TY - UNPB

T1 - Understanding Target-driven action in A&E performance using simulation

AU - Gunal, M

AU - Pidd, M

PY - 2009

Y1 - 2009

N2 - Many computer simulation models of A&E departments have been developed to aid clinicians and managers to maintain and improve performance of their departments. Here we present a model that can be also used to understand changes in performance that may occur as a result of the 4-hour target regime in the English NHS. The model simulates the performance resulting from normal activity and the differences between this and actual performance are revealing. Results from 2 departments are presented to demonstrate this mode of model use. These reveal the extent of special action taken in some A&E departments as patients approach the target time and also show the true, underlying performance of the departments.

AB - Many computer simulation models of A&E departments have been developed to aid clinicians and managers to maintain and improve performance of their departments. Here we present a model that can be also used to understand changes in performance that may occur as a result of the 4-hour target regime in the English NHS. The model simulates the performance resulting from normal activity and the differences between this and actual performance are revealing. Results from 2 departments are presented to demonstrate this mode of model use. These reveal the extent of special action taken in some A&E departments as patients approach the target time and also show the true, underlying performance of the departments.

KW - Emergency medicine

KW - Computer simulation

KW - Efficiency organizational

M3 - Working paper

T3 - Management Science Working Paper Series

BT - Understanding Target-driven action in A&E performance using simulation

PB - The Department of Management Science

CY - Lancaster University

ER -