Document Detail


Hospital bed utilization: an implemented simulation approach to adjusting and maintaining appropriate levels.
MedLine Citation:
PMID:  3886604     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A simulation model was constructed to permit detailed assessment of bed allocation and usage rules, thereby easing considerably the process of improving and maintaining appropriate utilization levels. The model, written in Simscript II.5, follows patient processing from preadmission through discharge, uniquely identifying patients, beds, diagnosis-related service areas, and so on, permitting reliable evaluation of bed usage performance. It was applied at The Mount Sinai Hospital, New York City. Using the model, several bed allocation plans were developed, one being adopted as the best-case reallocation. Also studied was the impact of severely restricting off-service patient placements. Additionally, the work resulted in a new service being established, a realignment of elective admissions reservations, and the incorporation of an additional measure of performance. The article discusses bed utilization problems in general and, in particular, the simulation model, the performance measures used, the experiments undertaken, the results achieved, the then-current and best-case allocation plans, and some directions for future work.
Authors:
M B Dumas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Health services research     Volume:  20     ISSN:  0017-9124     ISO Abbreviation:  Health Serv Res     Publication Date:  1985 Apr 
Date Detail:
Created Date:  1985-06-18     Completed Date:  1985-06-18     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0053006     Medline TA:  Health Serv Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  43-61     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Bed Occupancy*
Hospital Bed Capacity, 500 and over
Hospitals / utilization*
Humans
Length of Stay
Models, Theoretical*
New York City
Planning Techniques
Comments/Corrections

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