Using simulation in hospital layout planning

  • Authors:
  • Ines Arnolds;Stefan Nickel;Sara Shashaani;Christian Wernz

  • Affiliations:
  • Karlsruhe Institute of Technology, Karlsruhe, Germany;Karlsruhe Institute of Technology, Karlsruhe, Germany;Virginia Tech, Blacksburg, VA;Virginia Tech, Blacksburg, VA

  • Venue:
  • Proceedings of the Winter Simulation Conference
  • Year:
  • 2012

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Abstract

The quality and performance of a hospital layout during daily operations highly depends on patient and personnel flows. The travelling routes are influenced by the stochasticity of clinical pathways due to the patients' recovery processes. To account for this stochasticity when planning a hospital layout, we developed a robust optimization via simulation approach, which is a combination of mathematical optimization, discrete event simulation (DES), and improvement heuristics. The objective of our approach is to generate a robust hospital layout through a sensitivity analysis of different layout plans in various scenarios with stochastic patient flows. Scenarios are defined by changing both input data (extrinsic configuration) and factors, which are evaluated during the simulation run (stochastic influences). For the sensitivity analysis, we construct confidence intervals on the performance measures, i.e., total travelling times for patients and personnel as well as patients' waiting times.