Skip to main content
SpringerLink
Log in
Book cover

International Conference on Health Care Systems Engineering

ICHCSE 2017: Health Care Systems Engineering pp 293–295Cite as

Crowding in Paediatric Emergency Department, A Review of the Literature and a Simulation-Based Case Study

  • Conference paper
  • First Online:

  • 978 Accesses

Part of the book series: Springer Proceedings in Mathematics & Statistics ((PROMS,volume 210))

Abstract

In this study, we perform a systematic review of the literature concerned with crowding in pediatric emergency departments and assess, via discrete-event simulation, the impact of the implementation of triage-based protocols—which consist in allowing triage nurses to prescribe diagnostic tests before the first physician assessment- on the emergency department performance. The study is based on real data from a leading Italian hospital.

This is a preview of subscription content, log in via an institution.

References

  1. Asplin, B., et al.: Emergency department crowding: high impact solutions. ACEP Task Report on Boarding (2008)

    Google Scholar 

  2. Hoot, N.R., Aronsky, D.: Systematic review of emergency department crowding: causes, effects, and solutions. Ann. Emerg. Med. 52(2), 126–136 (2008)

    Article  Google Scholar 

  3. Sinclair, D.: Emergency department overcrowding–implications for paediatric emergency medicine. Paediatr. Child Health 12(6), 491 (2007)

    Article  Google Scholar 

  4. Barata, I., et al.: Best practices for improving flow and care of pediatric patients in the emergency department. Pediatrics 135(1), 273–283 (2015)

    Google Scholar 

  5. Yang, K.K., et al.: Managing emergency department crowding through improved triaging and resource allocation. Oper. Res. Health Care 10, 13–22 (2016)

    Google Scholar 

  6. Wiler, J.L., et al.: Optimizing emergency department front-end operations. Ann. Emerg. Med. 55(2), 142–160 (2010)

    Google Scholar 

  7. Lee, K.M., et al.: Accuracy and efficiency of X-ray requests initiated by triage nurses in an accident and emergency department. Accid. Emerg. Nurs. 4(4), 179–181 (1996)

    Article  Google Scholar 

  8. Fry, M.: Triage nurses order x-rays for patients with isolated distal limb injuries: a 12-month ED study. J. Emerg. Nurs. 27(1), 17–22 (2001)

    Google Scholar 

  9. Seaberg, D.C., MacLeod, B.A.: Correlation between triage nurse and physician ordering of ED tests. Am. J. Emerg. Med. 16(1), 8–11 (1998)

    Google Scholar 

  10. Visintin, F., et al.: Applying discrete event simulation to the design of a service delivery system in the aerospace industry: a case study. J. Intell. Manuf. 25(5), 1135–1152 (2014)

    Google Scholar 

  11. Visintin, F., et al.: Development and implementation of an operating room scheduling tool: an action research study. Prod. Plann. Control 28(9), 758–775 (2017)

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. IBIS Lab, University of Florence, Florence, Italy

    Caterina Caprara & Filippo Visintin

  2. Meyer Children’s Hospital, Florence, Italy

    Francesco Puggelli

Authors
  1. Caterina Caprara
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Filippo Visintin
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Francesco Puggelli
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Filippo Visintin .

Editor information

Editors and Affiliations

  1. Dipartimento di Ingegneria dell’Informazione, University of Florence, Florence, Italy

    Paola Cappanera

  2. Department of Industrial and Systems Engineering, University of Wisconsin–Madison, Madison, Wisconsin, USA

    Jingshan Li

  3. Department of Mechanical Engineering, Politecnico di Milano, Milan, Italy

    Andrea Matta

  4. Laboratoire Génie Industriel, École Centrale Paris, Châtenay-Malabry, France

    Evren Sahin

  5. OG Productie en Logistiek Leuven, Katholieke Universiteit Leuven, Leuven, Belgium

    Nico J. Vandaele

  6. Dipartimento di Ingegneria Industriale, University of Florence, Florence, Italy

    Filippo Visintin

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Caprara, C., Visintin, F., Puggelli, F. (2017). Crowding in Paediatric Emergency Department, A Review of the Literature and a Simulation-Based Case Study. In: Cappanera, P., Li, J., Matta, A., Sahin, E., Vandaele, N., Visintin, F. (eds) Health Care Systems Engineering. ICHCSE 2017. Springer Proceedings in Mathematics & Statistics, vol 210. Springer, Cham. https://doi.org/10.1007/978-3-319-66146-9_26

Download citation

Publish with us

Policies and ethics

Search

Navigation