Please use this identifier to cite or link to this item:
Appears in Collections:Management, Work and Organisation Journal Articles
Peer Review Status: Refereed
Title: Assessing the impact of systems modeling in the redesign of an Emergency Department
Authors: Mould, Gillian
Bowers, John
Dewar, Colin
McGugan, Elizabeth
Contact Email:
Keywords: Emergency Department
process mapping
discrete event simulation
performance modeling
Issue Date: Mar-2013
Publisher: Palgrave MacMillan
Citation: Mould G, Bowers J, Dewar C & McGugan E (2013) Assessing the impact of systems modeling in the redesign of an Emergency Department, Health Systems, 2 (1), pp. 3-10.
Abstract: Systems modeling has been used to redesign care in the National Health Service in the United Kingdom. However, assessing the benefits of such modeling is problematic. This paper examines the impact of two complementary techniques, process mapping and simulation, in the redesign of Emergency Department (ED) systems. Using the example of one significant change prompted by systems modeling, the introduction of a new staff roster, the impact on patient-time in the ED is examined. Any assessment has to recognize the effect of changes in the environment, notably staff experience and volume of activity. Using a performance model that incorporates these variables, the main quantifiable impact of the new roster was identified as a reduction in the mean patient-time of 16 min, for the 87% of ED patients classified as minor. Attributing credit for any improvement requires care but systems modeling can provide valuable insights into the design of ED systems resulting in quantifiable improvements.
Type: Journal Article
DOI Link:
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: Management Work and Organisation
Management Work and Organisation
NHS Fife
NHS Fife

Files in This Item:
File Description SizeFormat 
Health Systems 2013.pdf231.08 kBAdobe PDFUnder Embargo until 31/12/2999     Request a copy

Note: If any of the files in this item are currently embargoed, you can request a copy directly from the author by clicking the padlock icon above. However, this facility is dependant on the depositor still being contactable at their original email address.

This item is protected by original copyright

Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact providing details and we will remove the Work from public display in STORRE and investigate your claim.