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

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

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.

Suggested Citation

  • R. S. Maull & P. A. Smart & A. Harris & A. Al-Fatah Karasneh, 2009. "An evaluation of ‘fast track’ in A&E: a discrete event simulation approach," The Service Industries Journal, Taylor & Francis Journals, vol. 29(7), pages 923-941, July.
    • Handle: RePEc:taf:servic:v:29:y:2009:i:7:p:923-941
    DOI: 10.1080/02642060902749534
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