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Simulation Of The Cardiology Patients Flow In A Hospital Setting

In: Monitoring, Evaluating, Planning Health Services

Author

Listed:
  • J. VISSERS

    (NZi - Institute for Health Care Management Development, Utrecht, NL and Faculty of Technology Management, Eindhoven University of Technology, Eindhoven, NL)

  • G. CROONEN

    (Ziekenhuis Rivierenland, Tiel, NL)

  • V. SIERSMA

    (Faculty of Mathematical & Computer Sciences, Eindhoven University of Technology, Eindhoven, NL)

  • H. TIEMESSEN

    (Faculty of Mathematical & Computer Sciences, Eindhoven University of Technology, Eindhoven, NL)

Abstract

Cardiology patient flows in hospitals are difficult to manage. Many patients are admitted via the emergency department, and go straight to the cardiocare unit (CCU). The bed capacity of the CCU is limited. If new patients arrive for the CCU, and the beds are full, the pressure on the cardiology subsystem increases. Decisions have to be made to transfer patients from the CCU to the regular ward, and to discharge patients from the regular ward. These early transfers and discharges are a worry to those working in this subsystem: emergency department, CCU staff, cardiologists and nursing staff. The paper reports on a case-study performed in a hospital in the Netherlands that was faced with this problem. A decision support model was developed for the hospital to support decision making on improving the logistic management of cardiology patient flows. The paper describes the model as well as results of applying the model for different scenarios of improvement.

Suggested Citation

  • J. Vissers & G. Croonen & V. Siersma & H. Tiemessen, 1999. "Simulation Of The Cardiology Patients Flow In A Hospital Setting," World Scientific Book Chapters, in: V De Angelis & N Ricciardi & G Storchi (ed.), Monitoring, Evaluating, Planning Health Services, chapter 15, pages 162-173, World Scientific Publishing Co. Pte. Ltd..
    • Handle: RePEc:wsi:wschap:9789812817839_0015
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