Simulation and Goal Programming Approach to Improve Public Hospital Emergency Department Resource Allocation

Efficient and effective operation of an emergency department is necessary. Since patients can visit the emergency department without making an appointment, the emergency department always treats a lot of critical patients. Moreover, the severity of the ailment determines which patients should be pri...

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Main Authors: Ateekh Ur Rehman, Yusuf Siraj Usmani, Syed Hammad Mian, Mustufa Haider Abidi, Hisham Alkhalefah
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Systems
Subjects:
Online Access:https://www.mdpi.com/2079-8954/11/9/467
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author Ateekh Ur Rehman
Yusuf Siraj Usmani
Syed Hammad Mian
Mustufa Haider Abidi
Hisham Alkhalefah
author_facet Ateekh Ur Rehman
Yusuf Siraj Usmani
Syed Hammad Mian
Mustufa Haider Abidi
Hisham Alkhalefah
author_sort Ateekh Ur Rehman
collection DOAJ
description Efficient and effective operation of an emergency department is necessary. Since patients can visit the emergency department without making an appointment, the emergency department always treats a lot of critical patients. Moreover, the severity of the ailment determines which patients should be prioritized. Therefore, the patients are greatly impacted as a consequence of longer waiting times caused primarily by incorrect resource allocation. It frequently happens that patients leave the hospital or waiting area without treatment. Certainly, the emergency department’s operation can be made more effective and efficient by examining its work and making modifications to the number of resources and their allocation. This study, therefore, investigates the emergency department of a public hospital to improve its functioning. The goal of this research is to model and simulate an emergency department to minimize patient wait times and also minimize the number of patients leaving the hospital without service. A comprehensive simulation model is developed using the Arena simulation platform and goal programming is undertaken to conduct simulation optimization and resource allocation analysis. Hospital management should realize that all resources must be prioritized rather than just focusing on one or two of them. The case scenario (S3) in this study that implements goal programming with variable weights yields the most favorable results. For example, it is observed in this instance that the number of patients leaving the system without service drops by 61.7%, and there is also a substantial drop in waiting times for various types of patients.
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spelling doaj.art-ff19f95d3ced4f05933c6c25e53a3b4b2023-11-19T13:13:23ZengMDPI AGSystems2079-89542023-09-0111946710.3390/systems11090467Simulation and Goal Programming Approach to Improve Public Hospital Emergency Department Resource AllocationAteekh Ur Rehman0Yusuf Siraj Usmani1Syed Hammad Mian2Mustufa Haider Abidi3Hisham Alkhalefah4Department of Industrial Engineering, College of Engineering, King Saud University, Riyadh 11421, Saudi ArabiaDepartment of Industrial Engineering, College of Engineering, King Saud University, Riyadh 11421, Saudi ArabiaAdvanced Manufacturing Institute, King Saud University, Riyadh 11421, Saudi ArabiaAdvanced Manufacturing Institute, King Saud University, Riyadh 11421, Saudi ArabiaAdvanced Manufacturing Institute, King Saud University, Riyadh 11421, Saudi ArabiaEfficient and effective operation of an emergency department is necessary. Since patients can visit the emergency department without making an appointment, the emergency department always treats a lot of critical patients. Moreover, the severity of the ailment determines which patients should be prioritized. Therefore, the patients are greatly impacted as a consequence of longer waiting times caused primarily by incorrect resource allocation. It frequently happens that patients leave the hospital or waiting area without treatment. Certainly, the emergency department’s operation can be made more effective and efficient by examining its work and making modifications to the number of resources and their allocation. This study, therefore, investigates the emergency department of a public hospital to improve its functioning. The goal of this research is to model and simulate an emergency department to minimize patient wait times and also minimize the number of patients leaving the hospital without service. A comprehensive simulation model is developed using the Arena simulation platform and goal programming is undertaken to conduct simulation optimization and resource allocation analysis. Hospital management should realize that all resources must be prioritized rather than just focusing on one or two of them. The case scenario (S3) in this study that implements goal programming with variable weights yields the most favorable results. For example, it is observed in this instance that the number of patients leaving the system without service drops by 61.7%, and there is also a substantial drop in waiting times for various types of patients.https://www.mdpi.com/2079-8954/11/9/467simulation Arenaemergency departmenthospitalresource allocationgoal programming
spellingShingle Ateekh Ur Rehman
Yusuf Siraj Usmani
Syed Hammad Mian
Mustufa Haider Abidi
Hisham Alkhalefah
Simulation and Goal Programming Approach to Improve Public Hospital Emergency Department Resource Allocation
Systems
simulation Arena
emergency department
hospital
resource allocation
goal programming
title Simulation and Goal Programming Approach to Improve Public Hospital Emergency Department Resource Allocation
title_full Simulation and Goal Programming Approach to Improve Public Hospital Emergency Department Resource Allocation
title_fullStr Simulation and Goal Programming Approach to Improve Public Hospital Emergency Department Resource Allocation
title_full_unstemmed Simulation and Goal Programming Approach to Improve Public Hospital Emergency Department Resource Allocation
title_short Simulation and Goal Programming Approach to Improve Public Hospital Emergency Department Resource Allocation
title_sort simulation and goal programming approach to improve public hospital emergency department resource allocation
topic simulation Arena
emergency department
hospital
resource allocation
goal programming
url https://www.mdpi.com/2079-8954/11/9/467
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