Improving Emergency Department performance using Discrete-event and Agent-based Simulation

dc.contributor.authorKaushal, Arjun
dc.contributor.examiningcommitteeKuhn, David (Mechanical Engineering) Strome, Trevor (Emergency Medicine)en_US
dc.contributor.supervisorPeng, Qingjin (Mechanical Engineering)en_US
dc.date.accessioned2014-02-14T16:44:13Z
dc.date.available2014-02-14T16:44:13Z
dc.date.issued2014-02-14
dc.degree.disciplineMechanical and Manufacturing Engineeringen_US
dc.degree.levelMaster of Science (M.Sc.)en_US
dc.description.abstractThis thesis investigates the causes of the long wait-time for patients in Emergency department (ED) of Victoria General Hospital, and suggests changes for improvements. Two prominent simulation techniques have been used to replicate the ED in a simulation model. These are Discrete-event simulation (DES) and Agent-based modeling (ABM). While DES provides the basic modeling framework ABM has been used to incorporate human behaviour in the ED. The patient flow in the ED has been divided into 3 phases: input, throughput, and output. Model results show that there could be multiple interventions to reduce time taken to be seen by the doctor for the first time (also called WTBS) either in the output phase or in the input phase. The model is able to predict that a reduction in the output phase would cause reduction in the WTBS but it is not equipped to suggest how this reduction can be achieved. To reduce WTBS by making interventions in the input phase this research proposes a strategy called fast-track treatment (FTT). This strategy helps the model to dynamically re-allocate resources if needed to alleviate high WTBS. Results show that FTT can reduce WTBS times by up-to 40%.en_US
dc.description.noteMay 2014en_US
dc.identifier.urihttp://hdl.handle.net/1993/23305
dc.language.isoengen_US
dc.rightsopen accessen_US
dc.subjectEmergency Departmenten_US
dc.subjectSimulationen_US
dc.subjectDiscrete-event Simulationen_US
dc.subjectAgent-based simulationen_US
dc.subjectSimulation model validationen_US
dc.subjectImprovement of Emergency Departmenten_US
dc.titleImproving Emergency Department performance using Discrete-event and Agent-based Simulationen_US
dc.typemaster thesisen_US
local.subject.manitobayesen_US
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