Article ID: | iaor19992406 |
Country: | Netherlands |
Volume: | 105 |
Issue: | 2 |
Start Page Number: | 346 |
End Page Number: | 355 |
Publication Date: | Mar 1998 |
Journal: | European Journal of Operational Research |
Authors: | Shahani A.K., Ridge J.C., Jones S.K., Nielsen M.S. |
Keywords: | queues: applications |
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.