Emergency department process improvement

The University Medical Center's Emergency Department (ED) in Tucson, Arizona, has faced continually increasing patient numbers and mounting costs while resources have remained fairly static. This phenomenon, termed "crowding" has been observed as a growing problem nationwide. The purp...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Macdonald, S.J., Karkam, I., Al-Shiwarri, N., Chowdhary, R.J., Escalante, E.M., Afandi, A.
Format: Tagungsbericht
Sprache:eng
Schlagworte:
Online-Zugang:Volltext bestellen
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 262
container_issue
container_start_page 253
container_title
container_volume
creator Macdonald, S.J.
Karkam, I.
Al-Shiwarri, N.
Chowdhary, R.J.
Escalante, E.M.
Afandi, A.
description The University Medical Center's Emergency Department (ED) in Tucson, Arizona, has faced continually increasing patient numbers and mounting costs while resources have remained fairly static. This phenomenon, termed "crowding" has been observed as a growing problem nationwide. The purpose of this project is to decrease overall patient throughput time by identifying potential bottlenecks and proposing strategies to alleviate them. A simulation model of the University Medical Center's ED patient process has been created using ARENA software. The model reflects data obtained from the department as well as from in-house time studies and interviews. Following validation of the model with department personnel alternative solutions were tested by altering various stages of the model and analyzed according to department requirements and preferences. The analysis results and proposed alternative solutions will be presented to ED administrators who are tasked with making the final decision.
doi_str_mv 10.1109/SIEDS.2005.193266
format Conference Proceeding
fullrecord <record><control><sourceid>ieee_6IE</sourceid><recordid>TN_cdi_ieee_primary_1497159</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ieee_id>1497159</ieee_id><sourcerecordid>1497159</sourcerecordid><originalsourceid>FETCH-LOGICAL-c223t-22e75f99b8572aa7d9d6552224f87b6644b0ae3445a02e927aa97aba810303713</originalsourceid><addsrcrecordid>eNotjk1Lw0AURQdEqNT8gOImSzeJM28-Xt5SatRCwUV1XV6SF4mYGmaC0H9vRO_mHu7icJXaGF0ao-nusKsfDiVo7UtDFkK4UBlhpQmd856cX6kspQ-9xFJwSFfqth4lvsupPeedTBznUU5zPsWvVlLKh3Ghb_ndrtVlz59Jsv9eq7fH-nX7XOxfnnbb-33RAti5ABD0PVFTeQRm7KgL3gOA6ytsQnCu0Sx2-cMahACZCbnhymirLRq7Vjd_3kFEjlMcRo7no3GExpP9ATy0P0A</addsrcrecordid><sourcetype>Publisher</sourcetype><iscdi>true</iscdi><recordtype>conference_proceeding</recordtype></control><display><type>conference_proceeding</type><title>Emergency department process improvement</title><source>IEEE Electronic Library (IEL) Conference Proceedings</source><creator>Macdonald, S.J. ; Karkam, I. ; Al-Shiwarri, N. ; Chowdhary, R.J. ; Escalante, E.M. ; Afandi, A.</creator><creatorcontrib>Macdonald, S.J. ; Karkam, I. ; Al-Shiwarri, N. ; Chowdhary, R.J. ; Escalante, E.M. ; Afandi, A.</creatorcontrib><description>The University Medical Center's Emergency Department (ED) in Tucson, Arizona, has faced continually increasing patient numbers and mounting costs while resources have remained fairly static. This phenomenon, termed "crowding" has been observed as a growing problem nationwide. The purpose of this project is to decrease overall patient throughput time by identifying potential bottlenecks and proposing strategies to alleviate them. A simulation model of the University Medical Center's ED patient process has been created using ARENA software. The model reflects data obtained from the department as well as from in-house time studies and interviews. Following validation of the model with department personnel alternative solutions were tested by altering various stages of the model and analyzed according to department requirements and preferences. The analysis results and proposed alternative solutions will be presented to ED administrators who are tasked with making the final decision.