I read with great interest the article by Alavi-Moghaddam et al. (1) in which the authors concluded that application of the queuing theory analysis can improve movement and reduce the waiting times of patients in bottlenecks within the emergency department (ED) in Iran. As an epidemiologist in Morocco, I divide the frustration of the authors that throughput of patients in the emergency departme...

Objective: To analyze the effects of a reimbursement reform on somatic hospitals’ efficiency and quality, measured as patient experiences. By the reform a capitation-based block grant system was replaced by an activity-based system. Methods: Data on efficiency and patient satisfaction from 213 hospital departments before (1996) and after (1998, 2000 and 2003) the reform were analyzed using a mi...

Designing patient flow in emergency departments Yariv N. Marmor a , Boaz Golany b , Shlomo Israelit c & Avishai Mandelbaum b a Mayo Clinic, Divisions of Health Care Policy and Research, 200 First Street SW, Rochester, MN, USA b Israel Institute of Technology, Faculty of Industrial Engineering and Management, Haifa, 32000, Israel c Rambam Health Care Campus, Emergency Department, Haifa, 31096, I...

Data Envelopment Analysis (DEA) provides means for piecewise linear approximation of production functions. To improve the fit to the data we propose to improve the flexibility of the frontier by extending DEA towards a more general piecewise quadratic approximation, called Quadratic Data Envelopment Analysis (QDEA). In contrast to the linear approximation, the quadratic approximation allows for...

We describe an agent based model of an emergency department and its utility for evaluating workflow and assessing patient diversion policies. The overall goal of the research is to develop tools to better understand and manage emergency departments. There are several modes in which agent based modeling tools may be of benefit. In a self contained manner the operation of an emergency department ...

This study aims to determine differences in self-concept and resilience terms of majors students SMK Negeri 1 Merdeka. The department is part the Vocational High School, namely focus field chosen studied by students. disciplines a at this are Building Engineering Light Vehicle Engineering. hypothesis put forward that there SMK. In study, samples used were 116 majoring 148 Engineering, totaly 26...