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Emergency Department Management in Lazio, Italy

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  • Leo, Gianmaria
  • Lodi, Andrea
  • Tubertini, Paolo
  • Di Martino, Mirko

Abstract

The assignment of service requests to emergency departments is of paramount importance both from a life-threatening and an economical viewpoints. In the process of a more general project that aims at defining optimal allocation policies of patients to regional hospital network facilities (together with the potential reorganization of the facilities), the Department of Epidemiology of the Regional Health Service of Lazio, Italy, was interested in obtaining a completely offline picture of the effect of an optimal assignment of requests to emergency departments. This is in the spirit of evaluating the so-called Price of Anarchy, where the fully centralized (admittedly unrealistic) allocation is used as a reference for both the state-of-the-art completely decentralized approach and future reorganization ideas.

Suggested Citation

  • Leo, Gianmaria & Lodi, Andrea & Tubertini, Paolo & Di Martino, Mirko, 2016. "Emergency Department Management in Lazio, Italy," Omega, Elsevier, vol. 58(C), pages 128-138.
    • Handle: RePEc:eee:jomega:v:58:y:2016:i:c:p:128-138
    DOI: 10.1016/j.omega.2015.05.007
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    References listed on IDEAS

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    Cited by:

    1. Mohamadreza Fazli-Khalaf & Soheyl Khalilpourazari & Mohammad Mohammadi, 2019. "Mixed robust possibilistic flexible chance constraint optimization model for emergency blood supply chain network design," Annals of Operations Research, Springer, vol. 283(1), pages 1079-1109, December.
    2. Fabbri, Cristiano & Lombardi, Michele & Malaguti, Enrico & Monaci, Michele, 2024. "On-line strategy selection for reducing overcrowding in an Emergency Department," Omega, Elsevier, vol. 127(C).
    3. Shuwan Zhu & Wenjuan Fan & Shanlin Yang & Panos M. Pardalos, 2023. "Scheduling operating rooms of multiple hospitals considering transportation and deterioration in mass-casualty incidents," Annals of Operations Research, Springer, vol. 321(1), pages 717-753, February.
    4. Jianghua Zhang & Yang Liu & Yingxue Zhao & Tianhu Deng, 2020. "Emergency evacuation problem for a multi-source and multi-destination transportation network: mathematical model and case study," Annals of Operations Research, Springer, vol. 291(1), pages 1153-1181, August.
    5. Agovino, Massimiliano & Musella, Gaetano & Scaletti, Alessandro, 2022. "Equilibrium and efficiency in the first aid services market: The case of the emergency department of Sorrento," Socio-Economic Planning Sciences, Elsevier, vol. 82(PB).
    6. Paul, Nicholas R. & Lunday, Brian J. & Nurre, Sarah G., 2017. "A multiobjective, maximal conditional covering location problem applied to the relocation of hierarchical emergency response facilities," Omega, Elsevier, vol. 66(PA), pages 147-158.
    7. Soheyl Khalilpourazari & Alireza Arshadi Khamseh, 2019. "Bi-objective emergency blood supply chain network design in earthquake considering earthquake magnitude: a comprehensive study with real world application," Annals of Operations Research, Springer, vol. 283(1), pages 355-393, December.
    8. Duma, Davide & Aringhieri, Roberto, 2023. "Real-time resource allocation in the emergency department: A case study," Omega, Elsevier, vol. 117(C).
    9. Acuna, Jorge A. & Zayas-Castro, José L. & Charkhgard, Hadi, 2020. "Ambulance allocation optimization model for the overcrowding problem in US emergency departments: A case study in Florida," Socio-Economic Planning Sciences, Elsevier, vol. 71(C).
    10. Shuwan Zhu & Wenjuan Fan & Xueping Li & Shanlin Yang, 2023. "Ambulance dispatching and operating room scheduling considering reusable resources in mass-casualty incidents," Operational Research, Springer, vol. 23(2), pages 1-37, June.
    11. Pazoki, Mostafa & Samarghandi, Hamed, 2021. "Regulating patient care in walk-in clinics," Omega, Elsevier, vol. 99(C).
    12. Almehdawe, Eman & Jewkes, Beth & He, Qi-Ming, 2016. "Analysis and optimization of an ambulance offload delay and allocation problem," Omega, Elsevier, vol. 65(C), pages 148-158.
    13. Miguel Angel Ortíz-Barrios & Juan-José Alfaro-Saíz, 2020. "Methodological Approaches to Support Process Improvement in Emergency Departments: A Systematic Review," IJERPH, MDPI, vol. 17(8), pages 1-41, April.

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