An evaluation of ‘fast track’ in A&E: a discrete event simulation approach

R. S. Maull, P. A. Smart, A. Harris and A. Al-Fatah Karasneh

The Service Industries Journal, 2009, vol. 29, issue 7, 923-941

Abstract: This longitudinal study provides primary evidence on the impact that a fast-track strategy in a hospital Emergency Department has on patient wait time. The study uses a discrete event simulation model to predict output within a variety of triage categories and compares these with post-implementation results. The results of the study indicate a significant reduction in patient wait time with 13.2% of the population waiting longer than 4 h prior to implementation compared with 1.4% post-implementation. However, while this fast-track strategy significantly improves service delivery to patients with minor conditions, service for patients with more acute conditions is not proportionately improved.

Date: 2009
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Persistent link: https://EconPapers.repec.org/RePEc:taf:servic:v:29:y:2009:i:7:p:923-941

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DOI: 10.1080/02642060902749534

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The Service Industries Journal is currently edited by Eileen Bridges, Professor Domingo Ribeiro, Ronald Goldsmith, Barry Howcroft and Youjae Yi

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