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Authors: Paolo Landa ; Elena Tànfani and Angela Testi

Affiliation: University of Genova, Italy

Keyword(s): Discrete Event Simulation, Simulation Optimization, Patient Flow, Bed Reconfiguration, Surgery Department.

Abstract: In this paper we focus our analysis on patient flows inside a hospital surgery department, with the aim of supporting the bed re-configuration following an “intensity of care” paradigm. The main contribution of this paper is to develop a Discrete Event Simulation (DES) model which describes the elective and emergent patient flows in a Surgery Department, and is able to evaluate the impact of re-organizing hospital resources within the Department. The model has been applied to reproduce a case study of a General Surgery Department sited in Genova (Italy). Firstly, the model has been used to quantify the impact on a set of performance indicators of the re-organization of a "traditional" stay area into an "intensity of care" one. Following this re-organization the available beds capacity is no longer divided into operating units based on the pathology and medical discipline, but into three different stay areas homogeneous with respect of the complexity of care to be delivered. Secondly, by using the “Optimizer” module, embedded in the Witness simulation software, the best number of beds to be assigned to each Intensity of Care Level (ICL) is determined in order to maximize the number of patients operated. The model development is presented and preliminary results are analyzed and discussed. (More)

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Paper citation in several formats:
Landa, P.; Tànfani, E. and Testi, A. (2013). Simulation and Optimization for Bed Re-organization at a Surgery Department . In Proceedings of the 3rd International Conference on Simulation and Modeling Methodologies, Technologies and Applications (SIMULTECH 2013) - HA; ISBN 978-989-8565-69-3; ISSN 2184-2841, SciTePress, pages 584-594. DOI: 10.5220/0004635805840594

@conference{ha13,
author={Paolo Landa. and Elena Tànfani. and Angela Testi.},
title={Simulation and Optimization for Bed Re-organization at a Surgery Department },
booktitle={Proceedings of the 3rd International Conference on Simulation and Modeling Methodologies, Technologies and Applications (SIMULTECH 2013) - HA},
year={2013},
pages={584-594},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0004635805840594},
isbn={978-989-8565-69-3},
issn={2184-2841},
}

TY - CONF

JO - Proceedings of the 3rd International Conference on Simulation and Modeling Methodologies, Technologies and Applications (SIMULTECH 2013) - HA
TI - Simulation and Optimization for Bed Re-organization at a Surgery Department
SN - 978-989-8565-69-3
IS - 2184-2841
AU - Landa, P.
AU - Tànfani, E.
AU - Testi, A.
PY - 2013
SP - 584
EP - 594
DO - 10.5220/0004635805840594
PB - SciTePress

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