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dc.creatorOrtiz Barrios, Miguel Angel
dc.creatorLópez Meza, Pedro
dc.date.accessioned2018-11-16T19:36:02Z
dc.date.available2018-11-16T19:36:02Z
dc.date.issued2016
dc.identifier.issn03029743
dc.identifier.issn978-331948745-8
dc.identifier.urihttp://hdl.handle.net/11323/1129
dc.description.abstractThis paper presents the use of discrete-event simulation to support process improvements at an outpatient internal medicine department. This department is significantly effective upon treating patients; however, patient waiting times tend to be longer and consequently patient satisfaction rates continue to decrease. With the aid of this technique, 3 improvement scenarios proposed by medical and administrative staff from this department were designed and simulated including changes related to installed capacity and an emphasis on physicians keeping to the schedule. Statistical analysis of output data evidenced which scenarios resulted in poor performance (statistically equal or higher waiting times) and which strategies caused lower waiting times. In this case, Scenario 3 was selected as the best improvement choice with 71.28 % and 19.28 % reduction in average waiting time and standard deviation respectively. With this approach, inefficient strategies can be avoided and real improvement alternatives can be identified.spa
dc.language.isoengeng
dc.publisherLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)eng
dc.rightsAtribución – No comercial – Compartir igualeng
dc.subjectDiscrete event simulationeng
dc.subjectHealthcareeng
dc.subjectInternal medicineeng
dc.subjectPatient waiting timeeng
dc.subjectProcess improvementeng
dc.titleUsing computer simulation to improve patient flow at an outpatient internal medicine departmenteng
dc.typeArticleeng


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