Development of a wait list computer simulation model for elective orthopaedic surgery


Dunbar, M. and Blake, J.T. and Vanberkel, P. and Molley, L. and Hennigar, A. (2008) Development of a wait list computer simulation model for elective orthopaedic surgery. Journal of Bone and Joint Surgery, 90-B (SUPP_1). p. 111. ISSN 0301-620X

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Abstract:Data from the wait list management system and hospital databases was used to develop a computer model simulating the resource requirements required during patient flow into, through, and out of orthopaedic surgery for TKR, THR and knee arthroscopy. Results from the simulation model suggested that inpatient beds, rather than operating room time was the constraining resource and an extra twenty-five beds and 30% more OR time would stabilize and subsequently reduce the wait time at the institution. In addition, simulations suggested that pooling surgeon wait lists reduced patient wait time. Simulation models are an effective resource allocation decision-making tool for orthopaedic surgery.
To develop and implement a wait list simulation model to analyze the existing system and guide resource allocation decision-making at the QEII Health Sciences Centre.
The simulation model suggests an immediate increase in inpatient surgical beds from sixty-six to ninety-one followed by a 30% increase in OR time in thirty months to stabilize and subsequently reduce patient wait times.
Item Type:Article
Additional information:Proceedings of the 60th Annual Meeting of the Canadian Orthopaedic Association, Montreal, Canada, 3-5 June 2005
Copyright:© 2008 by British Editorial Society of Bone and Joint Surgery
Faculty of Behavioural, Management and Social sciences (BMS)
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