Improving service efficiency and throughput of cardiac surgery patients using Monte Carlo simulation: a queueing setting

Bed occupancy rate (BOR) is important for healthcare policymakers. Studies showed the necessity of using simulation approach when encountering complex real-world problems to plan the optimal use of resources and improve the quality of services. So, the aim of the present study is to estimate average...

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Bibliographic Details
Published in:Scientific reports 2022-12, Vol.12 (1), p.21217-21217, Article 21217
Main Authors: Mohammadi, Tayeb, Roshanaei, Ghodratollah, Faradmal, Javad, Sadeghifar, Majid, Manafi, Babak, Mahjub, Hossein
Format: Article
Language:English
Subjects:
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Cardiac Surgical Procedures
Heart
Heart surgery
Humanities and Social Sciences
Humans
Monte Carlo simulation
multidisciplinary
Patients
Science
Science (multidisciplinary)
Software
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Summary:Bed occupancy rate (BOR) is important for healthcare policymakers. Studies showed the necessity of using simulation approach when encountering complex real-world problems to plan the optimal use of resources and improve the quality of services. So, the aim of the present study is to estimate average length of stay (LOS), BOR, bed blocking probability (BBP), and throughput of patients in a cardiac surgery department (CSD) using simulation models. We studied the behavior of a CSD as a complex queueing system at the Farshchian Hospital. In the queueing model, customers were patients and servers were beds in intensive care unit (ICU) and post-operative ward (POW). A computer program based on the Monte Carlo simulation, using Python software, was developed to evaluate the behavior of the system under different number of beds in ICU and POW. The queueing simulation study showed that, for a fixed number of beds in ICU, BOR in POW decreases as the number of beds in POW increases and LOS in ICU increases as the number of beds in POW decreases. Also, based on the available data, the throughput of patients in the CSD during 800 days was 1999 patients. Whereas, the simulation results showed that, 2839 patients can be operated in the same period. The results of the simulation study clearly demonstrated the behavior of the CSD; so, it must be mentioned, hospital administrators should design an efficient plan to increase BOR and throughput of patients in the future.
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-022-25689-y