Could we employ the queueing theory to improve efficiency during future mass causality incidents? View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-12

AUTHORS

Chih-Chuan Lin, Chin-Chieh Wu, Chi-Dan Chen, Kuan-Fu Chen

ABSTRACT

BACKGROUND: Preparation for a disaster or accident-related mass casualty events is often based on experience. The objective measures or tools for evaluating decision-making and effectiveness during such events are underdeveloped. Queueing theory has been suggested to evaluate the effectiveness of mass causality incidents (MCI) plans. OBJECTIVE: Using different types of real MCI, we aimed to determine if a queueing network model could be used as a tool to assist in preparing plans to address mass causality incidents. METHODS: We collected information from two types of mass casualty events: a motor vehicle accident and a dust explosion. Patient characteristics, time intervals of every working station, numbers of physicians and nurses attending, and time required by physicians and nurses during these two MCIs were collected and used for calculation in a queueing network model. Balanced efficiency was determined by calculating the numbers of server, i.e., nurses and physicians, in the two MCIs. RESULTS: Efficient patient flows were found in both MCIs. However, excessive medical manpower supply was revealed when the queueing network model was applied to assess the MCIs. The best fitting result, i.e., the most efficient man power utilization, can be calculated by the queueing network models. Furthermore, balanced efficiency may be a more suitable condition than the highest efficiency man power utilization when faced with MCIs. CONCLUSION: The queueing network model is a flexible tool that could be used in different types of MCIs to observe the degree of efficiency when handling MCIs. More... »

PAGES

41

References to SciGraph publications

  • 2015-08. Optimal workload allocation in closed queueing networks with state dependent queues in ANNALS OF OPERATIONS RESEARCH
  • 2001. Analysis of Queueing Networks with Blocking in NONE
  • 2002-11. Queues in Health in HEALTH CARE MANAGEMENT SCIENCE
  • 2012-04. Queueing for Healthcare in JOURNAL OF MEDICAL SYSTEMS
  • 2013. Queueing Models for Healthcare Operations in HANDBOOK OF HEALTHCARE OPERATIONS MANAGEMENT
  • 1999-02. Application of discrete-event simulation in health care clinics: A survey in JOURNAL OF THE OPERATIONAL RESEARCH SOCIETY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s13049-019-0620-8

    DOI

    http://dx.doi.org/10.1186/s13049-019-0620-8

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1113355653

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30971299


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