Sensitivity Analysis in Bed Capacity Studies including the Medical Staff’s Decision Making

Cristina Azcárate, Julio Barado, Fermín Mallor

Abstract

This paper deals with capacity planning studies in intensive care units (ICU). Our aim is to provide a framework in which the discharge policy from an ICU can be modelled and included in a simulation model. This is a very unique contribution of this research. We highlight the influence of the assumed policy in the ICU quality of service. A high quality of service means a low percentage of rejected patients and a length of stay in the ICU as long as necessary for the patient recovery. We introduce a parameterized set of rules to mathematically model the discharging decisions made by the physicians of an ICU. Then we present a sensitivity study carried out for the ICU of the Hospital of Navarra in Spain. The set of discharge policies is represented in the space of the performance measures to distinguish efficient from no efficient policies. Finally, the sensitivity analysis is extended, firstly, by considering variation in the number of beds and, then, by varying the patient arrival ratio.

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Paper Citation


in Harvard Style

Azcárate C., Barado J. and Mallor F. (2012). Sensitivity Analysis in Bed Capacity Studies including the Medical Staff’s Decision Making . In Proceedings of the 2nd International Conference on Simulation and Modeling Methodologies, Technologies and Applications - Volume 1: HA, (SIMULTECH 2012) ISBN 978-989-8565-20-4, pages 548-555. DOI: 10.5220/0004165305480555


in Bibtex Style

@conference{ha12,
author={Cristina Azcárate and Julio Barado and Fermín Mallor},
title={Sensitivity Analysis in Bed Capacity Studies including the Medical Staff’s Decision Making},
booktitle={Proceedings of the 2nd International Conference on Simulation and Modeling Methodologies, Technologies and Applications - Volume 1: HA, (SIMULTECH 2012)},
year={2012},
pages={548-555},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0004165305480555},
isbn={978-989-8565-20-4},
}


in EndNote Style

TY - CONF
JO - Proceedings of the 2nd International Conference on Simulation and Modeling Methodologies, Technologies and Applications - Volume 1: HA, (SIMULTECH 2012)
TI - Sensitivity Analysis in Bed Capacity Studies including the Medical Staff’s Decision Making
SN - 978-989-8565-20-4
AU - Azcárate C.
AU - Barado J.
AU - Mallor F.
PY - 2012
SP - 548
EP - 555
DO - 10.5220/0004165305480555