Simulation and Queueing Models to Assist Planning of Accident and Emergency Services
A reduction in the number of accident and emergency units has long been a planning priority in the UK. And yet nationally, only broad planning guidelines exist to aid effective planning of accident and emergency care.
Two models have been developed to aid this planning process. The models allow analysis of an A & E department in some detail, and it is possible to experiment with changes in workload, staff/facility levels and operational policies.
The assumptions inherent in the models, and the model results are compared. A case study, using the models in one London health district, is outlined.
KeywordsQueue Length Emergency Service Service Area Minor Injury Operational Policy
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- 1.Packwood T., The Organisation of Accident and Emergency Departments. Health and Social Services Journal. July 1974 1677–79.Google Scholar
- 2.Ministry of Health. Accident and Emergency Department. Hospital Building Note 22. London, HMSO. 1964.Google Scholar
- 3.The Use of Accident and Emergency Services in Harringay. (1). London. Harringay Community Health Council, 1979.Google Scholar
- 4.Cox D.R., Smith W.L. Queues. London. Chapman & Hall. 1971.Google Scholar
- 5.Benes V.E. General Stochastic Processes in the Theory of Queues. London. Addison-Wesley. 1963.Google Scholar
- 6.Riordan J. Stochastic Service Systems. Sussex. John Wiley and Sons. 1962.Google Scholar
- 7.N.E. Thames R.H.A. Study of Accident and Emergency Services in Harringay Health District. London. NETRHA. 1980.Google Scholar