Physician and Resident Staffing In An Academic Emergency Department

dc.contributor.authorSasture, Amaren
dc.contributor.committeechairKoelling, C. Patricken
dc.contributor.committeememberTaaffe, Michael R.en
dc.contributor.committeememberFraticelli, Barbara M. P.en
dc.contributor.departmentIndustrial and Systems Engineeringen
dc.date.accessioned2014-03-14T21:30:23Zen
dc.date.adate2004-03-09en
dc.date.available2014-03-14T21:30:23Zen
dc.date.issued2004-02-26en
dc.date.rdate2005-03-09en
dc.date.sdate2004-03-02en
dc.description.abstractRising demands and market competition have forced many emergency departments to improve their quality of service. This improvement is usually achieved at the cost of increasing resources in the emergency department in order to increase the patient satisfaction. This research deals in part with both problems, i.e., increasing patient satisfaction and keeping costs in the ED to a minimum. The research has schedules designed on the patient contacts for physicians and residents in the academic emergency department at York hospital such that the resource costs and patient waiting costs are kept at a minimum. The emergency department is simulated using Arena 7.0 and the minimum cost objective is achieved by running OptQuest for Arena to get the near optimal number of staff working the designed schedules in order to achieve the objective. Efficiently scheduling doctors and residents resulted in waiting cost reductions of almost 80%. There was also an increase in patient satisfaction, considering the time taken by patients to see a doctor or resident for the first time. The time was reduced by 33% for critical patients and was reduced by almost 29% for intermediate care patients with the schedules designed herein.en
dc.description.degreeMaster of Scienceen
dc.identifier.otheretd-03022004-193818en
dc.identifier.sourceurlhttp://scholar.lib.vt.edu/theses/available/etd-03022004-193818/en
dc.identifier.urihttp://hdl.handle.net/10919/41302en
dc.publisherVirginia Techen
dc.relation.haspartAmar_Sasture_ThesisDocument.pdfen
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.subjectEmergency Departmenten
dc.subjectSimulationen
dc.subjectCostingen
dc.subjectArenaen
dc.titlePhysician and Resident Staffing In An Academic Emergency Departmenten
dc.typeThesisen
thesis.degree.disciplineIndustrial and Systems Engineeringen
thesis.degree.grantorVirginia Polytechnic Institute and State Universityen
thesis.degree.levelmastersen
thesis.degree.nameMaster of Scienceen

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