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- Publisher Website: 10.1080/1023697X.2014.970748
- Scopus: eid_2-s2.0-84920044561
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Article: Integrating simulation with simulated annealing for scheduling physicians in an understaffed emergency department
Title | Integrating simulation with simulated annealing for scheduling physicians in an understaffed emergency department |
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Authors | |
Keywords | simulated annealing emergency rooms health-care management overcrowding staff scheduling simulation optimisation simulation |
Issue Date | 2014 |
Citation | HKIE Transactions Hong Kong Institution of Engineers, 2014, v. 21, n. 4, p. 253-261 How to Cite? |
Abstract | © 2014 The Hong Kong Institution of Engineers. In this paper, a physician scheduling problem in an emergency department (ED) is studied. A simulation-optimisation approach, which integrates simulation into simulated annealing is proposed to solve the problem. The algorithm explores solutions iteratively, where simulations are carried out to evaluate the solution quality at each step. With the proposed simulation-optimisation algorithm, a case study of an understaffed ED in Hong Kong is conducted. The historical data provided by the ED are used to draw some managerial insights into emergency-physician scheduling. It is found that (i) the best staffing level has a similar profile to the patient arrival rate, but shifts some period behind; (ii) the use of staggered shifts is helpful in reducing patient waiting time; (iii) physician scheduling decisions have a greater impact particularly when the ED is small; and (iv) ED pooling seems more beneficial than having a good physician schedule. |
Persistent Identifier | http://hdl.handle.net/10722/246800 |
ISSN | 2023 SCImago Journal Rankings: 0.167 |
DC Field | Value | Language |
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dc.contributor.author | Kuo, Yong Hong | - |
dc.date.accessioned | 2017-09-26T04:28:01Z | - |
dc.date.available | 2017-09-26T04:28:01Z | - |
dc.date.issued | 2014 | - |
dc.identifier.citation | HKIE Transactions Hong Kong Institution of Engineers, 2014, v. 21, n. 4, p. 253-261 | - |
dc.identifier.issn | 1023-697X | - |
dc.identifier.uri | http://hdl.handle.net/10722/246800 | - |
dc.description.abstract | © 2014 The Hong Kong Institution of Engineers. In this paper, a physician scheduling problem in an emergency department (ED) is studied. A simulation-optimisation approach, which integrates simulation into simulated annealing is proposed to solve the problem. The algorithm explores solutions iteratively, where simulations are carried out to evaluate the solution quality at each step. With the proposed simulation-optimisation algorithm, a case study of an understaffed ED in Hong Kong is conducted. The historical data provided by the ED are used to draw some managerial insights into emergency-physician scheduling. It is found that (i) the best staffing level has a similar profile to the patient arrival rate, but shifts some period behind; (ii) the use of staggered shifts is helpful in reducing patient waiting time; (iii) physician scheduling decisions have a greater impact particularly when the ED is small; and (iv) ED pooling seems more beneficial than having a good physician schedule. | - |
dc.language | eng | - |
dc.relation.ispartof | HKIE Transactions Hong Kong Institution of Engineers | - |
dc.subject | simulated annealing | - |
dc.subject | emergency rooms | - |
dc.subject | health-care management | - |
dc.subject | overcrowding | - |
dc.subject | staff scheduling | - |
dc.subject | simulation optimisation | - |
dc.subject | simulation | - |
dc.title | Integrating simulation with simulated annealing for scheduling physicians in an understaffed emergency department | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1080/1023697X.2014.970748 | - |
dc.identifier.scopus | eid_2-s2.0-84920044561 | - |
dc.identifier.volume | 21 | - |
dc.identifier.issue | 4 | - |
dc.identifier.spage | 253 | - |
dc.identifier.epage | 261 | - |
dc.identifier.issnl | 1023-697X | - |