Design and analysis of an outpatient orthopaedic clinic performance with discrete event simulation and design of experiments |
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| Affiliation: | 1. Department of Industrial Engineering, Université du Québec à Trois-Rivières, 3351 Boulevard des Forges, Trois-Rivières, Québec G9A 5H7, Canada;2. Department of Management Science, Université du Québec à Trois-Rivières, 3351 Boulevard des Forges, Trois-Rivières, Québec G9A 5H7, Canada;1. Metro North Hospital and Health Service, Queensland Health, Herston QLD 4029, Australia;2. Menzies Health Institute Queensland and Centre for Applied Health Economics, Griffith University, Nathan campus, 170 Kessels Road, Nathan QLD 4111, Australia;3. Centre for Allied Health Research, Royal Brisbane and Women’s Hospital, Herston QLD 4029, Australia;4. Anthrodynamics Simulation Services. Minus Fifty Software, Canada;5. School of Health and Rehabilitation Sciences, The University of Queensland, Therapies Building 84a, St Lucia QLD 4072, Australia;6. Physiotherapy Department, Royal Brisbane and Women’s Hospital, Herston QLD 4029, Australia;1. Department of Industrial Engineering, Tarbiat Modares University, Tehran, Iran;2. Health Systems Optimization, Engineering and Informatics Laboratory, Tehran, Iran;3. Department of Industrial Engineering, Isfahan University of Technology, Isfahan, Iran;1. Department of Ophthalmology and Visual Science, Yale School of Medicine, New Haven, Connecticut, USA;2. Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts, USA;3. Manhattan Retina and Eye Consultants, New York, New York, USA;1. Centre for Industrial Management/Traffic and Infrastructure, KU Leuven, Celestijnenlaan 300A, 3001 Heverlee, Belgium;2. Research Group Experimental Neurology, University Hospitals Leuven, Herestraat 49, B3000 Leuven, Belgium;3. VIB Vesalius Research Center, University Hospitals Leuven, Herestraat 49, B3000 Leuven, Belgium;4. Care Program Management, University Hospitals Leuven, Herestraat 49, B3000 Leuven, Belgium;1. Physiotherapy Department, Fremantle Hospital, Perth, WA, Australia;2. School of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia;3. Shenton Park Physiotherapy Clinic, Perth, WA, Australia;4. Orthopaedic Surgery Department, Fiona Stanley Hospital, Perth, WA, Australia |
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| Abstract: | Considering that demand for healthcare services is constantly increasing, outpatient services must improve their performance. Being able to satisfy the demand with a limited outpatient service capacity is an important operational challenge. The objective of our research consists in studying the relationships and interactions between patient flows, resource capacity (number of consulting rooms and number of nurses) and appointment scheduling rules in order to improve an outpatient orthopaedic clinic performance. Discrete event simulation is used to model outpatient flows. An experimental design was developed to test how to assign consulting rooms and nurses to each orthopedist considering four appointment scheduling rules and three patient flow types of varied complexity. Analysis of variance and the Tukey test are used to evaluate the simulation results. Our conclusion is that in order to improve the outpatient orthopaedic clinic performance, resources (consulting rooms, nurses) and appointment scheduling rules must be adapted to the different patient flows. |
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| Keywords: | Healthcare Outpatient clinic Patient flow Simulation Design of experiments |
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