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A Simulation Optimization Approach for Resource Allocation in an Emergency Department Healthcare Unit Cover

A Simulation Optimization Approach for Resource Allocation in an Emergency Department Healthcare Unit

By: Arman Bahari and  Farzaneh Asadi  
Open Access
|Feb 2020

Figures & Tables

gh-15-1-528-g1.png
Figure 1

The simulated flow of patients in the ED, by Visual Paradigm.

Table 1

Estimation of interactions and coefficients for patient wait time.

ResourceSum of SquaresInteraction EstimationStandard ErrorF-ValueP-value
Model 1.670.210.0233.890.0483
X1 0.21–0.080.02312.050.0133
X2 0.0390.0350.0232.280.1815
X3 0.0400.0350.0232.300.1802
X4 0.035–0.0330.0232.040.2034
X5 0.17–0.0730.0239.910.0199
X1X2 0.004–0.0120.0230.260.6277
X1X3 0.091–0.0530.0235.290.0610
X1X4 0.084–0.0510.0234.890.0690
X1X5 0.160.0710.0239.390.0221
X2X3 0.072–0.0470.0234.160.0857
X2X4 0.041–0.0360.0232.380.1737
X2X5 0.013–0.020.0230.730.4249
X3X4 0.005–0.0130.0230.300.6031
X3X5 0.210.0810.02312.270.0128
X4X5 0.006–0.0040.0230.0380.8515
X1X2X3 0.086–0.0520.0235.020.0662
X1X2X4 0.004–0.0120.0230.280.6136
X1X2X5 0.110.0570.0236.130.0481
X1X3X4 0.049–0.0390.0232.890.1417
X1X3X5 0.160.0710.0239.290.0226
X1X4X5 0.036–0.0340.0232.120.1961
X2X3X4 0.010–0.0180.0230.590.4707
X2X3X5 0.041–0.0360.0232.360.1756
X2X4X5 0.003–0.010.0230.20.6711
X3X4X5 0.003–0.0090.0230.180.6841

[i] R2 = 0/9419, adjusted – R2 = 0/70, PRESS = 2/94, Adeq – Precisior = 9/020.

LiXi ≤ Ui For i = 1, 2, 3, 4, 5
i=15CiXiB For i = 1, 2, 3, 4, 5
Xi Integer For i = 1, 2, 3, 4, 5
Table 2

Parameters specified for key variables.

Decision variablesLiUiCost
(X1)120.6
(X2)130.5
(X3)160.8
(X4)130.7
(X5)5102
Table 3

Comparing the current and proposed status.

StatusDecision VariableWait Time (minutes)Costs ($)
Community Health WorkerReceptionistNurseCardiologistBed
Current 123172824140000
Proposed 2113101421980000
DOI: https://doi.org/10.5334/gh.528 | Journal eISSN: 2211-8179
Language: English
Submitted on: Oct 19, 2019
|
Accepted on: Dec 31, 2019
|
Published on: Feb 11, 2020
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2020 Arman Bahari, Farzaneh Asadi, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.