271192 scopus 로고    scopus 로고
    • Factors associated with patients who leave without being seen
    • Polevoi S.K., Quinn J.V., Kramer N.R. Factors associated with patients who leave without being seen. Acad. Emerg. Med. 2005, 12(3):232-236.
    • (2005) Acad. Emerg. Med. , vol.12 , Issue.3 , pp. 232-236
    • Polevoi, S.K.1    Quinn, J.V.2    Kramer, N.R.3
  • 71
    • 19544390352 scopus 로고    scopus 로고
    • Relationship between the national ED overcrowding scale and the number of patients who leave without being seen in an academic ED
    • Weiss S.J., Ernst A.A., Derlet R., King R., Bair A., Nick T.G. Relationship between the national ED overcrowding scale and the number of patients who leave without being seen in an academic ED. Am. J. Emerg. Med. 2005, 23(3):288-294.
    • (2005) Am. J. Emerg. Med. , vol.23 , Issue.3 , pp. 288-294
    • Weiss, S.J.1    Ernst, A.A.2    Derlet, R.3    King, R.4    Bair, A.5    Nick, T.G.6
  • 73
  • 74
    • 78449258256 scopus 로고    scopus 로고
    • Effect of clinician designation on emergency department fast track performance
    • Considine J., Kropman M., Stergiou H.E. Effect of clinician designation on emergency department fast track performance. Acad. Emerg. Med. 2010, 27(11):838-842.
    • (2010) Acad. Emerg. Med. , vol.27 , Issue.11 , pp. 838-842
    • Considine, J.1    Kropman, M.2    Stergiou, H.E.3
  • 75
    • 83655182349 scopus 로고    scopus 로고
    • The past, present, and future of urgent matters: lessons learned from a decade of emergency department flow improvement
    • McClelland M.S., Lazar D., Sears V., Wilson M., Siegel B., Pines J.M. The past, present, and future of urgent matters: lessons learned from a decade of emergency department flow improvement. Acad. Emerg. Med. 2011, 18(12):1392-1399.
    • (2011) Acad. Emerg. Med. , vol.18 , Issue.12 , pp. 1392-1399
    • McClelland, M.S.1    Lazar, D.2    Sears, V.3    Wilson, M.4    Siegel, B.5    Pines, J.M.6
  • 77
    • 0037328238 scopus 로고    scopus 로고
    • The effect of hospital occupancy on emergency department length of stay and patient disposition
    • Forster A.J., Stiell I., Wells G., Lee A.J., Van Walraven C. The effect of hospital occupancy on emergency department length of stay and patient disposition. Acad. Emerg. Med. 2003, 10(2):127-133.
    • (2003) Acad. Emerg. Med. , vol.10 , Issue.2 , pp. 127-133
    • Forster, A.J.1    Stiell, I.2    Wells, G.3    Lee, A.J.4    Van Walraven, C.5


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