</description><identifier>ISBN: 9780974455945</identifier><identifier>ISBN: 0974455946</identifier><identifier>DOI: 10.1109/SIEDS.2005.193266</identifier><language>eng</language><publisher>IEEE</publisher><subject>Analytical models ; Costs ; Coupled mode analysis ; Delay ; Medical services ; Medical simulation ; Medical treatment ; Personnel ; Testing ; Throughput</subject><ispartof>2005 IEEE Design Symposium, Systems and Information Engineering, 2005, p.253-262</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c223t-22e75f99b8572aa7d9d6552224f87b6644b0ae3445a02e927aa97aba810303713</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://ieeexplore.ieee.org/document/1497159$$EHTML$$P50$$Gieee$$H</linktohtml><link.rule.ids>309,310,780,784,789,790,2058,4050,4051,27925,54920</link.rule.ids><linktorsrc>$$Uhttps://ieeexplore.ieee.org/document/1497159$$EView_record_in_IEEE$$FView_record_in_$$GIEEE</linktorsrc></links><search><creatorcontrib>Macdonald, S.J.</creatorcontrib><creatorcontrib>Karkam, I.</creatorcontrib><creatorcontrib>Al-Shiwarri, N.</creatorcontrib><creatorcontrib>Chowdhary, R.J.</creatorcontrib><creatorcontrib>Escalante, E.M.</creatorcontrib><creatorcontrib>Afandi, A.</creatorcontrib><title>Emergency department process improvement</title><title>2005 IEEE Design Symposium, Systems and Information Engineering</title><addtitle>SIEDS</addtitle><description>The University Medical Center's Emergency Department (ED) in Tucson, Arizona, has faced continually increasing patient numbers and mounting costs while resources have remained fairly static. This phenomenon, termed "crowding" has been observed as a growing problem nationwide. The purpose of this project is to decrease overall patient throughput time by identifying potential bottlenecks and proposing strategies to alleviate them. A simulation model of the University Medical Center's ED patient process has been created using ARENA software. The model reflects data obtained from the department as well as from in-house time studies and interviews. Following validation of the model with department personnel alternative solutions were tested by altering various stages of the model and analyzed according to department requirements and preferences. The analysis results and proposed alternative solutions will be presented to ED administrators who are tasked with making the final decision.</description><subject>Analytical models</subject><subject>Costs</subject><subject>Coupled mode analysis</subject><subject>Delay</subject><subject>Medical services</subject><subject>Medical simulation</subject><subject>Medical treatment</subject><subject>Personnel</subject><subject>Testing</subject><subject>Throughput</subject><isbn>9780974455945</isbn><isbn>0974455946</isbn><fulltext>true</fulltext><rsrctype>conference_proceeding</rsrctype><creationdate>2005</creationdate><recordtype>conference_proceeding</recordtype><sourceid>6IE</sourceid><sourceid>RIE</sourceid><recordid>eNotjk1Lw0AURQdEqNT8gOImSzeJM28-Xt5SatRCwUV1XV6SF4mYGmaC0H9vRO_mHu7icJXaGF0ao-nusKsfDiVo7UtDFkK4UBlhpQmd856cX6kspQ-9xFJwSFfqth4lvsupPeedTBznUU5zPsWvVlLKh3Ghb_ndrtVlz59Jsv9eq7fH-nX7XOxfnnbb-33RAti5ABD0PVFTeQRm7KgL3gOA6ytsQnCu0Sx2-cMahACZCbnhymirLRq7Vjd_3kFEjlMcRo7no3GExpP9ATy0P0A</recordid><startdate>2005</startdate><enddate>2005</enddate><creator>Macdonald, S.J.</creator><creator>Karkam, I.</creator><creator>Al-Shiwarri, N.</creator><creator>Chowdhary, R.J.</creator><creator>Escalante, E.M.</creator><creator>Afandi, A.