A STUDY OF IMPROVING HOSPITAL OUT PATIENT DEPARTMENT (OPD) USING QUEUING NETWORK ANALYSIS METHODOLOGY (original) (raw)
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AN EMPIRICAL STUDY OF QUEUING ANALYSIS OF PUBLIC AND PRIVATE HOSPITALS OF SOUTHERN RAJASTHAN
A hospital service is one of the most highly congested fields of hospitality services and faces a great deal of pressure, compared with any other hospitality services. Delays in the hospital system may result in difficulties of scheduling services at any units and decrease in patient satisfaction. So waiting times in health services is a wide spread problem which affects the quality of services as well. With the help of queuing analysis/waiting line model of every hospital it can be examined for every scenario that how much time a patient spent in queue and system and what is average time of waiting in queue and system in various time frames captured through the questionnaire. This analysis supports management to identify that in which time slot more effective management is required to reduce the service delays. In this research paper for the purpose of data collection 2 public and 2 private hospitals of southern Rajasthan has been used.
Application of Queuing Theory to Optimize Waiting-Time in Hospital Operations
Operations and Supply Chain Management: An International Journal
Waiting time is inherent to the healthcare service sector in India and a major challenge faced by almost every big hospital is queuing. Long waiting time can be a reflection of inefficiency in hospital operations. The outpatient department (OPD) has the biggest queue as compared to other departments in hospital operations. This study comprises of in-depth analysis of OPD from different dimensions. Like in many big hospitals across India, the OPD of Fortis Escorts Hospital in Jaipur, India is managed using experience and rule of thumb rather than strategic research-based techniques such as queuing theory. The Fortis Escorts Hospital in Jaipur receives a large number of patients each day which results in longer waiting time for patients due to long queues. To address this challenge, a SWOT analysis was conducted for the OPD of Fortis Escorts Hospital Jaipur (FEHJ) which resulted into dissecting the queuing problem and coming out with solutions knowing where the hospital operations can excel and where there is a scope of improvement to make the working and processes better. Additionally, after examining the problem analytically and applying queuing theory, measures were suggested to improve the delay points and make the OPD more efficient in order to gain a high patient satisfaction rating.
Study of Patient Waiting Time at Emergency Department of a Tertiary Care Hospital in India
2014
The study was conducted in the Emergency Department of a 2000 bedded tertiary care hospital in India for duration of 4 months beginning August 2013. All 26702 patients who arrived during the study period were taken as the sample. The aim was to evaluate the waiting time of patient’s in emergency department by studying the patient care events and their process delays during the stay at emergency department. 26702 samples registered during study period were observed for the arrival pattern. Real-time mapping of 500 randomly picked samples was observed for calculating time taken to initiate (delays) various patient care activities. Waiting line model was applied and the waiting line, server utilization, waiting time, and the Poisson distribution of the patients arriving at the New Emergency Department were calculated. Average time taken for various activities in delivery of definitive emergency care to the patient was noted
Queue is a waiting line or the act of joining a line. It is formed when the number of customers arriving is greater than the number of customers being served during a period of time. This study is essentially focused on the queuing system of healthcare centre operations. It is mainly based on the reducing of waiting time of patients in the departments of Laboratory, Registration and Pharmacy at the Muthoot Medical Centre as these were the three departments that the hospital is facing long waiting times and complaints by the customers due to this issue. Objective of the study is to identify the reasons for long waiting times at the three selected departments of the hospital and suggest improvements to increase the efficiency for serving patients. The researcher has found out the causes of delay through observation which are recorded in cause and effect diagram of the departments and through the analysis done in each department. Queuing model was used to know the average waiting time per person in each department. It also helped to identify where the delay occurs in the process. This study provides suggestions to the hospital management to introduce a token system at the registration, decrease waiting time by increasing the servers, and to keep the patients occupied during the waiting period in-order to significantly reduce the waiting time in the departments of study.
