Evidence map›Paper›PMID 35206804›Full record

ArticleHealthcare (Basel, Switzerland)2022

Applying Discrete Event Simulation to Reduce Patient Wait Times and Crowding: The Case of a Specialist Outpatient Clinic with Dual Practice System.

Weng Hong Fun, Ee Hong Tan, Ruzelan Khalid, Sondi Sararaks, Kar Foong Tang, Iqbal Ab Rahim, Shakirah Md Sharif, Suhana Jawahir, Raoul Muhammad Yusof Sibert, Mohd Kamal Mohd Nawawi

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
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  5. 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

10 authors.

Weng Hong FunInstitute for Health Systems Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Malaysia.
Ee Hong TanInstitute for Health Systems Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Malaysia.ORCID 0000-0002-8196-6987
Ruzelan KhalidInstitute of Strategic Industrial Decision Modelling, School of Quantitative Sciences, Universiti Utara Malaysia, Sintok 06010, Malaysia.ORCID 0000-0002-4283-0737
Sondi SararaksInstitute for Health Systems Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Malaysia.ORCID 0000-0002-2180-3166
Kar Foong TangInstitute for Health Systems Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Malaysia.ORCID 0000-0003-4189-4680
Iqbal Ab RahimInstitute for Health Systems Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Malaysia.ORCID 0000-0002-6213-7753
Shakirah Md SharifInstitute for Health Systems Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Malaysia.ORCID 0000-0002-1026-1672
Suhana JawahirInstitute for Health Systems Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Malaysia.ORCID 0000-0001-5665-2479
Raoul Muhammad Yusof SibertHospital Pakar Sultanah Fatimah, Muar 84000, Malaysia.
Mohd Kamal Mohd NawawiInstitute of Strategic Industrial Decision Modelling, School of Quantitative Sciences, Universiti Utara Malaysia, Sintok 06010, Malaysia.ORCID 0000-0003-4447-9941

Funding

National Institutes of Health Malaysia NMRR-17-575-35270
6 · The paper itself

Abstract

Long wait times and crowding are major issues affecting outpatient service delivery, but it is unclear how these affect patients in dual practice settings. This study aims to evaluate the effects of changing consultation start time and patient arrival on wait times and crowding in an outpatient clinic with a dual practice system. A discrete event simulation (DES) model was developed based on real-world data from an Obstetrics and Gynaecology (O&G) clinic in a public hospital. Data on patient flow, resource availability, and time taken for registration and clinic processes for public and private patients were sourced from stakeholder discussion and time-motion study (TMS), while arrival times were sourced from the hospital's information system database. Probability distributions were used to fit these input data in the model. Scenario analyses involved configurations on consultation start time/staggered patient arrival. The median registration and clinic turnaround times (TT) were significantly different between public and private patients (

Indexed as

arrival patterncrowdingdiscrete event simulationdual practiceoutpatientwait times

Identifiers

PMID35206804
PMCPMC8871892

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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.