ArticleJournal of medical systems2008
Process modeling of emergency department patient flow: effect of patient length of stay on ED diversion.
Article in Journal of medical systems, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed.
- Key performance indicators in emergency department simulation: a scoping review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Optimizing Emergency Department Operations: A Simulation Framework for Managerial Decision-Making.Journal of nursing management · 2025Article
- The Times-Divide Expression: An Intuitive Approach for Describing Right-Skewed Data in Nursing Practice.Journal of nursing management · 2025Article
- Exploring overcrowding trends in an inner city emergence department in the UK before and during COVID-19 epidemic.BMC emergency medicine · 2021Article
- A proactive transfer policy for critical patient flow management.Health care management science · 2019Article
- Performance Analysis of Emergency Room Episodes Through Process Mining.International journal of environmental research and public health · 2019Article
- Is Inpatient Volume Or Emergency Department Crowding A Greater Driver Of Ambulance Diversion?Health affairs (Project Hope) · 2018Article
- A Discrete Event Simulation Model of Patient Flow in a General Hospital Incorporating Infection Control Policy for Methicillin-Resistant Staphylococcus Aureus (MRSA) and Vancomycin-Resistant Enterococcus (VRE).Medical decision making : an international journal of the Society for Medical Decision Making · 2018Article
- Understanding Emergency Care Delivery Through Computer Simulation Modeling.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2018Article
- Simulation-Based Design of ED Operations with Care Streams to Optimize Care Delivery and Reduce Length of Stay in the Emergency Department.Journal of medical systems · 2017Article
- StratBAM: A Discrete-Event Simulation Model to Support Strategic Hospital Bed Capacity Decisions.Journal of medical systems · 2015Article
- Time series modelling and forecasting of emergency department overcrowding.Journal of medical systems · 2014Article
- Construct an optimal triage prediction model: a case study of the emergency department of a teaching hospital in Taiwan.Journal of medical systems · 2013Article
- Reducing ambulance diversion at hospital and regional levels: systemic review of insights from simulation models.The western journal of emergency medicine · 2013Review
- Prescription-filling process reengineering of an outpatient pharmacy.Journal of medical systems · 2012Article
- An application of business process method to the clinical efficiency of hospital.Journal of medical systems · 2011Article
- Process modeling of ICU patient flow: effect of daily load leveling of elective surgeries on ICU diversion.Journal of medical systems · 2009Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A discreet event simulation methodology has been used to establish a quantitative relationship between Emergency Department (ED) performance characteristics, such as percent of time on ambulance diversion and the number of patients in queue in the waiting room, and the upper limits of patient length of stay (LOS). A simulation process model of ED patient flow has been developed that took into account a significant difference between LOS distributions of patients discharged home and patients admitted into the hospital. Using simulation model it has been identified that ED diversion could be negligible (less than approximately 0.5%) if patients discharged home stay in ED not more than 5 h, and patients admitted into the hospital stay in ED not more than 6 h Using full factorial design of experiments with two factors and the model's predicted percent diversion as a response function, other combinations of LOS upper limits have been determined that would result in low ED percent diversion as well. It has also been determined that if the number of patients exceeds 11 in queue in ED waiting room then the diversion percent is rapidly increasing.
Indexed as
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.