A simulation model of bed-occupancy in a critical care unit

被引:25
作者
Griffiths, J. D. [1 ]
Jones, M. [1 ]
Read, M. S. [2 ]
Williams, J. E. [1 ]
机构
[1] Cardiff Sch Math, Cardiff CF24 4AG, S Glam, Wales
[2] Univ Wales Hosp, Crit Care Unit, Cardiff CF4 4XW, S Glam, Wales
基金
英国工程与自然科学研究理事会;
关键词
health service; costing; simulation;
D O I
10.1057/jos.2009.22
中图分类号
TP39 [计算机的应用];
学科分类号
081203 ; 0835 ;
摘要
This article focuses on the Critical Care Unit (CCU) of a large teaching hospital. The aim of the study was to optimise the number of beds available in order to minimise cancellations of Elective surgery and maintain an acceptable level of bed-occupancy. The CCU is where critically ill patients are cared for and often requires one-to-one nursing care. The discrete event simulation model, built in Visual Basic for Applications for Excel, seeks to simulate the bed-occupancy of the CCU as well as monitoring any cancellations of Elective surgery. Several 'what-if' scenarios are run including increasing bed numbers, 'ring-fencing' beds for Elective patients, reducing length of stay to account for delayed discharge and changing the scheduling of Elective surgery, and the results are reported.
引用
收藏
页码:52 / 59
页数:8
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