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Modeling of patient flows in a large-scale outpatient hospital ward by making use of electronic medical records

Published: 09 December 2007 Publication History

Abstract

All departments of an outpatient hospital ward of Nagoya University hospital were simulated to examine patient flows and congestion. The method of gathering the required data on times for all outpatients and their routes is described in the performing simulation, especially by making use of the electronic medical records. An outpatient visits one or more clinical departments and/or one or more test/inspection rooms, the reception area, and the payment department. In this procedure, a series of data of terminal units and of test/inspection terminals was used to obtain the required input data for performing simulation as well as the electronic medical records. It was found that the proposed procedure was quite effective to perform a simulation of a large-scale hospital to examine patient flows by applying an actual case.

References

[1]
Austin, C. J. and S. B. Boxerman. 1995. Quantitative Analysis for Health Services Administration, Ann Arbor, MI. AUPHA Press/ Health Administration Press.
[2]
Centeno, M., R. Giachetti, R. Linn, and A. M. Ismail. 2003. A simulation-ILP based tool for scheduling ER staff. In Proceedings of the 2003 Winter Simulation Conference, ed. S. Chick, P. J. Sanchez, D. Ferrin, and D. J. Morrice, 1930--1937. Piscataway, New Jersey: Institute of Electrical and Electronics Engineers. Available online via <http://www.informs-sim.org/wsc03papers/251.pdf> {accessed January 31, 2007}.
[3]
Draeger, M. A. 1992. An emergency department simulation model used to evaluate alternative nurse staffing and patient population scenarios. In Proceedings of the 1992 Winter Simulation Conference, ed. J. J. Swain, D. Goldsman, R. C. Crain, and J. R. Wilson. 1057--1064. Piscataway, New Jersey: Institute of Electrical and Electronics Engineers.
[4]
Evans, G. W., T. B. Gor, and E. Unger. 1996. A simulation model for evaluating personnel schedules in a hospital emergency department. In Proceedings of the 1996 Winter Simulation Conference, ed. J. M. Charles, D. J. Morrice, D. T. Brunner, and J. J. Swain. 1205--1209. Piscataway, New Jersey: Institute of Electrical and Electronics Engineers.
[5]
Fetter, R. B. and J. D. Thompson. 1965. The simulation of hospital systems. Operations Research. September-October 1965; 689--711.
[6]
Garcia, M. L., M. A. Centeno, C. Rivera, and N. DeCario. 1995. Reducing time in an emergency room via fast-track. In Proceedings of the 1995 Winter Simulation Conference, ed. C. Alexopoulos, K., Kang, W. R. Lilegdon, and D. Goldsman. 1077--1080. Piscataway, New Jersey: Institute of Electrical and Electronics Engineers.
[7]
Kelton, W, D., R. P. Sadowski, and D. A. Sadowski. 2006. Simulation with Arena. 4th ed. New York, NY: McGraw-Hill.
[8]
Mahapatra, S., C. P. Koelling, L. Patvivatsiri, B. Fraticelli, D. Eitel, and L. Grove. 2003. Pairing emergency severity index5-level triage data with computer aided system design to improve emergency department access and throughput. In Proceedings of the 2003 Winter Simulation Conference, ed. S. Chick, P. J. Sanchez, D. Ferrin, and D. J. Morrice, 1917--1925. Piscataway, New Jersey: Institute of Electrical and Electronics Engineers. Available online via <http://www.informssim.org/wsc03papers/249.pdf> {accessed January 31, 2007}.
[9]
McGuire, F. 1994. Using simulation to reduce length of stay in emergency departments. In Proceedings of the 1994 Winter Simulation Conference, ed. J. D. Tew, S. Manivannan, D. A. Sadowski, and A. F. Seila. 861--867. Piscataway, New Jersey: Institute of Electrical and Electronics Engineers.
[10]
Miller, M. J., D. M. Ferrin, and J. M. Szymanski. 2003. Simulating six sigma improvement ideas for a hospital emergency department. In Proceedings of the 2003 Winter Simulation Conference, ed. S. Chick, P. J. Sanchez, D. Ferrin, and D. J. Morrice, 1926--1929. Piscataway, New Jersey: Institute of Electrical and Electronics Engineers. Available online via <http://www.informs-sim.org/wsc03papers/250.pdf> {accessed January 31, 2007}.
[11]
Samaha, S., W. S. Armel, and D. W. Starks. 2003. The use of simulation to reduce the length of stay in an emergency department. In Proceedings of the 2003 Winter Simulation Conference, ed. S. Chick, P. J. Sanchez, D. Ferrin, and D. J. Morrice, 1907--1911. Piscataway, New Jersey: Institute of Electrical and Electronics Engineers. Available online via <http://www.informs-sim.org/wsc03papers/247.pdf> {accessed January 31, 2007}.
[12]
Takakuwa. S. and T. Oyama. 2003. Simulation analysis of international-departure passenger flows in an airport terminal. In Proceedings of the 2003 Winter Simulation Conference, ed. S. Chick, P. J. Sanchez, D. Ferrin, and D. J. Morrice, 1627--1634. Piscataway, New Jersey: Institute of Electrical and Electronics Engineers. Available online via http://www.informs-sim.org/wsc03papers/207.pdf> {accessed January 31, 2007}.
[13]
Takakuwa, S. and H. Shiozaki. 2004. Functional analysis for operating emergency department of a general hospital. In Proceedings of the 2004 Winter Simulation Conference, ed. R. G. Ingals, M. D. Rossetti, J. S. Smith, and B. A. Peters, 2003--2011. Piscataway, New Jersey: Institute of Electrical and Electronics Engineers. Available online via <http://www.informs-sim.org/wsc04papers/268.pdf> {accessed January 31, 2007}.
[14]
Takakuwa, S., H. Takizawa, K. Ito, and S. Hiraoka. 2000. Simulation and analysis of non-automated distribution warehouse. In Proceedings of the 2000 Winter Simulation Conference, ed. J. A. Joines, R. R. Barton, K. Kang, and P. A. Fishwick, 1177--1184. Piscataway, New Jersey: Institute of Electrical and Electronics Engineers. Available online via <http://www.informs-sim.org/wsc00papers/159.PDF> {accessed January 31, 2007}.
[15]
Wiinamaki, A. and R. Dronzek. 2003. Using simulation in the architectural concept phase of an emergency department design. In Proceedings of the 2003 Winter Simulation Conference, ed. S. Chick, P. J. Sanchez, D. Ferrin, and D. J. Morrice, 1912--1916. Piscataway, New Jersey: Institute of Electrical and Electronics Engineers. Available online via <http://www.informs-sim.org/wsc03papers/248.pdf> {accessed January 31, 2007}.
[16]
Wijewickrama, A. and S. Takakuwa. 2005. Simulation analysis of appointment scheduling in an outpatient department of internal medicine. In Proceedings of the 2005 Winter Simulation Conference, ed. M. E. Kuhl, N. M. Steiger, F. B. Armstrong, and J. A. Joines, 2264--2273. Piscataway, New Jersey: Institute of Electrical and Electronics Engineers. Available online via <http://www.informs-sim.org/wsc05papers/284.pdf> {accessed January 31, 2007}.
[17]
Wijewickrama, A. and S. Takakuwa. 2006. Simulation analysis of an outpatient department of internal medicine in a university hospital. In Proceedings of the 2006 Winter Simulation Conference, ed. L. F. Perrone, F. P. Wieland, J. Liu, B. G. Lawson, and R. M. Fujimoto, 425--432. Piscataway, New Jersey: Institute of Electrical and Electronics Engineers. Available online via <http://www.informs-sim.org/wsc06papers/050.pdf> {accessed January 31, 2007}.

