Simulation-based optimization methods applied in hospital emergency departments: A systematic review

Since high performance is essential to the functioning of emergency departments (EDs), they must constantly pursue sensible and empirically testable improvements. In light of recent advances in computer science, an increasing number of simulation-based approaches for studying and implementing ED performance optimizations have become available in the literature. This paper aims to offer a survey of these works, presenting progress made on the topic while indicating possible pitfalls and difficulties in EDs. With that in mind, this review considers research studies reporting simulation-based optimization experiments published between 2007 and 2019, covering 38 studies. This paper provides bibliographic background on issues covered, generates statistics on methods and tools applied, and indicates major trends in the field of simulation-based optimization. This review contributes to the state of the art on ED modeling by offering an updated picture of the present state of the field, as well as promising research gaps. In general, this review argues that future studies should focus on increasing the efficiency of multi-objective optimization problems by decreasing their cost in time and labor.