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Work pressure and burnout effects on emergency room operations: a system dynamics simulation approach

Author

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  • Donghyun Choi

    (Korea Aerospace University)

  • Yonghwi Noh

    (Myongji University)

  • Jin Sung Rha

    (Dankook University)

Abstract

This study develops a simulation model that can describe the accurate working environment of emergency room by analyzing the effects of both work pressure and burnout. For this purpose, we consider burnout as a critical factor that plays a role in running an emergency room efficiently and as a cause for unexpected outcomes. As work pressure intensifies, the productivity of human resources tends to increase accordingly. However, when work schedule intensity reaches a certain level, service productivity of human resources can start decreasing due to accumulated fatigue. We consider the burnout phenomenon and demonstrate the existence of several such factors in emergency room environments through systems dynamics simulation model by comparing them with the actual emergency room data from a major hospital in South Korea. Also, we conducted trend analysis to present the behavioral characteristics of the burnout.

Suggested Citation

  • Donghyun Choi & Yonghwi Noh & Jin Sung Rha, 2019. "Work pressure and burnout effects on emergency room operations: a system dynamics simulation approach," Service Business, Springer;Pan-Pacific Business Association, vol. 13(3), pages 433-456, September.
  • Handle: RePEc:spr:svcbiz:v:13:y:2019:i:3:d:10.1007_s11628-018-00390-1
    DOI: 10.1007/s11628-018-00390-1
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    1. Soong Chung & Doo Jung & Seong Yoon & DonHee Lee, 2010. "A dynamic forecasting model for nursing manpower requirements in the medical service industry," Service Business, Springer;Pan-Pacific Business Association, vol. 4(3), pages 225-236, December.
    2. Smith, Richard J. & Clark, Sherrill J., 2011. "Does job resource loss reduce burnout and job exit for professionally trained social workers in child welfare?," Children and Youth Services Review, Elsevier, vol. 33(10), pages 1950-1959, October.
    3. Ahmad Taher Azar, 2012. "System dynamics as a useful technique for complex systems," International Journal of Industrial and Systems Engineering, Inderscience Enterprises Ltd, vol. 10(4), pages 377-410.
    4. John D. Sterman, 1989. "Modeling Managerial Behavior: Misperceptions of Feedback in a Dynamic Decision Making Experiment," Management Science, INFORMS, vol. 35(3), pages 321-339, March.
    5. Diwas S. Kc & Christian Terwiesch, 2009. "Impact of Workload on Service Time and Patient Safety: An Econometric Analysis of Hospital Operations," Management Science, INFORMS, vol. 55(9), pages 1486-1498, September.
    6. Le Nguyen Hau & Pham Ngoc Tram Anh & Pham Ngoc Thuy, 2017. "The effects of interaction behaviors of service frontliners on customer participation in the value co-creation: a study of health care service," Service Business, Springer;Pan-Pacific Business Association, vol. 11(2), pages 253-277, June.
    7. Gronroos, Christian & Ojasalo, Katri, 2004. "Service productivity: Towards a conceptualization of the transformation of inputs into economic results in services," Journal of Business Research, Elsevier, vol. 57(4), pages 414-423, April.
    8. Steffen Flessa, 1999. "Decision support for malaria‐control programmes – a system dynamics model," Health Care Management Science, Springer, vol. 2(3), pages 181-191, July.
    9. Stefania Bisogno & Armando Calabrese & Nathan Levialdi Ghiron & Alberto Pacifici, 2017. "Theory of constraints applied to scheduled and unscheduled patient flows: does it improve process performance?," International Journal of Services and Operations Management, Inderscience Enterprises Ltd, vol. 26(3), pages 365-385.
    10. Robert S. Dittus & Robert W. Klein & David J. DeBrota & Mark A. Dame & John F. Fitzgerald, 1996. "Medical Resident Work Schedules: Design and Evaluation by Stimulation Modeling," Management Science, INFORMS, vol. 42(6), pages 891-906, June.
    11. Johansson, Pontus & Olhager, Jan, 2004. "Industrial service profiling: Matching service offerings and processes," International Journal of Production Economics, Elsevier, vol. 89(3), pages 309-320, June.
    12. Rogelio Oliva & John D. Sterman, 2001. "Cutting Corners and Working Overtime: Quality Erosion in the Service Industry," Management Science, INFORMS, vol. 47(7), pages 894-914, July.
    13. Xiao‐Ming Huang, 1998. "Decision making support in reshaping hospital medical services," Health Care Management Science, Springer, vol. 1(2), pages 165-173, October.
    14. DonHee Lee, 2017. "HEALTHQUAL: a multi-item scale for assessing healthcare service quality," Service Business, Springer;Pan-Pacific Business Association, vol. 11(3), pages 491-516, September.
    15. Sterman, John D., 1989. "Misperceptions of feedback in dynamic decision making," Organizational Behavior and Human Decision Processes, Elsevier, vol. 43(3), pages 301-335, June.
    16. Cara Bailey & Roger Murphy & Davina Porock, 2011. "Professional tears: developing emotional intelligence around death and dying in emergency work," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(23‐24), pages 3364-3372, December.
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    1. Miri Chung & Young-Hye Jang & Steven A. Edelson, 2021. "The path from role clarity to job satisfaction: natural acting and the moderating impact of perceived fairness of compensation in services," Service Business, Springer;Pan-Pacific Business Association, vol. 15(1), pages 77-102, March.

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