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Capacity planning for intensive care units

โœ Scribed by J.C. Ridge; S.K. Jones; M.S. Nielsen; A.K. Shahani


Publisher
Elsevier Science
Year
1998
Tongue
English
Weight
647 KB
Volume
105
Category
Article
ISSN
0377-2217

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โœฆ Synopsis


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.


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A hospital's intensive care unit (ICU) is a limited and critical resource. The ecient utilization of ICU capacity impacts on both the welfare of patients and the hospital's cost eectiveness. Decisions made in the ICU aect the operations of other departments. Yet, decision making in an ICU tends to b