Simulating outpatient obstetrical clinics
Proceedings of the 31st conference on Winter simulation: Simulation---a bridge to the future - Volume 2
Simulation Modeling and Analysis
Simulation Modeling and Analysis
Emergency departments II: a simulation-ilp based tool for scheduling ER staff
Proceedings of the 35th conference on Winter simulation: driving innovation
WSC '04 Proceedings of the 36th conference on Winter simulation
Simulation analysis of appointment scheduling in an outpatient department of internal medicine
WSC '05 Proceedings of the 37th conference on Winter simulation
Modeling emergency care in hospitals: a paradox - the patient should not drive the process
Proceedings of the 38th conference on Winter simulation
Expert Systems with Applications: An International Journal
Multi-criteria framework for emergency department in Irish hospital
Proceedings of the Winter Simulation Conference
A simulation-based decision support system to model complex demand driven healthcare facilities
Proceedings of the Winter Simulation Conference
Proceedings of the Winter Simulation Conference
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High demand and poor staffing conditions cause avoidable pressure and stress among healthcare personnel which results in burnout symptoms and unplanned absenteeism which are hidden cost drivers. The work environment within an emergency department is commonly arranged in a flexible workload which is highly dynamic and complex for the outside observer. Using detailed simulation modeling within structured modeling methods, a comprehensive model to characterize the nurses' time utilization in such flexible dynamic workload environment was investigated. The results have been used to derive a generalized analytic expression that describes certain settings that lead to an instable queuing system with serious consequences for the healthcare facility. Thus decision makers are hence equipped with a tool which allows identifying and preventing such conditions that affect service quality level.