Abstract

The most critical and costly decisions made in emergency departments (EDs) is whether the patient is admitted in the hospital. These decisions require investment in time for patient testing and treatment, delaying care to other patients. Short Stay Units (SSUs) are an alternative to discharging or fully admitting ED patients, allowing extended patient observation. We understood about the design of an SSU and its impact on outcomes and congestion. Here we introduce a discrete event simulation model of a hospital system (EDs,IUs, and SSUs). To study this we analyze the records from SRMC. We determine realistic parameters and identify important features, such as classified level and processes depending on classified level, time and congestion. Here we use the simulation model to asses bed occupancy overtime.

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