In this paper we describe a simulation model for bed capacity planning in Intensive Care.
The model shows that there is a non-linear relationship between numbers of beds, mean occupancy level and the numbers of patients that have to be transferred through lack of bed space.
Furthermore, there is a heavy trade off between bed occupancy and the number of transfers.
The model employs a rudimentary deferral rule for the elective patients when their admission is blocked through lack of bed space ; from this we conclude that there is scope for a more effective elective patient admission scheduling system.
As a result of this work, a multi-disciplinary Intensive Care Modelling Task Group has been set up to guide the development of a more sophisticated model.
Mots-clés Pascal : Unité soin intensif, Modèle simulation, Planification, Lit, Temps attente, Gestion hospitalière, Royaume Uni, Europe, Recherche opérationnelle, Transfert, Capacité accueil, Liste attente
Mots-clés Pascal anglais : Intensive care unit, Simulation model, Planning, Bed, Waiting time, Hospital management, United Kingdom, Europe, Operations research, Transfer
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0192492
Code Inist : 002B30A04B. Création : 11/09/1998.