Cited By

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  • (2015)Modelling and simulation of an outpatient surgery unitProceedings of the 2015 Winter Simulation Conference10.5555/2888619.2888791(1525-1536)Online publication date: 6-Dec-2015
  • (2011)Modeling the materials handling in a container terminal using electronic real-time tracking dataProceedings of the Winter Simulation Conference10.5555/2431518.2431705(1596-1604)Online publication date: 11-Dec-2011
  • (2009)Simulation-based personnel planning for materials handling at a cross-docking center under retail distribution environmentWinter Simulation Conference10.5555/1995456.1995786(2414-2425)Online publication date: 13-Dec-2009
  • Show More Cited By

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Information

Published In

cover image ACM Conferences
WSC '07: Proceedings of the 39th conference on Winter simulation: 40 years! The best is yet to come
December 2007
2659 pages
ISBN:1424413060

Sponsors

  • IIE: Institute of Industrial Engineers
  • INFORMS-SIM: Institute for Operations Research and the Management Sciences: Simulation Society
  • ASA: American Statistical Association
  • IEEE/SMC: Institute of Electrical and Electronics Engineers: Systems, Man, and Cybernetics Society
  • SIGSIM: ACM Special Interest Group on Simulation and Modeling
  • NIST: National Institute of Standards and Technology
  • (SCS): The Society for Modeling and Simulation International

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IEEE Press

Publication History

Published: 09 December 2007

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WSC07
Sponsor:
  • IIE
  • INFORMS-SIM
  • ASA
  • IEEE/SMC
  • SIGSIM
  • NIST
  • (SCS)
WSC07: Winter Simulation Conference
December 9 - 12, 2007
Washington D.C.

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WSC '07 Paper Acceptance Rate 152 of 244 submissions, 62%;
Overall Acceptance Rate 3,413 of 5,075 submissions, 67%

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Cited By

View all
  • (2015)Modelling and simulation of an outpatient surgery unitProceedings of the 2015 Winter Simulation Conference10.5555/2888619.2888791(1525-1536)Online publication date: 6-Dec-2015
  • (2011)Modeling the materials handling in a container terminal using electronic real-time tracking dataProceedings of the Winter Simulation Conference10.5555/2431518.2431705(1596-1604)Online publication date: 11-Dec-2011
  • (2009)Simulation-based personnel planning for materials handling at a cross-docking center under retail distribution environmentWinter Simulation Conference10.5555/1995456.1995786(2414-2425)Online publication date: 13-Dec-2009
  • (2008)Optimizing staffing schedule in light of patient satisfaction for the whole outpatient hospital wardProceedings of the 40th Conference on Winter Simulation10.5555/1516744.1517007(1500-1508)Online publication date: 7-Dec-2008

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