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Appears in Collections:Management, Work and Organisation Journal Articles
Peer Review Status: Refereed
Title: Exploring alternative routes to realising the benefits of simulation in healthcare
Authors: Bowers, John
Ghattas, Mikhail
Mould, Gillian
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Keywords: health service
emergency departments
Issue Date: Oct-2012
Publisher: Palgrave MacMillan
Citation: Bowers J, Ghattas M & Mould G (2012) Exploring alternative routes to realising the benefits of simulation in healthcare, Journal of the Operational Research Society, 63 (10), pp. 1457-1466.
Abstract: Discrete event simulation should offer numerous benefits in designing healthcare systems but the reality is often problematic. Healthcare modelling faces particular challenges: genuine, fundamental variations in practice and an opposition to any suggestion of standardisation from some professional groups. This paper compares the experiences of developing a new simulation in an Accident and Emergency (A&E) Department, a subsequent adaptation for modelling an outpatient clinic and applications of a generic A&E simulation. These studies provide examples of three distinct approaches to realising the potential benefits of simulation: the bespoke, the reuse and the generic route. Reuse has many advantages: it is relatively efficient in exploiting previous modelling experience, delivering timely results while providing scope for adaptations to local practice. Explicitly demonstrating this willingness to adapt to local conditions and engaging with stakeholders is particularly important in healthcare simulation.
Type: Journal Article
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Rights: This item has been embargoed for a period. During the embargo 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. This is a post-peer-review, pre-copyedit version of an article published in Journal of the Operational Research Society. The definitive publisher-authenticated version (2012) 63, 1457–1466. doi:10.1057/jors.2011.127 is available online at:
Affiliation: People Centred Healthcare Management
NHS Fife
Management Work and Organisation

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