Implementation Analysis of a Simulation-Aided Redesigned Emergency Department before and after the Emergence of COVID-19
Publication: Computing in Civil Engineering 2023
ABSTRACT
This paper considers the effect of redesigning an emergency department (ED) on improving its performance through changing its workflow, before and after COVID-19 surge. Before COVID-19, a discrete event simulation was developed with a focus on reducing the average length of stay (LOS) for all patients in the ED using different front-end processes alongside an expansion redesign. When SARS-CoV-2 and COVID-19 emerged, however, the implementation process was not completed. To understand the redesign impact on ED performance, a questionnaire was developed to gather information from its personnel. They were asked to present their ideas regarding the impact of redesign and its changes on improving ED operations, workflow efficiency, and lessons they learned during pandemic. Results show that respondents mostly agreed that pandemic has negatively affected ED operations; they also believed that most of the redesign changes need improvement.
Get full access to this article
View all available purchase options and get full access to this chapter.
REFERENCES
Brethauer, S. A., Poulose, B. K., Needleman, B. J., Sims, C., Arnold, M., Washburn, K., and Pawlik, T. M. 2020. “Redesigning a department of surgery during the COVID-19 pandemic.” Journal of Gastrointestinal Surgery, 24, 1852–1859.
Cao, Y., Li, Q., Chen, J., Guo, X., Miao, C., Yang, H., and Li, L. 2020. “Hospital emergency management plan during the COVID‐19 epidemic.” Academic Emergency Medicine, 27(4), 309–311.
Cennamo, V., Bassi, M., Landi, S., Apolito, P., Ghersi, S., Dabizzi, E., and Repici, A. 2020. “Redesign of a GI endoscopy unit during the COVID-19 emergency: a practical model.” Digestive and Liver Disease, 52(10), 1178–1187.
Kocher, K. E., and Macy, M. L. 2020. “Emergency department patients in the early months of the coronavirus disease 2019 (COVID-19) pandemic - what have we learned?.” In JAMA Health Forum, Vol. 1, No. 6, pp. e200705–e200705. American Medical Association.
Hou, Y., Zhou, Q., Li, D., Guo, Y., Fan, J., and Wang, J. 2020. “Preparedness of our emergency department during the coronavirus disease outbreak from the nurses’ perspectives: a qualitative research study.” Journal of Emergency Nursing, 46(6), 848–861.
Liu, Q., Luo, D., Haase, J. E., Guo, Q., Wang, X. Q., Liu, S., and Yang, B. X. 2020. “The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study.” The Lancet Global Health, 8(6), e790–e798.
Lo, H. Y., Chaou, C. H., Chang, Y. C., Ng, C. J., and Chen, S. Y. 2021. “Prediction of emergency department volume and severity during a novel virus pandemic: Experience from the COVID-19 pandemic.” The American journal of emergency medicine, 46, 303–309.
Morganti, K. G., Bauhoff, S., Blanchard, J. C., Abir, M., Iyer, N., Smith, A., Vesely, J. V., Okeke, E. N., and Kellermann, A. L. 2013. “The Evolving Role of Emergency Departments in the United States.” Rand Health Q. Jun 1;3(2):3. 28083290; PMCID: PMC4945168.
Noble, J., Degesys, N. F., Kwan, E., Grom, E., Brown, C., Fahimi, J., and Raven, M. 2020. “Emergency department preparation for COVID-19: accelerated care units.” Emergency Medicine Journal, 37(7), 402–406.
Strauss, R. W., and Mayer, T. A. 2013. “Emergency department disaster planning and response.” Strauss and Mayer’s emergency department management. McGraw Hill, 323–331.
Schreyer, K. E., Daniel, A., King, L. L., Blome, A., DeAngelis, M., Stauffer, K., and McNamara, R. 2020. “Emergency department management of the COVID-19 pandemic.” The Journal of emergency medicine, 59(6), 946–951.
Van Der Linden, M. C., Kunz, L., Van Loon-Van Gaalen, M., Van Woerden, G., and Van Der Linden, N. 2023. “Association between COVID-19 surge and emergency department patient flow and experience.” International Emergency Nursing, 66, 101241.
Whiteside, T., Kane, E., Aljohani, B., Alsamman, M., and Pourmand, A. 2020. “Redesigning emergency department operations amidst a viral pandemic.” The American journal of emergency medicine, 38(7), 1448–1453.
Zhang, S. X., Liu, J., Jahanshahi, A. A., Nawaser, K., Yousefi, A., Li, J., and Sun, S. 2020. “At the height of the storm: Healthcare staff’s health conditions and job satisfaction and their associated predictors during the epidemic peak of COVID-19.” Brain, behavior, and immunity, 87, 144–146.
Information & Authors
Information
Published In
History
Published online: Jan 25, 2024
ASCE Technical Topics:
Authors
Metrics & Citations
Metrics
Citations
Download citation
If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.