Title: Role of Waiting Line Model in Reducing the Patient’s Waiting Time In The Emergency Department
Authors: Shailesh N. Khekale, Dr Ramesh D. Askhedkar, Dr Rajesh H. Parikh, Dr Devesh D. Gosavi
DOI: http://dx.doi.org/10.18535/jmscr/v3i12.22
Timely health aid affects the prospects of patient life. In critical cases waiting for the patient will definitely ruin the opportunity of the life. Many previous studies elaborate occurrences of the patient’s waiting time in the Emergency Department all over the world which directly affects the patient satisfaction level and finally reducing the performance of the hospital. Total five types of patient waiting time are observed by the researcher. These patient waiting times stop the patient flow at various steps. To optimize the performance of the emergency department in terms of time and other variables, there are various management techniques, such as LEAN, Six Sigma, Simulation modeling, Waiting line model, Application of Rapid Assessment team, Continuous Quality Improvement techniques. We designed randomized observational cross sectional time study in the emergency department of multi spatiality hospital located in central India over a period of 6 months. Results :From time study, waiting times are observed which are of five types such as waiting for Ward boy, Casualty Medical Officer, Intensivist,diagnostic procedure and for Bed in ICCU orICU or Ward. Waiting time for Intensivist and for bed in ICCU / ICU / Ward are of having high value for the patients of priority level I, II and III. For patients of priority level-I and II, time is very important. 1. Ozcan, Y. A. (2006),” Quantitative methods in health care management; Techniques and applications” (First edition ed.). Jossey-Bass Publications. 2. McQuarrie, D. G. (1983),” Hospital utilization levels: The application of queuing theory to a controversial medical economic problem”, Minnesota Medicine, 66, pp:679-686,1983 3. Green, L. V. (2006a),” Queuing analysis in healthcare, in Patient Flow: Reducing Delay in Healthcare Deliver”, New York: Springer, 91, pp:281-307,2006. 4. Siddhartan, K., Jones, W. J., & Johnson, J. A. (1996),” A priority queuing model to reduce waiting times in emergency care”, International Journal of Health Care Quality Assurance, 9, pp:10-16,1996. 5. Keller, T. F., & Laughhunn, D. J. (1973),” An application of queuing theory to a congestion problem in an outpatient clinic”, Decision Sciences, 4, pp:379-394,1973. 6. Murray, S. C. (2000),” Understanding the Patient Flow”, Decision Line, 8-10, March2000. 7. Hall, R., Belson, D., Murali, P., & Dessouky, M. (2006),” Modeling patient flows through the health care system, in Patient Flow: Reducing Delay in Healthcare Delivery”, New York: Springer,pp:1-44,2006 8. Murray, S. C. (2000),” Understanding the Patient Flow”, Decision Line, March, 8-10, 2000. 9. Cochran, K. J., & Bharti, A. (2006),” A Multi-stage Stochastic Methodology for Whole Hospital Bed Planning Under Peak Loading”, International Journal of Industrial and Systems Engineering,(1 (1/2)),pp: 8-35, 2006. 10. Ivalis, S., & Millard, P. (2003),” Health care modeling operating the black box”, British Journal of Health Care Management(8(7)), pp:251-255,2003. 11. Adele, M., & Barry, S. (2005),” Modeling patient flow in hospital using queuing theory”. Unpublished Manuscript 12. S. S Vasanawala,., & Desser, T. S. (2005),” Accommodation of requests for emergency US and CT: Applications of queuing theory to scheduling of urgent studies”, Radiology, 235, pp:244-249,2005. 13. L. V. Green (2002),” How many Hospital Beds?,” Inquiry, 37(4), pp:400-412, 2002. 14. Kim, S., Horowitz, I., Young, K., & Buckly, T. (1999),” Analysis of Capacity Management of the Intensive Care Unit in a Hospital”, European Journal of Operational Research, 105, pp:346-355,1999. 15. Green, L. V., Soares, J., Giulio, J., & Green R. (2006)”, Using Queuing Theory to Increase the Effectiveness of Emergency Department Provides Staffing”, Academic Emergency Medicine, 13(1), pp:61-68. 16. McQuarrie, D. G. (1983),” Hospital utilization levels: The application of queuing theory to a controversial medical economic problem”, Minnesota Medicine, 66, pp:679-86,1983. 17. Siddhartan, K., Jones, W. J., & Johnson, J. A. (1996)”, A priority queuing model to reduce waiting times in emergency care”, International Journal of Health Care Quality Assurance, 9, pp:10-16,1996. 18. Obamiro John Kolade (2010), “Queuing Theory and Patient Satisfaction: An Overview of Terminology and Application in Ante-Natal Care Unit”, Petroleum-Gas University of Ploiesti Bulletin” Economic Sciences Series, Vol.LXII No.1,2010 19. Gaurav Agrawal; Gaurav Saxena,; (2010), “Queuing Model for health care center”http://74.125.155.132/scholarq cache: QsEUUMSV3AQJ:scholar.google.com/&hl=en&as_sdt=2000 20. Mehandiratta Reetu, (2011), “Application of Queueing theory in Health Care”, International Journal of Computing and Business Research, ISSN (online), 2,2, pp:2229- 6166, May 2011Abstract
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