The DH Accident and Emergency Department model: a national generic model used locally

A Fletcher (), D Halsall (), S Huxham () and D Worthington
Additional contact information
A Fletcher: Department of Health
D Halsall: Department of Health
S Huxham: Department of Health
D Worthington: Lancaster University

Journal of the Operational Research Society, 2007, vol. 58, issue 12, 1554-1562

Abstract: Abstract The Department of Health (DH) Accident and Emergency (A&E) simulation model was developed by Operational Research analysts within DH to inform the national policy team of significant barriers to the national target, for England, that 98% of all A&E attendances are to be completed (discharged, transferred or admitted) within 4 hours of arrival by December 2004. This paper discusses why the model was developed, the structure of the model, and the impact when used to inform national policy development. The model was then used as a consultancy tool to aid struggling hospital trusts to improve their A&E departments. The paper discusses these experiences with particular reference to the challenges of using a ‘generic’ national model for ‘specific’ local use.

Keywords: health service; hospitals; emergency departments; simulation (search for similar items in EconPapers)
Date: 2007
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Citations: View citations in EconPapers (11)

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DOI: 10.1057/palgrave.jors.2602344

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