SAM ADVANCED MANAGEMENT JOURNAL

A Simulation Analysis For Identifying Bottlenecks And Reducing Patient Waiting Times: Use Of Big Data

Mohammad Admadi, Parthasarati Dileepan, David Adair, and Marilyn M. Helms

DOI:

Citation: Admadi, M., Dileepan, P., Adair, D., & Helms, M.M. (2022). A simulation analysis for identifying bottlenecks and reducing patient waiting times: Use of big data. SAM Advanced Management Journal, 87(3),48-64.

Abstract

High acuity areas, including emergency departments, follow supply and demand curves with high resource value and limited availability with imbalances occurring during high demand states. This limited availability can be maximized by simulation modeling to identify obstacles to efficient resource utilization. Specialty-specific emergency departments have evolved over the past two decades.  Like general emergency departments, these specialty emergency departments can also be fraught with overcrowding, which can impact care delivery. There have been several efforts to provide simulation analysis in emergency department and other specialty units, yet none have examined an Obstetrical Emergency Department for flow improvements. This research models an obstetrical specialty-specific emergency department and identifies several constraints.  These constraints are viewed negatively by the patient and frustrate care providers. By identifying and better managing these bottlenecks, outcomes, morale, quality, and both patient and employee satisfaction improve.  In addition, patient wait times can be minimized.  Areas for future research to improve sub-specialty emergency department functioning are provided.

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