Evaluation of response capacity to patient attention demand in an Emergency Department
Bruballa Vilas, Eva (Universitat Autònoma de Barcelona. Escola d'Enginyeria)
Wong, Álvaro (Universitat Autònoma de Barcelona. Departament d'Arquitectura de Computadors i Sistemes Operatius)
Rexachs del Rosario, Dolores Isabel (Universitat Autònoma de Barcelona. Departament d'Arquitectura de Computadors i Sistemes Operatius)
Luque, Emilio (Universitat Autònoma de Barcelona. Departament d'Arquitectura de Computadors i Sistemes Operatius)
Epelde, Francisco (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))

Fecha:	2017
Resumen:	The progressive growth of aging, increased life expectancy and a greater number of chronic diseases contribute significantly to the growing demand of emergency medical care, and thus, on saturation of Emergency Departments. This is one of the most important current problems in healthcare systems worldwide. This work proposes an analytical model to calculate the theoretical throughput of a particular sanitary staff configuration in a Hospital Emergency Department, which is, the number of patients it can attend per unit time given its composition. The analytical model validation is based on data generated by simulation of the real system, based on an agent based model of the system, which makes it possible to take into account different valid sanitary staff configurations and different number of patients entering the emergency service. In fact, we aim to evaluate the response capacity of an ED, specifically of doctors, nurses, admission and triage personnel, who make up a specific sanitary staff configuration, for any possible configuration, according to the patient flow throughout the service. It would not be possible to test the different possible situations in the real system and this is the main reason why we obtain the necessary information about the system performance for the validation of the model using a simulator as a sensor of the real system. The theoretical throughput is a measure of the response capacity to patient's attention in the system and, moreover, it will be a reference in order to make possible a model for planning the entry of non-critical patients into the service by its relocation in the current input pattern, which is an immediate future goal in our current research. This research offers the availability of relevant knowledge to the managers of the Emergency Departments to make decisions to improve the quality of the service in anticipation of the expected growing demand of the service in the very near future.
Ayudas:	Ministerio de Economía y Competitividad TIN2014-53172-P
Derechos:	Tots els drets reservats.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Emergency Department (ED) ; Agent-Based ; Modeling and Simulation (ABMS) ; Decision Support Systems (DSS) ; Response Capacity ; Lenght of Stay (LoS) ; Knowledge Discovery
Publicado en:	International journal on advances in systems and measurements, Vol. 10, issue 1-2 (2017) , p. 11-22, ISSN 1942-261X

12 p, 1.8 MB

El registro aparece en las colecciones:
Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ingeniería > HPC4EAS (High Performance Computing for Efficient Applications and Simulation Research Group)
Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Instituto de Investigación e Innovación Parc Taulí (I3PT)
Artículos > Artículos de investigación
Artículos > Artículos publicados