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Interdependency of Hospital Departments and Hospital-Wide Patient Flows

In: Patient Flow

Author

Listed:
  • Alexander Kolker

    (API Healthcare)

Abstract

This chapter presents a quantitative analysis of patient flows for a typical hospital-wide system that consists of a set of interdependent subsystems: Emergency Department (ED), Intensive Care Unit (ICU), Operating Rooms (OR), and Inpatient Nursing units (NU) including an effect of patient readmission within 30 days of discharge. It is quantitatively demonstrated that local improvement of one subsystem (ED) does not necessarily result in performance and throughput improvement of the entire system. It is also demonstrated that local improvement targets should be aligned to each other in order to prevent unintended consequences of creating another system bottleneck, and worsening the performance of downstream units.

Suggested Citation

  • Alexander Kolker, 2013. "Interdependency of Hospital Departments and Hospital-Wide Patient Flows," International Series in Operations Research & Management Science, in: Randolph Hall (ed.), Patient Flow, edition 2, chapter 0, pages 43-63, Springer.
    • Handle: RePEc:spr:isochp:978-1-4614-9512-3_2
    DOI: 10.1007/978-1-4614-9512-3_2
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    Cited by:

    1. Åhlin, Philip & Almström, Peter & Wänström, Carl, 2022. "When patients get stuck: A systematic literature review on throughput barriers in hospital-wide patient processes," Health Policy, Elsevier, vol. 126(2), pages 87-98.

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