TY - JOUR PY - 2020// TI - A decision support system for demand and capacity modelling of an accident and emergency department JO - Health systems (Basingstoke, England) A1 - Ordu, Muhammed A1 - Demir, Eren A1 - Tofallis, Chris SP - 31 EP - 56 VL - 9 IS - 1 N2 - Accident and emergency (A&E) departments in England have been struggling against severe capacity constraints. In addition, A&E demands have been increasing year on year. In this study, our aim was to develop a decision support system combining discrete event simulation and comparative forecasting techniques for the better management of the Princess Alexandra Hospital in England. We used the national hospital episodes statistics data-set including period April, 2009 - January, 2013. Two demand conditions are considered: the expected demand condition is based on A&E demands estimated by comparing forecasting methods, and the unexpected demand is based on the closure of a nearby A&E department due to budgeting constraints. We developed a discrete event simulation model to measure a number of key performance metrics. This paper presents a crucial study which will enable service managers and directors of hospitals to foresee their activities in future and form a strategic plan well in advance.

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Language: en

LA - en SN - 2047-6965 UR - http://dx.doi.org/10.1080/20476965.2018.1561161 ID - ref1 ER -