Table 1 Input parameters and output validation for the nationally average and average academic environments
From: A flexible simulation platform to quantify and manage emergency department crowding
Input parameters | National average | Academic average | ||
|---|---|---|---|---|
MTA Beds | 321 | 415 | ||
FT Beds | 01 | 62 | ||
Physicians | 32 | 42 | ||
PAs | 02 | 12 | ||
Nurses | 82 | 132 | ||
Nurse to Patient Ratio†| 1:43 | 1:43 | ||
Mean Arrivals per Day | 1551 | 1955 | ||
Mean LWBS Threshold†| 3.5 hrs2 | 3.5 hrs2 | ||
Mean Nursing Assessment†| 5 min2 | 5 min2 | ||
Mean Physician Assessment†| 10 min2 | 10 min2 | ||
Mean Lab TAT†| 30 min2 | 45 min2 | ||
Mean Imaging TAT†| 75 min2 | 90 min2 | ||
Admit Rate†| 12.8%1 | 25.8%5 | ||
Mean Boarding Delay†| 1.63 hrs4 | 4.43 hrs5 | ||
Outputs | Simulated | Actual 1 | Simulated | Actual 5 |
LWBS Rate (%) | 3.06 (1.03) | 3.00 | 4.54 (0.88) | 4.50 |
Door-to-Event Time (hrs) | — | — | — | — |
Doctor | 0.98 (0.10) | 0.97 | 1.25 (0.07) | 1.31 |
Disposition | 3.06 (0.15) | 3.08 | 3.41 (0.08) | 3.41 |
Exit | 3.71 (0.15) | 3.73 | 5.63 (0.10) | 5.67 |
Patients/Doctor/Hour | 2.41 (0.02) | 1.8-2.83 | 2.21 (0.01) | 2.51 |
Patients/Bed/Year | 1764.5 (16.8) | no data | 1513.8 (9.67) | 1360.3 |