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Emergency department design evaluation and optimization using discrete event simulation

The proposed research would help any architect/owner decide the number of rooms/ cubicles for each sub-department of the ED, as well as have an estimated price for the ED, in order to optimally serve patients entering the ED with a known arrival rate. A thorough literature review was undertaken to c...

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Main Author: Rofaeel, Irinie Wanis Tadros
Format: Thesis
Published: AUC Knowledge Fountain 2012
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access_status_str Open Access
author Rofaeel, Irinie Wanis Tadros
author_browse Rofaeel, Irinie Wanis Tadros
author_facet Rofaeel, Irinie Wanis Tadros
author_sort Rofaeel, Irinie Wanis Tadros
collection Thesis
dc_rights_str_mv The author retains all rights with regard to copyright. The author certifies that written permission from the owner(s) of third-party copyrighted matter included in the thesis, dissertation, paper, or record of study has been obtained. The author further certifies that IRB approval has been obtained for this thesis, or that IRB approval is not necessary for this thesis. Insofar as this thesis, dissertation, paper, or record of study is an educational record as defined in the Family Educational Rights and Privacy Act (FERPA) (20 USC 1232g), the author has granted consent to disclosure of it to anyone who requests a copy.
description The proposed research would help any architect/owner decide the number of rooms/ cubicles for each sub-department of the ED, as well as have an estimated price for the ED, in order to optimally serve patients entering the ED with a known arrival rate. A thorough literature review was undertaken to collect data concerning the application of decision support tools for minimizing patient waiting times and maximizing the utilization rate in health care systems. Interviews were made with hospital managers in order to verify process flow, waiting times, activity durations, and resources. In addition, several floor plans of EDs have been studied in order to assure the logical flow of the process. Based on the data collected and the several verifications, a discrete event simulation model was developed using ARENA software. This simulation model was then verified by building a similar model on different software, which was AnyLogic. The results proved the accuracy of the model. Twenty additional simulation runs were performed to be used for the regression analysis. The equations resulted from the regression analysis were used for the optimization model. A genetic algorithm was used for the purpose of obtaining optimized resource allocation for different arrival rates within a constrained budget, area, and patient waiting time in the system.
format Thesis
id oai:fount.aucegypt.edu:etds-2231
institution American University in Cairo (Egypt)
last_indexed 2026-06-10T12:35:47.730Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from AUC Knowledge Fountain — bepress
publishDate 2012
publishDateRange 2012
publishDateSort 2012
publisher AUC Knowledge Fountain
publisherStr AUC Knowledge Fountain
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source_str AUC Knowledge Fountain — bepress
spelling oai:fount.aucegypt.edu:etds-2231 Emergency department design evaluation and optimization using discrete event simulation Rofaeel, Irinie Wanis Tadros The proposed research would help any architect/owner decide the number of rooms/ cubicles for each sub-department of the ED, as well as have an estimated price for the ED, in order to optimally serve patients entering the ED with a known arrival rate. A thorough literature review was undertaken to collect data concerning the application of decision support tools for minimizing patient waiting times and maximizing the utilization rate in health care systems. Interviews were made with hospital managers in order to verify process flow, waiting times, activity durations, and resources. In addition, several floor plans of EDs have been studied in order to assure the logical flow of the process. Based on the data collected and the several verifications, a discrete event simulation model was developed using ARENA software. This simulation model was then verified by building a similar model on different software, which was AnyLogic. The results proved the accuracy of the model. Twenty additional simulation runs were performed to be used for the regression analysis. The equations resulted from the regression analysis were used for the optimization model. A genetic algorithm was used for the purpose of obtaining optimized resource allocation for different arrival rates within a constrained budget, area, and patient waiting time in the system. 2012-02-01T08:00:00Z thesis application/pdf https://fount.aucegypt.edu/etds/1232 https://fount.aucegypt.edu/context/etds/article/2231/viewcontent/Theses_20Paper.pdf The author retains all rights with regard to copyright. The author certifies that written permission from the owner(s) of third-party copyrighted matter included in the thesis, dissertation, paper, or record of study has been obtained. The author further certifies that IRB approval has been obtained for this thesis, or that IRB approval is not necessary for this thesis. Insofar as this thesis, dissertation, paper, or record of study is an educational record as defined in the Family Educational Rights and Privacy Act (FERPA) (20 USC 1232g), the author has granted consent to disclosure of it to anyone who requests a copy. Theses and Dissertations AUC Knowledge Fountain Simulation Design
spellingShingle Simulation
Design
Rofaeel, Irinie Wanis Tadros
Emergency department design evaluation and optimization using discrete event simulation
title Emergency department design evaluation and optimization using discrete event simulation
title_full Emergency department design evaluation and optimization using discrete event simulation
title_fullStr Emergency department design evaluation and optimization using discrete event simulation
title_full_unstemmed Emergency department design evaluation and optimization using discrete event simulation
title_short Emergency department design evaluation and optimization using discrete event simulation
title_sort emergency department design evaluation and optimization using discrete event simulation
topic Simulation
Design
url https://fount.aucegypt.edu/etds/1232
https://fount.aucegypt.edu/context/etds/article/2231/viewcontent/Theses_20Paper.pdf
work_keys_str_mv AT rofaeeliriniewanistadros emergencydepartmentdesignevaluationandoptimizationusingdiscreteeventsimulation