Skip to main content
alt

Please enter a keyword and click the arrow to search the site

Or explore one of the areas below

When to use provider triage in emergency departments

Journal

Management Science

Subject

Management Science and Operations

Publishing details

Management Science 2019 Vol 65:3 p 955-1453

Authors / Editors

Kamali M;Tezcan T;Yildiz O

Publication Year

2019

Abstract

We study triage decisions in emergency departments (EDs) and provide a general procedure for determining when to apply provider triage (PT) based on operational and financial considerations using a steady-state, many-server fluid approximation. We then apply the proposed method in the setting of a teaching hospital’s ED and obtain closed-form expressions for the range of arrival rates for which PT outperforms the traditional nurse triage economically. We show that the proposed solution methodology based on this approximation procedure is asymptotically optimal under a many-server asymptotic regime. We also demonstrate via simulation experiments that the proposed policy performs within 0.82% of the best solution obtained via a computationally intensive total enumeration method.

Keywords

Healthcare; Hospitals; Probability; Stochastic model applications; Queues; Approximations

Available on ECCH

No


Select up to 4 programmes to compare

Select one more to compare
×
subscribe_image_desktop 5949B9BFE33243D782D1C7A17E3345D0

Sign up to receive our latest news and business thinking direct to your inbox

×

Sign up to receive our latest course information and business thinking

Leave your details above if you would like to receive emails containing the latest thought leadership, invitations to events and news about courses that could enhance your career. If you would prefer not to receive our emails, you can still access the case study by clicking the button below. You can opt-out of receiving our emails at any time by visiting: https://london.edu/my-profile-preferences or by unsubscribing through the link provided in our emails. View our Privacy Policy for more information on your rights.