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Optimizing the Integrated Emergency Post in Enschede by the development and application of a solution validation framework

Koot, Martijn (2018) Optimizing the Integrated Emergency Post in Enschede by the development and application of a solution validation framework.

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Abstract:The out-of-hours emergency care in Enschede is organized in an Integrated Emergency Post (IEP), consisting of the local general practitioners post (GP post) and the hospital’s emergency department (ED). The decision to integrate these two organizations was based on a discrete-event simulation study performed in 2014, while the IEP was actually implemented since the 11th of January 2016. The availability of new data makes it possible to validate the solutions recommended. No standardized analytical framework exists in scientific literature to execute the solution validation. The solution validation framework proposed includes all possible comparisons between the data sets, model descriptions and configurations simulated over time. The framework enables stakeholders to understand how their operations actually work. The necessity to validate the simulation results makes it possible to see which new configurations have been implemented over time, resulting in more insights into the effects of the IEP implementation. The comparison of all data modifications, model adjustments and alternative configurations also revealed both past and current bottlenecks within the processes, allowing to construct new experiments. The GP post LOS and ED LOS can be reduced by 9:39 minutes (-29%) and 52:38 minutes (-33%) respectively.
Item Type:Essay (Master)
Clients:
Acute Zorg Euregio, Enschede, The Netherlands
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:31 mathematics, 44 medicine, 83 economics, 85 business administration, organizational science
Programme:Industrial Engineering and Management MSc (60029)
Link to this item:http://purl.utwente.nl/essays/76932
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