Abstract Aim A full-cycle audit was conducted at our plastic surgery unit, assessing adherence to hand trauma standards by the British Society for Surgery of Hand. These stipulate that time from referral clinic open injuries and closed fractures should be within 24 hours 72 respectively theatre date injury (DOI) 4 7 days, respectively. Method Data initial collected Nov 2019-Feb 2020 re-audit Au...

The work presented in this paper is based on two projects that were conducted at St. Olavs Hospital (Norway) when preparing for the COVID-19 pandemic. Three discrete event simulation models are provided to evaluate resource requirements during peak of First, we estimate number beds needed emergency department (ED). In second model, ambulances required maintain prepandemic response times patient...

Stochastic distribution methods were used to construct patient flow simulation sub-models such as inflow, length of stay (LoS), cost treatment (CoT) and clinical pathways (CPs). However, the inflow rate demonstrates seasonality, trend, variation due natural human-made factors. LoS, CoT CPs are determined by social-demographics factors, laboratory test results, resource availability healthcare s...

To characterize the coupling effect between patient flow to access the emergency department (ED) and that to access the inpatient unit (IU), we develop a model with two connected queues: one upstream queue for the patient flow to access the ED and one downstream queue for the patient flow to access the IU. Building on this patient flow model, we employ queueing theory to estimate the average wa...