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Authors: Paolo Landa 1 ; Michele Sonnessa 2 ; Elena Tànfani 2 and Angela Testi 3

Affiliations: 1 University of Genoa and Agenzia Regionale Sanitaria Liguria, Italy ; 2 University of Genoa, Italy ; 3 University of Genova, Italy

Keyword(s): Health Care Services, Bed Management, Discrete-Event Simulation.

Abstract: In recent years, due to the overcrowding of Emergency Department (ED) and the growing concern in reducing the number of inpatient ward beds, it has become crucial to improve the capacity planning and control activities, which manage the patient flows from EDs to hospital wards. Bed Management has a key role in this context. This study starts by a collaboration with the Local Health Government (LHG) of the Liguria region aimed at studying the impact of supporting bed management with some operational strategies without increasing the bed capacity. A large amount of data was collected over a one-year period at public hospital in Genova and a preliminary observational analysis was conducted to get the main information about the flow of emergency and elective patients from ED to inpatient wards. A Discrete Event Simulation (DES) model has been then developed in order to represent the real system. A scenarios analysis is proposed to assess the best strategy to improve the system performanc e without increasing bed capacity, by simply synchronizing bed supply and demand. The model can be used as a decision support tool to optimise the use of the available resources as well as to improve the quality of the patient pathway inside the hospital. (More)

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Paper citation in several formats:
Landa, P. ; Sonnessa, M. ; Tànfani, E. and Testi, A. (2014). A Discrete Event Simulation Model to Support Bed Management. In Proceedings of the 4th International Conference on Simulation and Modeling Methodologies, Technologies and Applications (SIMULTECH 2014) - HA; ISBN 978-989-758-038-3; ISSN 2184-2841, SciTePress, pages 901-912. DOI: 10.5220/0005161809010912

@conference{ha14,
author={Paolo Landa and Michele Sonnessa and Elena Tànfani and Angela Testi},
title={A Discrete Event Simulation Model to Support Bed Management},
booktitle={Proceedings of the 4th International Conference on Simulation and Modeling Methodologies, Technologies and Applications (SIMULTECH 2014) - HA},
year={2014},
pages={901-912},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0005161809010912},
isbn={978-989-758-038-3},
issn={2184-2841},
}

TY - CONF

JO - Proceedings of the 4th International Conference on Simulation and Modeling Methodologies, Technologies and Applications (SIMULTECH 2014) - HA
TI - A Discrete Event Simulation Model to Support Bed Management
SN - 978-989-758-038-3
IS - 2184-2841
AU - Landa, P.
AU - Sonnessa, M.
AU - Tànfani, E.
AU - Testi, A.
PY - 2014
SP - 901
EP - 912
DO - 10.5220/0005161809010912
PB - SciTePress

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