Evidence map›Paper›PMID 32230962›Full record

ArticleHealthcare (Basel, Switzerland)2020

Improving Emergency Department Efficiency by Patient Scheduling Using Deep Reinforcement Learning.

Seunghoon Lee, Young Hoon Lee

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Principles of artificial intelligence in radiooncology.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Machine learning in patient flow: a review.Progress in biomedical engineering (Bristol, England) · 2021
    Review
  10. Overuse of Health Care in the Emergency Services in Chile.International journal of environmental research and public health · 2021
    Review
  11. Article
  12. Article
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Seunghoon LeeDepartment of Industrial Engineering, Yonsei University, 50 Yonsei-ro, Seoul 03722, Korea.
Young Hoon LeeDepartment of Industrial Engineering, Yonsei University, 50 Yonsei-ro, Seoul 03722, Korea.

Funding

National Research Foundation of Korea 2017R1E1A1A03070757
6 · The paper itself

Abstract

Emergency departments (ED) in hospitals usually suffer from crowdedness and long waiting times for treatment. The complexity of the patient's path flows and their controls come from the patient's diverse acute level, personalized treatment process, and interconnected medical staff and resources. One of the factors, which has been controlled, is the dynamic situation change such as the patient's composition and resources' availability. The patient's scheduling is thus complicated in consideration of various factors to achieve ED efficiency. To address this issue, a deep reinforcement learning (RL) is designed and applied in an ED patients' scheduling process. Before applying the deep RL, the mathematical model and the Markov decision process (MDP) for the ED is presented and formulated. Then, the algorithm of the RL based on deep Q-networks (DQN) is designed to determine the optimal policy for scheduling patients. To evaluate the performance of the deep RL, it is compared with the dispatching rules presented in the study. The deep RL is shown to outperform the dispatching rules in terms of minimizing the weighted waiting time of the patients and the penalty of emergent patients in the suggested scenarios. This study demonstrates the successful implementation of the deep RL for ED applications, particularly in assisting decision-makers under the dynamic environment of an ED.

Indexed as

deep learningemergency departmentHealthcare managementhealthcare operationspatient schedulingreinforcement learning

Identifiers

PMID32230962
PMCPMC7349722

What OpenQuestion holds

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Registered trials

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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.