Using patient flow simulation to improve access at a multidisciplinary sleep centre

Journal of Sleep Research

Volumn 24, Issue 3, 2015, Pages 320-327

  Pendharkar, Sachin R ^a   Bischak, Diane P ^b   Rogers, Paul ^c   Flemons, Ward ^a   Noseworthy, Tom W ^a  

^a UNIVERSITY OF CALGARY   (Canada)

^b UNIVERSITY OF CALGARY   (Canada)

^c UNIVERSITY OF CALGARY   (Canada)

Author keywords

Ambulatory care; Computer simulation; Health services accessibility; Sleep disorders; Waiting lists

Indexed keywords

ADMINISTRATIVE PERSONNEL; ARTICLE; CLINICAL ASSESSMENT; COMPUTER; COMPUTER MODEL; COMPUTER SIMULATION; CONTROLLED STUDY; DATA ANALYSIS SOFTWARE; DISCRETE EVENT SIMULATION; HEALTH CARE ACCESS; HEALTH CARE SYSTEM; HEALTH SERVICE; HUMAN; INSOMNIA; MAJOR CLINICAL STUDY; NARCOLEPSY; PATIENT REFERRAL; PERIODIC LIMB MOVEMENT DISORDER; PHYSICIAN; POLYSOMNOGRAPHY; PRIORITY JOURNAL; RESPIRATORY THERAPIST; RESTLESS LEGS SYNDROME; SLEEP; SLEEP DISORDER; SLEEP DISORDERED BREATHING; SYSTEM ANALYSIS; ARTIFICIAL VENTILATION; EMERGENCY HEALTH SERVICE; HEALTH CARE DELIVERY; HOSPITAL ADMISSION; HOSPITAL MANAGEMENT; MANPOWER; PATIENT; SLEEP DISORDERS; SLEEP MEDICINE; STANDARDS; STATISTICS AND NUMERICAL DATA; TIME; TREATMENT OUTCOME;

APPOINTMENTS AND SCHEDULES; COMPUTER SIMULATION; HEALTH SERVICES ACCESSIBILITY; HUMANS; PATIENTS; PHYSICIANS; POLYSOMNOGRAPHY; REFERRAL AND CONSULTATION; RESPIRATORY THERAPY; SLEEP DISORDERS; SLEEP MEDICINE SPECIALTY; TIME FACTORS; TREATMENT OUTCOME; TRIAGE; WAITING LISTS;

EID: 84929467556     PISSN: 09621105     EISSN: 13652869     Source Type: Journal    
DOI: 10.1111/jsr.12257     Document Type: Article

References (22)

1. Antic, N. A., Buchan, C., Esterman, A. et al. A randomized controlled trial of nurse-led care for symptomatic moderate-severe obstructive sleep apnea. Am. J. Respir. Crit. Care Med., 2009, 179: 501-508.
2. Dodel, R., Peter, H., Spottke, A. et al. Health-related quality of life in patients with narcolepsy. Sleep Med., 2007, 8: 733-741.
3. Flemons, W. W., Douglas, N. J., Kuna, S. T., Rodenstein, D. O. and Wheatley, J. Access to diagnosis and treatment of patients with suspected sleep apnea. Am. J. Respir. Crit. Care Med., 2004, 169: 668-672.
4. George, C. F., Nickerson, P. W., Hanly, P. J., Millar, T. W. and Kryger, M. H. Sleep apnoea patients have more automobile accidents. Lancet, 1987, 2: 447.
5. Hathout, L., Tenbergen, T., Giannouli, E., Clark, H. and Roberts, D. Applying systems engineering to create a population centred sleep disorders program. In: Proceedings of the 2011 International Conference on Industrial Engineering and Operations Management. IEOM Forum, Kuala Lumpur, Malaysia, 2011: 939-944.
6. Law, A. M. Simulation Modeling and Analysis, 4th edn. McGraw-Hill, Boston, MA, 2007.
7. Marin, J. M., Carrizo, S. J., Vicente, E. and Agusti, A. G. Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet, 2005, 365: 1046-1053.
8. Morin, C. M., LeBlanc, M., Daley, M., Gregoire, J. P. and Mérette, C. Epidemiology of insomnia: prevalence, self-help treatments, consultations, and determinants of help-seeking behaviors. Sleep Med., 2006, 7: 123-130.
9. Mulgrew, A. T., Fox, N., Ayas, N. T. and Ryan, C. F. Diagnosis and initial management of obstructive sleep apnea without polysomnography: a randomized validation study. Ann. Intern. Med., 2007, 146: 157-166.
10. Murray, M. Patient care: access. Br. Med. J., 2000, 320: 1594-1596.
11. Patrick, J. and Puterman, M. L. Reducing wait times through operations research: optimizing the use of surge capacity. Health Policy, 2008, 3: 75-88.
12. Pendharkar, S. R., Bischak, D. P. and Rogers, P. Evaluating healthcare systems with insufficient capacity to meet demand. In: C. Laroque, J. Himmelspach, R. Pasupathy, O. Rose and A. M. Uhrmacher (Eds) Proceedings of the 2012 Winter Simulation Conference. Institute for Electrical and Electronics Engineers, Piscataway, New Jersey, 2012: 859-871.
13. Rahman, S. Theory of constraints: a review of the philosophy and its applications. Int. J. Oper. Prod. Manag., 1998, 18: 336-355.
14. Rogers, P. Optimum-seeking simulation in the design and control of manufacturing systems: experience with OptQuest for Arena. In: E. Yücesan, C.-H. Chen, J. L. Snowdon and J. M. Charnes (Eds) Proceedings of the 2002 Winter Simulation Conference. Institute for Electrical and Electronics Engineers, Piscataway, New Jersey, 2002: 1142-1150.
15. Rohleder, T. R., Lewkonia, P., Bischak, D. P., Duffy, P. and Hendijani, R. Using simulation modeling to improve patient flow at an outpatient orthopedic clinic. Health Care Manag. Sci., 2011, 14: 135-145.
16. Ronksley, P. E., Hemmelgarn, B. R., Heitman, S. J. et al. Excessive daytime sleepiness is associated with increased health care utilization among patients referred for assessment of OSA. Sleep, 2011, 34: 363-370.
17. Salo, P., Oksanen, T., Sivertsen, B. et al. Sleep disturbances as a predictor of cause-specific work disability and delayed return to work. Sleep, 2010, 33: 1323-1331.
18. Santibáñez, P., Chow, V. S., French, J., Puterman, M. L. and Tyldesley, S. Reducing patient wait times and improving resource utilization at British Columbia Cancer Agency's ambulatory care unit through simulation. Health Care Manag. Sci., 2009, 12: 1-16.
19. Sarsour, K., Kalsekar, A., Swindle, R., Foley, K. and Walsh, J. K. The association between insomnia severity and healthcare and productivity costs in a health plan sample. Sleep, 2011, 34: 443-450.
20. Walley, P., Silvester, K. and Steyn, R. Knowledge and behaviour for a sustainable improvement culture. Healthc. Pap., 2006, 7: 26-33.
21. Whitelaw, W. A., Brant, R. F. and Flemons, W. W. Clinical usefulness of home oximetry compared with polysomnography for assessment of sleep apnea. Am. J. Respir. Crit. Care Med., 2005, 171: 188-193.
22. Young, T., Peppard, P. E. and Gottlieb, D. J. Epidemiology of obstructive sleep apnea: a population health perspective. Am. J. Respir. Crit. Care Med., 2002, 165: 1217.