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Prioritization strategies for patient evacuations

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  • Ashley Childers

  • Maria Mayorga

  • Kevin Taaffe

Abstract

Evacuation from a health care facility is considered last resort, and in the event of a complete evacuation, a standard planning assumption is that all patients will be evacuated. A literature review of the suggested prioritization strategies for evacuation planning—as well as the transportation priorities used in actual facility evacuations—shows a lack of consensus about whether critical or non-critical care patients should be transferred first. In addition, it is implied that these policies are “greedy” in that one patient group is given priority, and patients from that group are chosen to be completely evacuated before any patients are evacuated from the other group. The purpose of this paper is to present a dynamic programming model for emergency patient evacuations and show that a greedy, “all-or-nothing” policy is not always optimal as well as discuss insights of the resulting optimal prioritization strategies for unit- or floor-level evacuations. Copyright Springer Science+Business Media New York 2014

Suggested Citation

  • Ashley Childers & Maria Mayorga & Kevin Taaffe, 2014. "Prioritization strategies for patient evacuations," Health Care Management Science, Springer, vol. 17(1), pages 77-87, March.
    • Handle: RePEc:kap:hcarem:v:17:y:2014:i:1:p:77-87
    DOI: 10.1007/s10729-013-9236-0
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    References listed on IDEAS

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    1. Evin Uzun Jacobson & Nilay Tanık Argon & Serhan Ziya, 2012. "Priority Assignment in Emergency Response," Operations Research, INFORMS, vol. 60(4), pages 813-832, August.
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    1. O. H. Salman & A. A. Zaidan & B. B. Zaidan & Naserkalid & M. Hashim, 2017. "Novel Methodology for Triage and Prioritizing Using “Big Data” Patients with Chronic Heart Diseases Through Telemedicine Environmental," International Journal of Information Technology & Decision Making (IJITDM), World Scientific Publishing Co. Pte. Ltd., vol. 16(05), pages 1211-1245, September.

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