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Reducing Overcrowding at the Emergency Department Through a Different Physician and Nurse Shift Organisation: A Case Study

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New Trends in Emerging Complex Real Life Problems

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Abstract

Overcrowding is a widespread problem affecting the performance of an Emergency Department (ED). In this paper we deal with the overcrowding problem at the ED sited at Ospedale Sant’Antonio Abate di Cantù, Italy. Exploiting the huge amounts of data collected by the ED, we propose a new agent-based simulation model to analyse the real impact on the ED overcrowding of a different physicians and nurses shift organisations. The proposed simulation model demonstrates its capability of analysing the ED performance from a patient-centred perspective.

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Acknowledgements

The authors wish to thank Alessandra Farina, Elena Scola and Filippo Marconcini of the ED at Ospedale Sant’Antonio Abate di Cantù for the fruitful collaboration and for providing us the data set and allowing their use in this paper.

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Correspondence to Davide Duma .

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Aringhieri, R., Bonetta, G., Duma, D. (2018). Reducing Overcrowding at the Emergency Department Through a Different Physician and Nurse Shift Organisation: A Case Study. In: Daniele, P., Scrimali, L. (eds) New Trends in Emerging Complex Real Life Problems. AIRO Springer Series, vol 1. Springer, Cham. https://doi.org/10.1007/978-3-030-00473-6_6

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