Journal of Emergencies, Trauma, and Shock, 2014
the ED is overcrowded. [1] Overcrowding can result in delayed treatment, long patient waiting time and stay, overburdened working staff, patient elopement, high medical error rate, low productivity and poor patient outcomes. [2] Overcrowding is often seen as a by-product of improper patient fl ow. [3] An effi cient patient fl ow system serves critical patient quickly minimizing unnecessary delay in treatment. On the other hand, an ineffi cient patient fl ow leads to the problem of long and outstanding queues. Effi cient patient fl ow depends on reduced waiting time and smooth outfl ow of patients. A patient arriving in the ED encounters repeated waits as he/she progresses in different stages, which may last for hours or even days. Waiting time has been often cited as the most important cause of patients' dissatisfaction in the ED. Cooke cited reduction of "waits" as the most important area for improvement in ED. [4] Delays in the process have been associated with adverse outcome and increased violence in EDs. Waiting time in turn
2020
This chapter consists of research background, problem formulation, research objectives, research scopes and assumption, and outline of the report. 1.1 Background Queuing theory is used extensively in engineering and industry for analysis and modeling of processes involving queuing. In the real system, it allows the manager to calculate the optimal supply of fixed resources necessary to meet variable demand. Nowadays, health policy researcher has also attempted to apply this technique more widely throughout the health care system. (Gross, 1998) Unfortunately, most of the proposed queuing model has no real-world validation and perhaps for this reason, has not been embraced by physicians and hospital administrators. Therefore, to explore the utility and the implications of queuing theory as it relates to the supply and demand for critical care services, it is needed to develop and analyze a queuing model in a busy hospital (Robin, 2015). Health care providers face increasing pressure to deliver high quality and efficient services while fighting rising costs. One of the main measure for the quality of service is the waiting time of patients. The long waiting times would lead to patient dissatisfaction, resulting choose another health care provider who can provide better service quality. Therefore, time is a valuable asset to patients in seeking service at any health center, either public or private providers, and even more valuable for patients who are in critical condition (Najmuddin, 2010). Hospital services either private or government-owned focuses has a mission of providing excellent and quality health services as well as sustainable and affordable in order to improve the health of society. The most practical approach is the use of queuing theory. A major element in the queue theory includes people brought to you by CORE View metadata, citation and similar papers at core.ac.uk provided by eSkripsi Universitas Andalas day is the same at 07.00 AM-12.00 AM. 1.5 Outline of Report CHAPTER I: INTRODUCTION This chapter consists of research background, problem formulation, research objectives, research scopes and assumption, and outline of the report. 9 CHAPTER II: LITERATURE REVIEW This chapter defines the literatures support the research to results of analysis and recommendation to solve the problem. The literatures are used in this research consist of waiting times, services, queue theory, simulation and overview of RSUD dr. Rasidin Padang. CHAPTER III: RESEARCH METHODOLOGY This chapter explains systematically steps in this research, from the preliminary study, literature study, problem identification and formulation, method selection, designing simulation models, develop the improvement, results and discussion, conclusions and suggestions. CHAPTER IV: DEVELOPMENT OF SIMULATION MODEL FOR QUEUING SYSTEM OF OUTPATIENT SERVICE IN RSUD dr. RASIDIN PADANG This chapter presents the development of simulation model for queuing system of outpatient serve in RSUD dr Rasidin Padang. It consists of system description, data collection, data processing, development of simulation model, verification, validation, replication of simulation model, simulation report analysis and development of scenarios. CHAPTER V: DISCUSSIONS This chapter contains the discussion of the result consist of simulation model and scenarios of simulation model.
Background: Gujarat Medical Education Research society started GMERS medical college and tertiary care Hospital in Valsad since last 4 years. As civil Hospital is converted in to tertiary care hospital and many of the departments running in different buildings so, searching the concern OPDs is difficult for patients, waiting time and patients satisfaction is important to avail the services. Patient satisfaction is one of the important goals of any health system, but it is difficult to measure the satisfaction. Aims & objectives were (1) to study the waiting time at various Out Patient Department (OPDs). and various investigation; (2) To study the accessibility of various department of hospital; (3) To study the patient satisfaction on hospital process, behavior of hospital staff and treatment cost. Methods: This was a cross sectional observational study conducted in G.M.E.R.S. Hospital-Valsad for the period of 2 months and total 135 patients were interviewed availing the OPD Services. Results: The mean age of patient attending the OPD was 30.31±15.65 years and majority of them are female patient (54.07%). Hospital staff (48.89%) was main source of guidance for searching the OPDs for consulting the doctor. 54.07% patient registered 20 min after standing in queue. The mean waiting time was 12.16±2.35 min. 94.07% and 98.52% patients were satisfied with treatment cost and behavior of staff respectively. Conclusions: Many patients face the difficulties in finding the various departments. On an average 12 minutes of waiting time outside the various O.P.Ds. They were also satisfied with the treatment cost and behaviour of hospital staff.
USE OF QUEUING MODELS IN HEALTH-CARE FACILITIES -CASE STUDY OF KISII GENERAL LEVEL FIVE
This work is dedicated to our dear parents for their financial support and encouragement throughout our study. iv ACKNOWLEDGEMENT We give our utmost thanks to our almighty God for He has provided us with the means to this end. We would like to sincerely thank Mr. Tamaro Abuya our supervisor for his relentless assistance in perusing through our work and suggesting some of the very critical changes which have seen us get through with the study. We are grateful to our colleagues and for their positive criticism of our work. We believe their criticisms have added some value in this work. Last but not least, we acknowledge with thanks the role-played by our respondents in making this study a reality, and anybody else who directly or indirectly supported during our research study period.
Journal of Pharmaceutical Research International, 2021
Background: Prolonged waiting period for patients usually observed in outpatient service and this trouble come up with number of public health problems, weaken access to care interference of hospital work system and patient dissatisfaction. It is habitual to detect patient care being delay as prolonged waiting time, and patient many time expend more time in waiting than consultation. This study aims to reduce waiting time at outpatient department for total time management at AVBRH, Wardha. Objectives: 1. To determine average waiting period in outpatient department and factor related for prolonged waiting. 2. Provide recommendations on utilization of waiting period . Methodology: It will be an observational cross sectional stud conducted at AVBRH Wardha. OPD patients at AVBRH will be included in the study. Data will be collected over a period of 2 months by direct field observation and will be appropriately analyzed. Expected Results: Reduction of waiting period by total time manag...
ANALYSIS OF PATIENT WAITING TIME FOR HOSPITAL ADMISSION AND DISCHARGE PROCESS
Waiting time for hospital admission and discharge process is a common problem existing in all the hospitals, whether it is a small or a big set-up. The main objective of the study is to identify the gaps, highlight those areas where delay can be eliminated and recommend accordingly, so that the hospital admission and discharge process can be managed smoothly. This paper has explained both the hospital admission and discharge process in a simple way and has tried to find out the root causes for the delay in discharge process. This paper concludes with a list of suggestions. The set-up of the study was Apollo Hospitals, Greams Lane, Chennai (15th June – 14th August, 2012).