Documents disponibles écrits par cet auteur

Exploring alternative routes to realising the benefits of simulation in healthcare / J. Bowers in Journal of the operational research society (JORS), Vol. 63 N° 10 (Octobre 2012) 

Public ISBD [article]  in Journal of the operational research society (JORS) > Vol. 63 N° 10 (Octobre 2012) . - pp. 1457–1466 Titre : Exploring alternative routes to realising the benefits of simulation in healthcare Type de document : texte imprimé Auteurs : J. Bowers, Auteur ; M. Ghattas, Auteur ; G. Mould, Auteur Année de publication : 2012 Article en page(s) : pp. 1457–1466 Note générale : operational research Langues : Anglais (eng) Mots-clés : health  service;  emergency  departments;  simulation Index. décimale : 001.424 Résumé : Discrete event simulation should offer numerous benefits in designing healthcare systems but the reality is often problematic. Healthcare modelling faces particular challenges: genuine, fundamental variations in practice and an opposition to any suggestion of standardisation from some professional groups. This paper compares the experiences of developing a new simulation in an Accident and Emergency (A&E) Department, a subsequent adaptation for modelling an outpatient clinic and applications of a generic A&E simulation. These studies provide examples of three distinct approaches to realising the potential benefits of simulation: the bespoke, the reuse and the generic route. Reuse has many advantages: it is relatively efficient in exploiting previous modelling experience, delivering timely results although providing scope for adaptations to local practice. Explicitly demonstrating this willingness to adapt to local conditions and engaging with stakeholders is particularly important in healthcare simulation. DEWEY : 001.424 ISSN : 0160-5682 En ligne : http://www.palgrave-journals.com/jors/journal/v63/n10/abs/jors2011127a.html [article] Exploring alternative routes to realising the benefits of simulation in healthcare [texte imprimé] / J. Bowers, Auteur ; M. Ghattas, Auteur ; G. Mould, Auteur . - 2012 . - pp. 1457–1466. operational research Langues : Anglais (eng) in Journal of the operational research society (JORS) > Vol. 63 N° 10 (Octobre 2012) . - pp. 1457–1466 Mots-clés : health  service;  emergency  departments;  simulation Index. décimale : 001.424 Résumé : Discrete event simulation should offer numerous benefits in designing healthcare systems but the reality is often problematic. Healthcare modelling faces particular challenges: genuine, fundamental variations in practice and an opposition to any suggestion of standardisation from some professional groups. This paper compares the experiences of developing a new simulation in an Accident and Emergency (A&E) Department, a subsequent adaptation for modelling an outpatient clinic and applications of a generic A&E simulation. These studies provide examples of three distinct approaches to realising the potential benefits of simulation: the bespoke, the reuse and the generic route. Reuse has many advantages: it is relatively efficient in exploiting previous modelling experience, delivering timely results although providing scope for adaptations to local practice. Explicitly demonstrating this willingness to adapt to local conditions and engaging with stakeholders is particularly important in healthcare simulation. DEWEY : 001.424 ISSN : 0160-5682 En ligne : http://www.palgrave-journals.com/jors/journal/v63/n10/abs/jors2011127a.html

Waiting list behaviour and the consequences for NHS targets / J. Bowers in Journal of the operational research society (JORS), Vol. 61 N° 2 (Fevrier 2010) 

Public ISBD [article]  in Journal of the operational research society (JORS) > Vol. 61 N° 2 (Fevrier 2010) . - pp. 246–254 Titre : Waiting list behaviour and the consequences for NHS targets Type de document : texte imprimé Auteurs : J. Bowers, Auteur Année de publication : 2011 Article en page(s) : pp. 246–254 Note générale : Recherche opérationnelle Langues : Anglais (eng) Mots-clés : Health  service  Simulation  Queuing Index. décimale : 001.424 Résumé : The United Kingdom's National Health Service (NHS) is investing considerable resources in reducing patient waiting times for elective treatment. This paper describes the development of a waiting list model and its use in a simulation to assess management options. Simulation usually assumes that waiting is adequately described by simple queuing disciplines, typically first-in-first-out. However, waiting in the United Kingdom's NHS is a more complex phenomenon. The waiting list behaviour is explored through an analysis of the changes in waiting time distributions for elective orthopaedics in one Scottish Health Board, NHS Fife. The evolving distributions suggest that there have been substantial changes in priorities in response to the various NHS targets. However, in the short or medium term, the form of the distribution appears reasonably stable, providing a basis for estimating future waiting times in different scenarios. A model of the waiting behaviour and prioritization in the appointment allocations was embedded in a simulation of the complete elective orthopaedic patient journey from referral, through outpatients and diagnostics to surgery. The model has been used to explore the consequences of various management options in the context of the NHS target that no patient should wait more than 18 weeks between referral and treatment. DEWEY : 001.424 ISSN : 0160-5682 En ligne : http://www.palgrave-journals.com/jors/journal/v61/n2/abs/jors2008149a.html [article] Waiting list behaviour and the consequences for NHS targets [texte imprimé] / J. Bowers, Auteur . - 2011 . - pp. 246–254. Recherche opérationnelle Langues : Anglais (eng) in Journal of the operational research society (JORS) > Vol. 61 N° 2 (Fevrier 2010) . - pp. 246–254 Mots-clés : Health  service  Simulation  Queuing Index. décimale : 001.424 Résumé : The United Kingdom's National Health Service (NHS) is investing considerable resources in reducing patient waiting times for elective treatment. This paper describes the development of a waiting list model and its use in a simulation to assess management options. Simulation usually assumes that waiting is adequately described by simple queuing disciplines, typically first-in-first-out. However, waiting in the United Kingdom's NHS is a more complex phenomenon. The waiting list behaviour is explored through an analysis of the changes in waiting time distributions for elective orthopaedics in one Scottish Health Board, NHS Fife. The evolving distributions suggest that there have been substantial changes in priorities in response to the various NHS targets. However, in the short or medium term, the form of the distribution appears reasonably stable, providing a basis for estimating future waiting times in different scenarios. A model of the waiting behaviour and prioritization in the appointment allocations was embedded in a simulation of the complete elective orthopaedic patient journey from referral, through outpatients and diagnostics to surgery. The model has been used to explore the consequences of various management options in the context of the NHS target that no patient should wait more than 18 weeks between referral and treatment. DEWEY : 001.424 ISSN : 0160-5682 En ligne : http://www.palgrave-journals.com/jors/journal/v61/n2/abs/jors2008149a.html