Global ETD Search
Search theses and dissertations gathered from participating repositories worldwide. Every result links back to the library that holds it. No account is needed.
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Showing 1 to 20 of 40 for “"Patient Flow"”.
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Patient Flow Management in Emergency Departments
In this thesis, we consider the control of patient flow through physicians in emergency departments (EDs), which have attracted many researchers' attention. Our work here seems to be the first model to quantitatively analyze the control of patient flow in an emergency department from a queueing …
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Improving ICU patient flow through discrete-event simulation
… in perioperative and emergency care. 90% of SICU patients are eventually transferred to another unit in the hospital. Frequent and sometimes lengthy non-clinical delays in this transfer process can be primarily attributed to congestion in downstream units. Multivariable regression analysis …
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Modeling neuroscience patient flow and inpatient bed management
… consistently high demand for its more than 900 inpatient beds. On an average weekday, the hospital admits about 220 patients, with the emergency department (ED) and the operating rooms (OR) being the main sources of admissions. Given MGH's high occupancy rates, a comparable number of discharges …
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National Patient Flow Framework: An Ontological Patient-oriented Redesign
This study aims to redesign and measure patient satisfaction and treatment of the patient flow process. Based on ontology, it will redesign the core patient flow processes with the simultaneous introduction of a patient-oriented model that will conceptualise and implement this ontological …
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Improving surgical patient flow in a congested recovery area
… reform requires hospitals to care for more patients while simultaneously reducing costs. Medical institutions can no longer afford to simply add beds and hire staff to increase capacity. They must use existing resources more effectively and develop innovative solutions to increase capacity. …
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Improving surgical patient flow through simulation of scheduling heuristics
… and desires to improve throughput and decrease patient waiting time without adding expensive additional resources. This project focuses on matching the intraday scheduling of elective surgeries with the discharge rate and pattern of patients from the hospital floor by investigating ways surgeons …
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Improving Emergency Department Patient Flow Through Near Real-Time Analytics
<p>ABSTRACT</p> <p>IMPROVING EMERGENCY DEPARTMENT PATIENT FLOW THROUGH NEAR REAL-TIME ANALYTICS</p> <p>This dissertation research investigates opportunities for developing effective decision support models that exploit near real-time (NRT) information to enhance the "operational intelligence" …
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Patient flow optimization in the Department of Medicine at MGH
… of Medicine (DOM) at MGH. General Medicine patients regularly experience significant non-clinical delays caused by bed and care team unavailability, with approximately 25% of patients waiting ten hours or more for a bed. Delays in bed and care team assignments result in decreased patient …
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Deriving Evidence for Healthcare Decision Makers: The Case of Patient Flow
… could be of benefit, is in the management of patient flow in acute care hospitals. This dissertation showcases a mixed methodology program of work, applied to several sub-studies examining several aspects of patient flow in acute care hospitals: 1) A scoping review on the topic of patient flow …
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Using prediction to facilitate patient flow in a health care delivery chain
… is a series of treatment steps through which patients flow. The Emergency Department (ED)/Inpatient Unit (IU) chain is an example chain, common to many hospitals. Recent literature has suggested that predictions of IU admission, when patients enter the ED, could be used to initiate IU bed …
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Analytics for Healthcare Operations: Machine Learning to Improve Emergency Department Patient Flow
… Overcrowding in the ED and high utilization of inpatient floors are symptoms of this increase in demand. Chapter 2 shows that data available at the time of an inpatient bed request can be used to prospectively identify ED patients who are sufficiently sick to require hospitalization, but are …
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Staff allocation and cost analysis: application of a hospital patient flow model
In this thesis the applicability of a hospital patient flow model is used in addressing hospital resource allocation problems. Three separate but interrelated models are presented. First, the hospital patient flow model is discussed. The main feature of the hospital patient flow model is the matrix …
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Informing BPM practice in Emergency Units of South African hospitals for improved patient flow
… and increased disease burden force higher patient loads. A majority of the South African population is medically uninsured and therefore depend on emergency care; consequently, the healthcare service demand easily exceeds available acute care to prevent life threat. When this happens, …
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Integrating Participatory Modeling with Simulation Techniques for Evidence-Informed Decision-Making in Addressing Patient Flow and COVID-19 Challenges
While simulation modeling methods are widely acknowledged as valuable tools in healthcare, their findings are rarely adopted by decision-makers in real-world policy-making. This problem arises from insufficient stakeholder engagement and the limitations of single-method simulation approaches, which …
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Distributed Situation Awareness Framework to Assess and Design Complex Systems
… Awareness (DSA) theory to study and improve patient flow management. The main objective of this research was to advance methodology in the DSA literature for (1) deriving design implications from DSA models, and (2) developing quantitative DSA models to formally compare system designs. This …
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Impact of a Localized Lean Six Sigma Implementation on Overall Patient Safety and Process Efficiency
… Healthcare Industry to increase efficiency and patient safety as well as to reduce cost. This research explores the impact of a Lean Six Sigma (LSS) process improvement initiative on the overall process efficiency and patient safety in the Labor and Delivery (L+D) units of a large hospital …
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Chest Pain Protocol Order Set
… (ED) that has problems with understaffing and patient crowding. RN-initiated chest pain orders are implemented 11% of the time and 89% by physicians. RNs initiated orders in less than 10 minutes while 50% of physician orders are initiated over 30 minutes. This results in delayed care and …
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Reducing Barriers In The Adult Ambulatory Surgery Setting By Implementing Lean Methods
<p>Process impediments and patient flow interruptions in the preoperative setting affect patient care quality and increase organizational costs through inefficient use of operating room time. Lean methodology was successfully applied to improve efficiencies, patient privacy, and quality of care in …
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Analysis of a hospital network transportation system with discrete event simulation
… medical centers and over 35 Community Based Outpatient Clinics across New England. Due to high variation in its geographic area, it has been a continuous challenge for VISN1 to develop an optimal transportation system that has low operation costs, little or no wait time for patients and drivers, …
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Essays on Healthcare Coordination
… which are used in hospitals to coordinate patient flow across care units; and Accountable Care Organizations (ACOs), which are used to coordinate care delivery across healthcare organizations. Despite the widespread adoption of, and continued push for these interventions, there is very …
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