The stochastic nature of emergency service requests and the unavailability of emergency vehicles when requested to serve demands are critical issues in constructing valid models representing real life emergency medical service (EMS) systems. We consider an EMS system design problem with stochastic demand and locate the emergency response facilities and vehicles in order to ensure target levels ...

OBJECTIVES To study the morbidity patterns of non-urgent patients utilising accident and emergency services and compare these patients with 'true' accident and emergency cases. To analyse the morbidity pattern of non-urgent cases over different time periods, and across different age groups. DESIGN A cross-sectional study completed over a 1-year period. SETTING Four accident and emergency de...

The location planning of emergency service stations is crucial, especially in the populated cities with heavy traffic conditions such as Istanbul. In this paper, we propose a Backup Double Covering Model (BDCM), a variant of the well-known Maximal Covering Location Problem, that requires two types of services to plan the emergency service stations. The objective of the model is to maximize the ...

A simulation model for evaluating the performance of an emergency response fleet of an electric utility company is presented. The proposed model considers the spatial, temporal, and severity distribution of calls and has the capability to simulate alternative configurations of service districts and dispatching policies of the emergency response fleet. A nonstadonary Poisson process is used to s...

OBJECTIVE To establish the current and predicted distribution of formal emergency nurse practitioner services in major accident and emergency departments in the United Kingdom; to determine organisational variations in service provision, with specific reference to funding, role configuration, training, and scope of clinical activity. METHODS Postal survey of senior nurses of all major acciden...

BACKGROUND Older people resident in care homes have a limited life expectancy and approximately two-thirds have limited mental capacity. Despite initiatives to reduce unplanned hospital admissions for this population, little is known about the involvement of emergency services in supporting residents in these settings. METHODS This paper reports on a longitudinal study that tracked the involv...

Background: Quality of work life depends on a combination of variables in the work environment that has an important impact on organizational commitment, work participation, and job performance. Therefore, measuring two variables of quality of work life and organizational commitment is important for all employees of organizations, including emergency nurses, who are important members of the hea...

BACKGROUND Health reforms in service improvement have included the use of nurse practitioners. In rural emergency departments, nurse practitioners work to the full scope of their expanded role across all patient acuities including those presenting with undifferentiated chest pain. Currently, there is a paucity of evidence regarding the effectiveness of emergency nurse practitioner service in ru...