Re-engineering Healthcare System : The Effect of Enterprise Imaging in Emergency Room Using Discrete Event Simulation Approach

Abstract

The function of ER lies on their response time and standardization of Turn-Around Time for the patients with the purpose to stabilize patients who have life-threatening injury or illness by focusing on urge medical intervention before they can get another medical care attempt. There are many factors that affected response time and turn-around time (TAT) in Emergency Room. Variation in interval between patient arrival and medic arrival can altered the response time of the healthcare system. Quantitative descriptive study is used where the sample data is observed from a population which being analyzed with statistical approach within November through December 2017 at the Emergency Room of this hospital. Cross-sectional approach with accidental sampling technique is used to gather the data. Discrete Event Simulation (DES) will also be used to visualize the process and patient flow. Response time I, response time II, examination time, wait time, and overall turn-around time will be measured. This paper aims to evaluate the process flow and patient flow in the Emergency Room in this hospital to improve their TAT to reach the target by 8 hour. The data used for the model is taken from a one month period from the Emergency Room. Comparison between the results from the DES model differ only slightly with the actual situation. With the application of Enterprise Imaging, the waiting time that was experienced by the patients are reduced and are now allocated to becoming process time, reducing the overall Turn-Around Time.

Presenters

Aziz Maulana

Details

Presentation Type

Paper Presentation in a Themed Session

Theme

Public Health Policies and Practices

KEYWORDS

Emergency Healthcare DES

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