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Using Computer Simulation to Study Hospital Admission and Discharge Processes

Hospitals around the country are struggling to provide timely access to inpatient beds. We use discrete event simulation to study the inpatient admission and discharge processes in US hospitals. Demand for inpatient beds comes from two sources: the Emergency Department (ED) and elective surgeries (NonED). Bed request and discharge rates vary from hour to hour; furthermore, weekday demand is different from weekend demand. We use empirically collected data from national and local (Massachusetts) sources on different-sized community and referral hospitals, demand rates for ED and NonED patients, patient length of stay (LOS), and bed turnover times to calibrate our discrete event simulation model. In our computational experiments, we find that expanding hours of discharge, increasing the number of days elective patients are admitted in a week, and decreasing length of stay all showed statistically significant results in decreasing the average waiting time for patients. We discuss the implications of these results in practice, and list the key limitations of the model.

Identiferoai:union.ndltd.org:UMASS/oai:scholarworks.umass.edu:theses-2260
Date01 January 2013
CreatorsKim, Edwin S.
PublisherScholarWorks@UMass Amherst
Source SetsUniversity of Massachusetts, Amherst
Detected LanguageEnglish
Typetext
Formatapplication/pdf
SourceMasters Theses 1911 - February 2014

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