An evaluation of 'fast track' in AE: a discrete event simulation approach

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An evaluation of 'fast track' in AE: a discrete event simulation approach

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dc.contributor.author Maull, Roger S. en_US
dc.contributor.author Smart, Andi en_US
dc.contributor.author Harris, A. en_US
dc.contributor.author Karasneh, A. Al-Fatah en_US
dc.date.accessioned 2012-02-21T12:24:09Z en_US
dc.date.accessioned 2013-03-19T16:06:52Z
dc.date.issued 2009 en_US
dc.description.abstract 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. en_GB
dc.identifier.citation The Service Industries Journal, 29:7,923-941 en_GB
dc.identifier.doi 10.1080/02642060902749534 en_US
dc.identifier.other 912443126 en_US
dc.identifier.uri http://hdl.handle.net/10036/3410 en_US
dc.language.iso en en_GB
dc.publisher Routledge en_GB
dc.relation.ispartofseries Discussion papers in management en_GB
dc.relation.url http://business-school.exeter.ac.uk/documents/papers/management/2006/0603.pdf en_GB
dc.subject service operations en_GB
dc.subject process design en_GB
dc.subject discrete event simulation en_GB
dc.subject healthcare en_GB
dc.subject performance measurement en_GB
dc.subject 'see and treat' en_GB
dc.subject fast track en_GB
dc.subject COMPUTER-SIMULATION en_GB
dc.subject PATIENT SATISFACTION en_GB
dc.subject INTENSIVE-CARE en_GB
dc.subject ONE SIZE en_GB
dc.subject EMERGENCY en_GB
dc.subject SYSTEMS en_GB
dc.subject ACCIDENT en_GB
dc.subject CAPACITY en_GB
dc.subject DYNAMICS en_GB
dc.subject SERVICES en_GB
dc.subject National Health Service en_GB
dc.title An evaluation of 'fast track' in AE: a discrete event simulation approach en_GB
dc.type Working Paper en_GB
dc.date.available 2012-02-21T12:24:09Z en_US
dc.date.available 2013-03-19T16:06:52Z
dc.identifier.issn 0264-2069 en_US
exeter.contacts.depositing-owner-email Maull, Roger <R.S.Maull@exeter.ac.uk> en_US
exeter.contacts.impersonator-email Overy, Patrick <P.C.Overy@exeter.ac.uk> en_US
exeter.contacts.owner-email Maull, Roger <R.S.Maull@exeter.ac.uk> en_US
exeter.contacts.owner-email Smart, Philip <P.A.Smart@exeter.ac.uk> en_US
dc.description 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/ en_GB
dc.identifier.journal The Service Industries Journal en_GB
pubs.organisational-data /Symplectic Joint Venture en_US
pubs.organisational-data /Symplectic Joint Venture/Exeter en_US
pubs.organisational-data /Symplectic Joint Venture/Exeter/All Exeter Users en_US
pubs.organisational-data /Symplectic Joint Venture/Exeter/University of Exeter Business School en_US
pubs.organisational-data /Symplectic Joint Venture/Exeter/University of Exeter Business School/All Academic Staff (UEBS) en_US
pubs.organisational-data /Symplectic Joint Venture/Exeter/University of Exeter Business School/All Researchers (R+T&R) (UEBS) en_US
pubs.organisational-data /Symplectic Joint Venture/Exeter/University of Exeter Business School/Business and Management en_US
pubs.organisational-data /Symplectic Joint Venture/Exeter/University of Exeter Business School/Teaching & Research (T&R) (UEBS) en_US


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