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A simulation study to improve quality of care in the emergency department of a community hospital

, : A simulation study to improve quality of care in the emergency department of a community hospital. Journal of Emergency Nursing: Jen 38(4): 322-328

In this article, a computer simulation study to improve the quality of care at the emergency department at a community hospital in Lexington, Kentucky, is presented. The simulation model is capable of evaluating the quality of care in terms of length of stay, waiting times, and patient elopement and has been validated by being compared with the data collected in the emergency department. Sensitivity analyses have been carried out to investigate the impact of workforce and diagnosis equipment on quality performance. The results suggest that, to ensure better clinical outcome, more nurses are needed; in addition, an additional computed tomography scanner is recommended. The model also shows that implementing team nursing policy (for 2 nurses) could lead to significant improvement in the emergency department's quality of care. Such a model provides a quantitative tool for continuous improvement and flow control in the emergency department and is also applicable to other departments in the hospital.


PMID: 21963136

DOI: 10.1016/j.jen.2011.03.005

Other references

Togashi, K.Y.kouchi, K1; Kugita, H., 1982: Estimates of genetic and phenoty. Kenkyu hokoku = Research bulletin of the Hokkaido National Agricultural Experiment Station: (135) 31-52

Boschma, H., 1956: Stylasterina in the collection of the Paris Museum. II. Errina amoena nov. spec. Proceedings Nederlandse Akademie van Wetenschappen, 59C3: 281-289

Ehrin E.; Westman E.; Nilsson S O.; Nilsson J.L.G.; Widen L.; Greitz T.; Larsson C M.; Tillberg J E.; Malmborg P., 1980: A convenient method for production of carbon 11 labeled glucose. A convenient photosynthetic method for production of 11C-labeled glucose was designed, using the green alga Scenedesmus obtusiusculus. The organism converts H11CO-3 to glucose in 50-70% yield. The total time needed for the synthesis and isolation...

Anonymous, 2004: Regulation of transport, apoptosis and fibrosis during lung infection Epithelial-bacterial pathogen interactions: subversion of physiological processes SA5-SA6 SA8. Journal of Physiology 559(Suppl): 12p-14p

Hattori, T.; Nozaki, M.; Yoshida, M.; Ogura, Y., 2003: Surgical removal of choroidal neovascularization in age related macular degeneration revisited a series by a single surgeon in five years. Purpose: To re-evaluate effects and visual prognosis after surgical removal of choroidal neovascularization (CNV) in age-related macular degeneration(AMD). Methods: Fifty seven eyes of 56 patients underwent surgical removal CNV in AMD by a single...

Posteucă, M.; Huşanu, E.; Lerner, C., 1969: The surgical treatment of trophic ulcers of the leg. Revista Medico-Chirurgicala A Societatii de Medici Si Naturalisti Din Iasi 73(4): 927-932

Anonymous, 1982: Electron microscopy 1982. (3 volumes). Proceedings of the 10th International Congress on electron microscopy, Hamburg, GFR, 17-24 August 1982. These proceedings contain 3 papers on Schistosoma haematobium, 2 on Echinococcus granulosus and one on Neoechinorhynchus rutili, which are abstracted elsewhere in this issue.

Wieman, D.A.; Dorwart, R.A., 2001: A comparison of public and privatized approaches to managed behavioral health care for persons with serious mental illness. This article compares public and privatized approaches to managed behavioral health care for persons with serious mental illness in Massachusetts. Data from the Department of Mental Health (DMH) for 247 patients receiving care managed by DMH and 3...

Gil, S.-G.M.mberg, L., A., 1975: Effect of Alar and Ethephon on harvest maturity of sweet cherries. Ciencia e investigacion agraria: 2 (2) 77-83

Handley, S.L., 1984: The pinna reflex and its inhibition by clonidine: relationship to sedation and quantitation of central alpha 2-antagonist potency. The relationship between sedation and pinna reflex inhibition has been measured for a range of centrally acting drugs. Ability to abolish the pinna reflex was not related to sedative activity as assessed by a behavioural method. Thus, at equisedat...