Computer Simulation to Assess Emergency Department Length of Stay in Pediatric Traumatic Brain Injury.
Pediatr Emerg Care
; 40(6): 421-425, 2024 Jun 01.
Article
en En
| MEDLINE
| ID: mdl-38227782
ABSTRACT
OBJECTIVES:
Our study aimed to identify how emergency department (ED) arrival rate, process of care, and physical layout can impact ED length of stay (LOS) in pediatric traumatic brain injury care.METHODS:
Process flows and value stream maps were developed for 3 level I pediatric trauma centers. Computer simulation models were also used to examine "what if" scenarios based on ED arrival rates.RESULTS:
Differences were observed in prearrival preparation time, ED physical layouts, and time spent on processes. Shorter prearrival preparation time, trauma bed location far from diagnostic or treatment areas, and ED arrival rates that exceed 20 patients/day prolonged ED LOS. This was particularly apparent in 1 center where computer simulation showed that relocation of trauma beds can reduce ED LOS regardless of the number of patients that arrive per day.CONCLUSIONS:
Exceeding certain threshold ED arrival rates of children with traumatic brain injury can substantially increase pediatric trauma center ED LOS but modifications to ED processes and bed location may mitigate this increase.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Centros Traumatológicos
/
Simulación por Computador
/
Servicio de Urgencia en Hospital
/
Lesiones Traumáticas del Encéfalo
/
Tiempo de Internación
Límite:
Child
/
Humans
Idioma:
En
Revista:
Pediatr Emerg Care
Asunto de la revista:
MEDICINA DE EMERGENCIA
/
PEDIATRIA
Año:
2024
Tipo del documento:
Article