Simulation of the Emergency Department Care Process for Pediatric Traumatic Brain Injury
| Autor: | Monica S. Vavilala, Ali Ajdari, Linda Ng Boyle, Frederick P. Rivara, Nithya Kannan, Jin Wang |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Emergency Medical Services medicine.medical_specialty Adolescent Traumatic brain injury Poison control Suicide prevention Article Occupational safety and health 03 medical and health sciences 0302 clinical medicine Trauma Centers Brain Injuries Traumatic Injury prevention medicine Humans Glasgow Coma Scale 030212 general & internal medicine Child business.industry Health Policy Trauma center Infant Newborn Public Health Environmental and Occupational Health Infant 030208 emergency & critical care medicine Emergency department Hospitals Pediatric medicine.disease United States Child Preschool Practice Guidelines as Topic Emergency medicine Female business |
| Zdroj: | Journal for Healthcare Quality. 40:110-118 |
| ISSN: | 1945-1474 1062-2551 |
| DOI: | 10.1097/jhq.0000000000000119 |
| Popis: | The treatment of patients in the emergency department (ED) with severe pediatric traumatic brain injury (TBI) is challenging, and treatment process strategies that facilitate good outcomes are not well documented. The overall objective of this study was to identify factors that can affect the care process associated with pediatric TBI. This objective was achieved using a discrete-event simulation model of patients with TBI as they progress through the ED treatment process of a Level I trauma center. This model was used to identify areas where the ED length of stay can be reduced. The number of patients arriving at any given time was also varied in the simulation model to observe the impact to bed allocation policies and changes in staff and equipment. The findings showed that implementing changes in the ED (i.e., availability of two computerized tomography scanners, formation of resuscitation teams that included eight staff personnel, and modifying the bed allocation policy) could result in a 17% reduction in the mean ED length of stay. The study outcomes would be of interest to those (e.g., health administrators, health managers, and physicians) who can make decisions related to the treatment process in an ED. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|