Analysis of Patient Flows Using Discrete-Event Simulation (Case Study: Emergency Department of Hospital X)

Rahmad Inca Liperda

Abstract


This research is intended to analyze the patient flows through a number of processes in the Emergency Department (ED) using Discrete Event Simulation (DES) approach. In this paper, the time that a patient spends in the ED as well as the total number of patients served by the ED in a day were investigated and compared with the standard of the medical service time set by the hospital. A case study of Hospital X’s ED in Jakarta, Indonesia was modeled using ProModel software. In addition, this research also proposes a number of considerable scenarios for defining the suitable number of beds and nurses. The results signify that the average time spent in the ED and the number of patients served can be optimized by adding 1 nurse and 2 beds. This finding signifies that the DES modeling approach may assist the hospital managers with the decent decision for improving the efficiency of the patient flows in the ED.

Keywords


Patient Flow; Emergency Department; Discrete-Event Simulation; Nurse;

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References


S. M. Sajadi, S. Ghasemi, and H. Vahdani, “Simulation optimisation for nurse scheduling in a hospital emergency department (case study: Shahid Beheshti Hospital),” Int. J. Ind. Syst. Eng., vol. 23,

A. Basaglia, E. Spacone, J. W. van de Lindt, and T. D. Kirsch, “A Discrete-Event Simulation Model of Hospital Patient Flow Following Major Earthquakes,” Int. J. Disaster Risk Reduct., vol. 71, no. November 2021, p. 102825, 2022.

S. Villa, A. Prenestini, and I. Giusepi, “A framework to analyze hospital-wide patient flow logistics: Evidence from an Italian comparative study,” Health Policy (New. York)., vol. 115, no. 2–3, pp. 196–205, 2014.

O. Rado, B. Lupia, J. M. Y. Leung, Y.-H. Kuo, and C. A. Graham, “Proceedings of the International Conference on Health Care Systems Engineering,” in Springer Proceedings in Mathematics and Statistics, 2014, vol. 61, pp. 289–301.

K. W. McKinley, J. Babineau, C. G. Roskind, M. Sonnett, and Q. Doan, “Discrete event simulation modelling to evaluate the impact of a quality improvement initiative on patient flow in a paediatric emergency department,” Emerg. Med. J., pp. 193–199, 2019.

E. S. Shenoy et al., “A Discrete Event Simulation Model of Patient Flow in a General Hospital Incorporating Infection Control Policy for Methicillin- Resistant Staphylococcus Aureus (MRSA) and Vancomycin- Resistant Enterococcus (VRE),” in the 36th Annual North American Meeting of the Society for Medical Decision Making, 2019, vol. 38, no. October 2014, pp. 246–261.

E. Williams, T. Szakmany, I. Spernaes, B. Muthuswamy, and P. Holborn, “Discrete-Event Simulation Modeling of Critical Care Flow: New Hospital, Old Challenges,” Crit. Care Explor., vol. 2, no. 9, p. e0174, 2020.

M. M. Bappy and I. Rahman, “Using Discrete Event Simulation To Improve The Patient Flow Of A Healthcare System,” Int. J. Eng. Sci. Res. Technol., no. March, 2021.

T. Türleri and A. H. Elbaih, “Different Types of Triage,” Arşiv Kaynak Tarama Derg., vol. 26, no. 4, pp. 441–467, 2017.

R. I. Liperda, I. K. Hardianti, I. N. Widyah, N. A. Fadjri, and R. R. Agustin, “Simulasi-Optimasi Sistem Transportasi Penentuan Kebutuhan Truk Tangki Pada Proses Distribusi BBM : Studi Kasus TBBM Plumpang,” vol. 9, no. 2, 2022.

C. R. Harrell, Simulation Using ProModel. The McGraw-Hill, 2000.




DOI: https://doi.org/10.31334/logistik.v6i2.2683

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