Toward Simulation-Based Real-Time Decision-Support Systems for Emergency Departments Yariv N. Marmor, Segev Wasserkrug, Avraham Shtub. 2009 Winter Simulation Conference (WSC’09), December 13-16, Austin, TX, USA
Emergency Departments (EDs) require advanced support systems for monitoring and controlling their processes: clinical, operational, and financial. A prerequisite for such a system is comprehensive operational information (e.g. queueing times, busy resources,…), reliably portraying and predicting ED status as it evolves in time. To this end, simulation comes to the rescue, through a two-step procedure that is hereby proposed for supporting real-time ED control. In the first step, an ED manager infers the ED's current state, based on historical data and simulation: data is fed into the simulator (e.g. via location-tracking systems, such as RFID tags), and the simulator then completes unobservable state-components. In the second step, and based on the inferred present state, simulation modeling supports control by predicting future ED scenarios. To this end, we estimate time-varying resource requirements via a novel simulation-based technique that utilizes the notion of offered-load.
Figure 4: Dashboard snapshot showing rooms occupancy