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Using system dynamics principles for conceptual modelling of publicly funded hospitals / H. J. Wong in Journal of the operational research society (JORS), Vol. 63 N° 1 (Janvier 2012) 

Public ISBD [article]  in Journal of the operational research society (JORS) > Vol. 63 N° 1 (Janvier 2012) . - pp. 79–88 Titre : Using system dynamics principles for conceptual modelling of publicly funded hospitals Type de document : texte imprimé Auteurs : H. J. Wong, Auteur ; D. Morra, Auteur ; R. C. Wu, Auteur Année de publication : 2012 Article en page(s) : pp. 79–88 Note générale : Recherche opérationnelle Langues : Anglais (eng) Mots-clés : Hospitals  Strategic  planning  Health  service  Learning  System  dynamics Index. décimale : 001.424 Résumé : This paper examines the long-standing operational issue of patients boarding in the emergency department (ED), who have been admitted to hospital (inpatient ‘boarders’). From this analysis we design a conceptual model that provides a roadmap to create sustainable improvements in ED waiting times. The conceptual model is built using system dynamics methodology, and illustrates the use of system archetypes, a set of common causal feedback loops that illustrate how well-intended decisions have unintentional side effects. This paper outlines the journey taken by one large academic health centre to address these issues, and highlights the larger implications and recommendations that are applicable to other publicly funded hospitals. DEWEY : 001.424 ISSN : 0160-5682 En ligne : http://www.palgrave-journals.com/jors/journal/v63/n1/abs/jors2010164a.html [article] Using system dynamics principles for conceptual modelling of publicly funded hospitals [texte imprimé] / H. J. Wong, Auteur ; D. Morra, Auteur ; R. C. Wu, Auteur . - 2012 . - pp. 79–88. Recherche opérationnelle Langues : Anglais (eng) in Journal of the operational research society (JORS) > Vol. 63 N° 1 (Janvier 2012) . - pp. 79–88 Mots-clés : Hospitals  Strategic  planning  Health  service  Learning  System  dynamics Index. décimale : 001.424 Résumé : This paper examines the long-standing operational issue of patients boarding in the emergency department (ED), who have been admitted to hospital (inpatient ‘boarders’). From this analysis we design a conceptual model that provides a roadmap to create sustainable improvements in ED waiting times. The conceptual model is built using system dynamics methodology, and illustrates the use of system archetypes, a set of common causal feedback loops that illustrate how well-intended decisions have unintentional side effects. This paper outlines the journey taken by one large academic health centre to address these issues, and highlights the larger implications and recommendations that are applicable to other publicly funded hospitals. DEWEY : 001.424 ISSN : 0160-5682 En ligne : http://www.palgrave-journals.com/jors/journal/v63/n1/abs/jors2010164a.html