Simulation Study: Improvement for Non-Urgent Patient Processes in the Emergency Department

被引:7
作者
Joshi, Vyahriti [1 ,3 ]
Lim, Churlzu [2 ]
Teng, S. Gary [3 ,4 ]
机构
[1] Dr Raj Homoeo Pharm, Ahmadabad, Gujarat, India
[2] Univ N Carolina, Syst Engn & Engn Management Dept, Charlotte, NC USA
[3] Univ N Carolina, Syst Engn & Engn Management, Charlotte, NC USA
[4] Univ N Carolina, Ctr Lean Logist & Engn Syst, Charlotte, NC USA
关键词
Emergency Department; Length of Stay; Patient Satisfaction; Process Improvement; Resource Utilization; TIME; SATISFACTION; PERFORMANCE; PHYSICIANS; LENGTH;
D O I
10.1080/10429247.2016.1199746
中图分类号
T [工业技术];
学科分类号
08 ;
摘要
This case research was designed to determine if non-urgent patient processes could be improved using a fast-track process in the emergency department of a medical center. The existing fast-track process served 40% of overall walk-in patients at the emergency department. We proposed a series of potential enhancements to patient flow. The proposed smart-track process highlights three features: (1) balancing workload, (2) a flexible re-visit option, and (3) renovation of a portion of the fast-track area into a consulting area. Simulation study results revealed that the enhanced smart-track process has the potential to reduce the average wait time of patients by 73.2% while reducing the burnout of medical staff. This study provides an example of how simulation can be used by engineering managers to make improvements to operations in the healthcare industry.
引用
收藏
页码:145 / 157
页数:13
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