Abstract

Healthcare professionals and the public have increasing concerns about the ability of emergency departments to meet current demands. Increased demand for emergency services, mainly caused by a growing number of minor and moderate injuries has reached crisis proportions, especially in the United Kingdom. Numerous efforts have been made to explore the complex causes because it is becoming more and more important to provide adequate healthcare within tight budgets. Optimisation of patient pathways in the emergency department is therefore an important factor.This paper explores the possibilities offered by dynamic simulation tools to improve patient pathways using the emergency department of a busy university teaching hospital in Switzerland as an example.

Highlights

  • In the USA and Europe, emergency departments (EDs) are confronted with overcrowding and budget restrictions

  • There is an increasing need for more information on financial planning and health policy-making [1]. These factors provide a stimulus to analyze and improve internal processes in EDs. Such design-relevant problems were solved by means of static estimates, but the use of a qualitative dynamic systems (DS) approach seems to be more appropriate [2]

  • The collection of specific data and key information is strongly recommended in the context of ED design [1]

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Summary

Introduction

In the USA and Europe, emergency departments (EDs) are confronted with overcrowding and budget restrictions. One of the most consistent frustrations for EM physicians are constantly overcrowded emergency rooms. There is an increasing need for more information on financial planning and health policy-making [1]. These factors provide a stimulus to analyze and improve internal processes in EDs. These factors provide a stimulus to analyze and improve internal processes in EDs Such design-relevant problems were solved by means of static (quantitative) estimates, but the use of a qualitative dynamic systems (DS) approach seems to be more appropriate [2]

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