</creator><general>IEEE</general><scope>6IE</scope><scope>6IL</scope><scope>CBEJK</scope><scope>RIE</scope><scope>RIL</scope></search><sort><creationdate>2005</creationdate><title>Emergency department process improvement</title><author>Macdonald, S.J. ; Karkam, I. ; Al-Shiwarri, N. ; Chowdhary, R.J. ; Escalante, E.M. ; Afandi, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c223t-22e75f99b8572aa7d9d6552224f87b6644b0ae3445a02e927aa97aba810303713</frbrgroupid><rsrctype>conference_proceedings</rsrctype><prefilter>conference_proceedings</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Analytical models</topic><topic>Costs</topic><topic>Coupled mode analysis</topic><topic>Delay</topic><topic>Medical services</topic><topic>Medical simulation</topic><topic>Medical treatment</topic><topic>Personnel</topic><topic>Testing</topic><topic>Throughput</topic><toplevel>online_resources</toplevel><creatorcontrib>Macdonald, S.J.</creatorcontrib><creatorcontrib>Karkam, I.</creatorcontrib><creatorcontrib>Al-Shiwarri, N.</creatorcontrib><creatorcontrib>Chowdhary, R.J.</creatorcontrib><creatorcontrib>Escalante, E.M.</creatorcontrib><creatorcontrib>Afandi, A.</creatorcontrib><collection>IEEE Electronic Library (IEL) Conference Proceedings</collection><collection>IEEE Proceedings Order Plan All Online (POP All Online) 1998-present by volume</collection><collection>IEEE Xplore All Conference Proceedings</collection><collection>IEEE Electronic Library (IEL)</collection><collection>IEEE Proceedings Order Plans (POP All) 1998-Present</collection></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Macdonald, S.J.</au><au>Karkam, I.</au><au>Al-Shiwarri, N.</au><au>Chowdhary, R.J.</au><au>Escalante, E.M.</au><au>Afandi, A.</au><format>book</format><genre>proceeding</genre><ristype>CONF</ristype><atitle>Emergency department process improvement</atitle><btitle>2005 IEEE Design Symposium, Systems and Information Engineering</btitle><stitle>SIEDS</stitle><date>2005</date><risdate>2005</risdate><spage>253</spage><epage>262</epage><pages>253-262</pages><isbn>9780974455945</isbn><isbn>0974455946</isbn><abstract>The University Medical Center's Emergency Department (ED) in Tucson, Arizona, has faced continually increasing patient numbers and mounting costs while resources have remained fairly static. This phenomenon, termed "crowding" has been observed as a growing problem nationwide. The purpose of this project is to decrease overall patient throughput time by identifying potential bottlenecks and proposing strategies to alleviate them. A simulation model of the University Medical Center's ED patient process has been created using ARENA software. The model reflects data obtained from the department as well as from in-house time studies and interviews. Following validation of the model with department personnel alternative solutions were tested by altering various stages of the model and analyzed according to department requirements and preferences. The analysis results and proposed alternative solutions will be presented to ED administrators who are tasked with making the final decision.</abstract><pub>IEEE</pub><doi>10.1109/SIEDS.2005.193266</doi><tpages>10</tpages></addata></record>
fulltext fulltext_linktorsrc
identifier ISBN: 9780974455945
ispartof 2005 IEEE Design Symposium, Systems and Information Engineering, 2005, p.253-262
issn
language eng
recordid cdi_ieee_primary_1497159
source IEEE Electronic Library (IEL) Conference Proceedings
subjects Analytical models
Costs
Coupled mode analysis
Delay
Medical services
Medical simulation
Medical treatment
Personnel
Testing
Throughput
title Emergency department process improvement
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T21%3A13%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-ieee_6IE&rft_val_fmt=info:ofi/fmt:kev:mtx:book&rft.genre=proceeding&rft.atitle=Emergency%20department%20process%20improvement&rft.btitle=2005%20IEEE%20Design%20Symposium,%20Systems%20and%20Information%20Engineering&rft.au=Macdonald,%20S.J.&rft.date=2005&rft.spage=253&rft.epage=262&rft.pages=253-262&rft.isbn=9780974455945&rft.isbn_list=0974455946&rft_id=info:doi/10.1109/SIEDS.2005.193266&rft_dat=%3Cieee_6IE%3E1497159%3C/ieee_6IE%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rft_ieee_id=1497159&rfr_iscdi=true