A Markov chain approach to study flow disruptions on surgery in emergency care

Xiufeng Shao; Jingshan Li; Douglas A. Wiegmann

doi:10.1109/CoASE.2013.6654059

A Markov chain approach to study flow disruptions on surgery in emergency care

Xiufeng Shao, Jingshan Li, Douglas A. Wiegmann

Research output: Chapters, Conference Papers, Creative and Literary Works › RGC 32 - Refereed conference paper (with host publication) › peer-review

3 Citations (Scopus)

Abstract

The work flow of surgical operations in emergency department can be interrupted due to various disruptions. Reducing such disruptions is of significant importance to ensure successful operations. In this paper, we introduce a continuous time Markov chain model to analyze the disruptions and their impacts. Analytical formulas have been derived to evaluate the probabilities of normal operations and disruptions. A continuous improvement method has been developed to identify the disruption that impedes surgical operation in the strongest manner. Such a disruption is referred to as the bottleneck disruption (BN-d). Reducing the interruption time of the BNd can lead to the largest improvement in normal operation. An application of the method at an emergency department of a large academic medical center is presented to illustrate the effectiveness of the model and the improvement approach. It is discovered that the disruption due to coordination problem is the system bottleneck. © 2013 IEEE.

Original language	English
Title of host publication	2013 IEEE International Conference on Automation Science and Engineering, CASE 2013
Pages	990-995
DOIs	https://doi.org/10.1109/CoASE.2013.6654059
Publication status	Published - 2013
Externally published	Yes
Event	2013 IEEE International Conference on Automation Science and Engineering, CASE 2013 - Madison, WI, United States Duration: 17 Aug 2013 → 20 Aug 2013

Publication series

Name	IEEE International Conference on Automation Science and Engineering
ISSN (Print)	2161-8070
ISSN (Electronic)	2161-8089

Conference

Conference	2013 IEEE International Conference on Automation Science and Engineering, CASE 2013
Place	United States
City	Madison, WI
Period	17/08/13 → 20/08/13

Bibliographical note

Publication details (e.g. title, author(s), publication statuses and dates) are captured on an “AS IS” and “AS AVAILABLE” basis at the time of record harvesting from the data source. Suggestions for further amendments or supplementary information can be sent to [email protected].

Funding

This work is supported in part by NSF Grant No. CMMI-1233807.

Research Keywords

bottleneck
continuous time Markov chain
Emergency care
flow disruptions
surgery

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10.1109/CoASE.2013.6654059

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Cite this

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title = "A Markov chain approach to study flow disruptions on surgery in emergency care",

abstract = "The work flow of surgical operations in emergency department can be interrupted due to various disruptions. Reducing such disruptions is of significant importance to ensure successful operations. In this paper, we introduce a continuous time Markov chain model to analyze the disruptions and their impacts. Analytical formulas have been derived to evaluate the probabilities of normal operations and disruptions. A continuous improvement method has been developed to identify the disruption that impedes surgical operation in the strongest manner. Such a disruption is referred to as the bottleneck disruption (BN-d). Reducing the interruption time of the BNd can lead to the largest improvement in normal operation. An application of the method at an emergency department of a large academic medical center is presented to illustrate the effectiveness of the model and the improvement approach. It is discovered that the disruption due to coordination problem is the system bottleneck. {\textcopyright} 2013 IEEE.",

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Shao, X, Li, J & Wiegmann, DA 2013, A Markov chain approach to study flow disruptions on surgery in emergency care. in 2013 IEEE International Conference on Automation Science and Engineering, CASE 2013., 6654059, IEEE International Conference on Automation Science and Engineering, pp. 990-995, 2013 IEEE International Conference on Automation Science and Engineering, CASE 2013, Madison, WI, United States, 17/08/13. https://doi.org/10.1109/CoASE.2013.6654059

A Markov chain approach to study flow disruptions on surgery in emergency care. / Shao, Xiufeng; Li, Jingshan; Wiegmann, Douglas A.
2013 IEEE International Conference on Automation Science and Engineering, CASE 2013. 2013. p. 990-995 6654059 (IEEE International Conference on Automation Science and Engineering).

Research output: Chapters, Conference Papers, Creative and Literary Works › RGC 32 - Refereed conference paper (with host publication) › peer-review

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A Markov chain approach to study flow disruptions on surgery in emergency care

Abstract

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Research Keywords

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