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http://hdl.handle.net/1942/28465
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DC Field | Value | Language |
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dc.contributor.author | Carmen, Raisa | - |
dc.contributor.author | VAN NIEUWENHUYSE, Inneke | - |
dc.contributor.author | Van Houdt, Benny | - |
dc.date.accessioned | 2019-06-18T13:27:38Z | - |
dc.date.available | 2019-06-18T13:27:38Z | - |
dc.date.issued | 2018 | - |
dc.identifier.citation | EUROPEAN JOURNAL OF OPERATIONAL RESEARCH, 271(3), p. 953-967 | - |
dc.identifier.issn | 0377-2217 | - |
dc.identifier.uri | http://hdl.handle.net/1942/28465 | - |
dc.description.abstract | This study seeks insights into the impact of inpatient boarding on emergency department (ED) congestion and capacity. To do so, we model the ED as a semi-open queueing network (SOQN) with limited resources (physicians and beds) and discontinuous patient service. We present a Markov-modulated fluid queue approach to efficiently calculate service levels, and show that boarding may cause the (expensive) physician resources to be starved, especially when the bed utilization is high. While the expected number of boarding patients has a primary impact on performance, we show that there is a secondary impact stemming from the expected boarding time and the boarding probability. Boarding reduction policies perform better if they focus on reducing expected boarding time instead of the decreasing probability of boarding. Our analysis and insights are applicable also to other SOQN settings where entities require more than one resource simultaneously (e.g., intensive care units, manufacturing systems, warehousing and transportation systems). (C) 2018 Elsevier B.V. All rights reserved. | - |
dc.description.sponsorship | This research was supported by the Research Foundation Flanders (FWO) (grant no G.0768.15). | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER SCIENCE BV | - |
dc.rights | 2018 Elsevier B.V. All rights reserved. | - |
dc.subject.other | OR in health services; Markov-modulated fluid queue; Emergency department; Inpatient boarding | - |
dc.title | Inpatient boarding in emergency departments: Impact on patient delays and system capacity | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | 967 | - |
dc.identifier.issue | 3 | - |
dc.identifier.spage | 953 | - |
dc.identifier.volume | 271 | - |
local.format.pages | 15 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | [Carmen, Raisa; Van Nieuwenhuyse, Inneke] Katholieke Univ Leuven, Dept Decis Sci & Informat Management, Res Ctr Operat Management, Naamsestr 69, B-3000 Leuven, Belgium. [Van Nieuwenhuyse, Inneke] Hasselt Univ, Res Grp Logist, Agoralaan Bldg D, B-3590 Diepenbeek, Belgium. [Van Houdt, Benny] Univ Antwerp, Dept Math & Comp Sci, Antwerp, Belgium. | - |
local.publisher.place | AMSTERDAM | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
dc.identifier.doi | 10.1016/j.ejor.2018.06.018 | - |
dc.identifier.isi | 000442060500014 | - |
item.fullcitation | Carmen, Raisa; VAN NIEUWENHUYSE, Inneke & Van Houdt, Benny (2018) Inpatient boarding in emergency departments: Impact on patient delays and system capacity. In: EUROPEAN JOURNAL OF OPERATIONAL RESEARCH, 271(3), p. 953-967. | - |
item.accessRights | Restricted Access | - |
item.contributor | Carmen, Raisa | - |
item.contributor | VAN NIEUWENHUYSE, Inneke | - |
item.contributor | Van Houdt, Benny | - |
item.fulltext | With Fulltext | - |
item.validation | ecoom 2019 | - |
crisitem.journal.issn | 0377-2217 | - |
crisitem.journal.eissn | 1872-6860 | - |
Appears in Collections: | Research publications |
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File | Description | Size | Format | |
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carmen 1.pdf Restricted Access | Published version | 4.76 MB | Adobe PDF | View/Open Request a copy |
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