Simulation for emergency care process reengineering in hospitals

Sung J. Shim (Stillman School of Business, Seton Hall University, South Orange, New Jersey, USA)
Arun Kumar (School of Aerospace, Mechanical and Manufacturing Engineering, RMIT University, Melbourne, Australia)

Business Process Management Journal

ISSN: 1463-7154

Publication date: 14 September 2010

Abstract

Purpose

Using computer simulation, this paper seeks to model the emergency care process in a hospital and evaluate the effects of some proposed changes to improve patient wait times in the process.

Design/methodology/approach

The paper is based upon a case study conducted at the hospital and uses historical data provided by the hospital to simulate the emergency care process.

Findings

The simulation results demonstrate that the changes proposed can shorten patient wait times in the emergency care process. The proposed changes involve adding another payment station and a new short‐stay ward in the process. Based upon the results, the paper supports the implementation of the changes proposed.

Research limitations/implications

A couple of limitations are recognized in this paper. First, the simulation does not consider varying the capacity of resources and locations involved in the emergency care process. Second, the simulation does not consider patients by clinical disciplines in which they are treated.

Practical implications

The simulation results show that computer simulation can be an effective decision support tool in modelling the emergency care process and evaluating the effects of changes in the process. The results would be helpful to those who are considering reengineering and improving emergency care or other similar processes in hospitals.

Originality/value

Based upon a case study using real‐world data, this paper extends the line of studies on computer simulation in healthcare by considering not only patient wait times in the emergency care process but also some ways to improve patient wait times and their effects on the process.

Keywords

Citation

Shim, S. and Kumar, A. (2010), "Simulation for emergency care process reengineering in hospitals", Business Process Management Journal, Vol. 16 No. 5, pp. 795-805. https://doi.org/10.1108/14637151011076476

Download as .RIS

Publisher

:

Emerald Group Publishing Limited

Copyright © 2010, Emerald Group Publishing Limited

Please note you might not have access to this content

You may be able to access this content by login via Shibboleth, Open Athens or with your Emerald account.
If you would like to contact us about accessing this content, click the button and fill out the form.
To rent this content from Deepdyve, please click the button.