Application of Queueing Theory to the Analysis of Changes in Outpatients' Waiting Times in Hospitals Introducing EMR

ObjectivesThis research used queueing theory to analyze changes in outpatients' waiting times before and after the introduction of Electronic Medical Record (EMR) systems.MethodsWe focused on the exact drawing of two fundamental parameters for queueing analysis, arrival rate (λ) and service rat...

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Main Authors: Kyoung Won Cho, Seong Min Kim, Young Moon Chae, Yong Uk Song
Format: Article
Language:English
Published: The Korean Society of Medical Informatics 2017-01-01
Series:Healthcare Informatics Research
Subjects:
Online Access:http://e-hir.org/upload/pdf/hir-23-35.pdf
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author Kyoung Won Cho
Seong Min Kim
Young Moon Chae
Yong Uk Song
author_facet Kyoung Won Cho
Seong Min Kim
Young Moon Chae
Yong Uk Song
author_sort Kyoung Won Cho
collection DOAJ
description ObjectivesThis research used queueing theory to analyze changes in outpatients' waiting times before and after the introduction of Electronic Medical Record (EMR) systems.MethodsWe focused on the exact drawing of two fundamental parameters for queueing analysis, arrival rate (λ) and service rate (µ), from digital data to apply queueing theory to the analysis of outpatients' waiting times. We used outpatients' reception times and consultation finish times to calculate the arrival and service rates, respectively.ResultsUsing queueing theory, we could calculate waiting time excluding distorted values from the digital data and distortion factors, such as arrival before the hospital open time, which occurs frequently in the initial stage of a queueing system. We analyzed changes in outpatients' waiting times before and after the introduction of EMR using the methodology proposed in this paper, and found that the outpatients' waiting time decreases after the introduction of EMR. More specifically, the outpatients' waiting times in the target public hospitals have decreased by rates in the range between 44% and 78%.ConclusionsIt is possible to analyze waiting times while minimizing input errors and limitations influencing consultation procedures if we use digital data and apply the queueing theory. Our results verify that the introduction of EMR contributes to the improvement of patient services by decreasing outpatients' waiting time, or by increasing efficiency. It is also expected that our methodology or its expansion could contribute to the improvement of hospital service by assisting the identification and resolution of bottlenecks in the outpatient consultation process.
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spelling doaj.art-7f6900740c954b07a5045d57e16c922f2022-12-21T19:24:47ZengThe Korean Society of Medical InformaticsHealthcare Informatics Research2093-36812093-369X2017-01-01231354210.4258/hir.2017.23.1.35908Application of Queueing Theory to the Analysis of Changes in Outpatients' Waiting Times in Hospitals Introducing EMRKyoung Won Cho0Seong Min Kim1Young Moon Chae2Yong Uk Song3Department of Healthcare Administration, Kosin University, Busan, Korea.Department of Healthcare Administration, Kosin University, Busan, Korea.Graduate School of Public Health, Yonsei University, Seoul, Korea.Division of Business Administration, Yonsei University Wonju Campus, Wonju, Korea.ObjectivesThis research used queueing theory to analyze changes in outpatients' waiting times before and after the introduction of Electronic Medical Record (EMR) systems.MethodsWe focused on the exact drawing of two fundamental parameters for queueing analysis, arrival rate (λ) and service rate (µ), from digital data to apply queueing theory to the analysis of outpatients' waiting times. We used outpatients' reception times and consultation finish times to calculate the arrival and service rates, respectively.ResultsUsing queueing theory, we could calculate waiting time excluding distorted values from the digital data and distortion factors, such as arrival before the hospital open time, which occurs frequently in the initial stage of a queueing system. We analyzed changes in outpatients' waiting times before and after the introduction of EMR using the methodology proposed in this paper, and found that the outpatients' waiting time decreases after the introduction of EMR. More specifically, the outpatients' waiting times in the target public hospitals have decreased by rates in the range between 44% and 78%.ConclusionsIt is possible to analyze waiting times while minimizing input errors and limitations influencing consultation procedures if we use digital data and apply the queueing theory. Our results verify that the introduction of EMR contributes to the improvement of patient services by decreasing outpatients' waiting time, or by increasing efficiency. It is also expected that our methodology or its expansion could contribute to the improvement of hospital service by assisting the identification and resolution of bottlenecks in the outpatient consultation process.http://e-hir.org/upload/pdf/hir-23-35.pdfelectronic medical recordhealthcarequeuewaiting time
spellingShingle Kyoung Won Cho
Seong Min Kim
Young Moon Chae
Yong Uk Song
Application of Queueing Theory to the Analysis of Changes in Outpatients' Waiting Times in Hospitals Introducing EMR
Healthcare Informatics Research
electronic medical record
healthcare
queue
waiting time
title Application of Queueing Theory to the Analysis of Changes in Outpatients' Waiting Times in Hospitals Introducing EMR
title_full Application of Queueing Theory to the Analysis of Changes in Outpatients' Waiting Times in Hospitals Introducing EMR
title_fullStr Application of Queueing Theory to the Analysis of Changes in Outpatients' Waiting Times in Hospitals Introducing EMR
title_full_unstemmed Application of Queueing Theory to the Analysis of Changes in Outpatients' Waiting Times in Hospitals Introducing EMR
title_short Application of Queueing Theory to the Analysis of Changes in Outpatients' Waiting Times in Hospitals Introducing EMR
title_sort application of queueing theory to the analysis of changes in outpatients waiting times in hospitals introducing emr
topic electronic medical record
healthcare
queue
waiting time
url http://e-hir.org/upload/pdf/hir-23-35.pdf
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