An evaluation of 'fast track' in AE: a discrete event simulation approach
Maull, Roger S.
Karasneh, A. Al-Fatah
The Service Industries Journal
This longitudinal study provides primary evidence on the impact that a fast-track strategy in a hospital Emergency Department has on patient wait time. The study uses a discrete event simulation model to predict output within a variety of triage categories and compares these with post-implementation results. The results of the study indicate a significant reduction in patient wait time with 13.2% of the population waiting longer than 4 h prior to implementation compared with 1.4% post-implementation. However, while this fast-track strategy significantly improves service delivery to patients with minor conditions, service for patients with more acute conditions is not proportionately improved.
Draft version published as working paper; final version published in The Service Industries Journal, Vol 29, No. 5, 2009. Available online at http://www.tandfonline.com/
The Service Industries Journal, 29:7,923-941