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A framework for developing generalisable discrete event simulation models of hospital emergency departments

Author

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  • Boyle, Laura M.
  • Marshall, Adele H.
  • Mackay, Mark

Abstract

Discrete event simulation (DES) is routinely used to model hospital emergency departments (EDs), primarily due to its ability to represent complex patient flow processes and investigate improvement strategies. Despite this, it is clear from published studies that many DES models are not subsequently implemented in hospitals or reused for other sites. This research addresses a gap in the literature by presenting a new data-driven modelling framework ‘GE-DES’, which outlines an approach to the design and development of generalisable ED models. The nature of the framework means that it is sufficiently flexible (i) for use across multiple EDs, and (ii) for investigating hospital-specific problems through data-driven customisation. The primary aim of GE-DES is to support model reuse and implementation. The framework is demonstrated through application to a case study ED in Australia.

Suggested Citation

  • Boyle, Laura M. & Marshall, Adele H. & Mackay, Mark, 2022. "A framework for developing generalisable discrete event simulation models of hospital emergency departments," European Journal of Operational Research, Elsevier, vol. 302(1), pages 337-347.
    • Handle: RePEc:eee:ejores:v:302:y:2022:i:1:p:337-347
    DOI: 10.1016/j.ejor.2021.12.033
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    References listed on IDEAS

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    1. R Ceglowski & L Churilov & J Wasserthiel, 2007. "Combining Data Mining and Discrete Event Simulation for a value-added view of a hospital emergency department," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 58(2), pages 246-254, February.
    2. Adrian Fletcher & Dave Worthington, 2009. "What is a ‘generic’ hospital model?—a comparison of ‘generic’ and ‘specific’ hospital models of emergency patient flows," Health Care Management Science, Springer, vol. 12(4), pages 374-391, December.
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    4. S Robinson, 2008. "Conceptual modelling for simulation Part II: a framework for conceptual modelling," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 59(3), pages 291-304, March.
    5. A Fletcher & D Halsall & S Huxham & D Worthington, 2007. "The DH Accident and Emergency Department model: a national generic model used locally," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 58(12), pages 1554-1562, December.
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    Cited by:

    1. Demir, Eren & Yakutcan, Usame & Page, Stephen, 2024. "Using simulation modelling to transform hospital planning and management to address health inequalities," Social Science & Medicine, Elsevier, vol. 347(C).

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