The workflow models of the patient journey in a Pediatric Emergency Department (PED) seems to be an effective approach to develop an accurate and complete representation of the PED processes. This model can drive the collection of comprehensive quantitative and qualitative service delivery and patient treatment data as an evidence base for the PED service planning. Our objective in this study is to identify crowded situation indicators and bottlenecks that contribute to over-crowding. The greatest source of delay in patient flow is the waiting time from the health care request, and especially the bed request to exit from the PED for hospital admission. It represented 70% of the time that these patients occupied in the PED waiting rooms. The use of real data to construct the workflow model of the patient path is effective in identifying sources of delay in patient flow, and aspects of the PED activity that could be improved. The development of this model was based on accurate visits made in the PED of the Regional University Hospital Center (CHRU) of Lille (France). This modeling, which has to represent most faithfully possible the reality of the PED of CHRU of Lille, is necessary. It must be detailed enough to produce an analysis allowing to identify the dysfunctions of the PED and also to propose and to estimate prevention indicators of crowded situations. Our survey is integrated into the French National Research Agency (ANR) project, titled: "Hospital: Optimization, Simulation and avoidance of strain" (HOST).
The Emergency Department (ED) in a hospital, as its name implies, is a facility to be utilized by those who require emergency medical care. This paper introduces the longitudinal organization of the patient handling" in the Pediatric Emergency called the "Pediatric Emergency Path". This work discusses the usability of the workflow approach in order to design the patient path in the Pediatric Emergency Department (PED) in order to thwart the care complexity scheme. The goal is to optimize these paths to improve the quality of the patient handling while mastering the wait time. The development of this model was based on accurate visits made in the PED of the Regional University Hospital Center (CHRU) of Lille (France). This modeling, which has to represent most faithfully possible the reality of the PED of CHRU of Lille, is necessary. It must be enough retailed to produce an analysis allowing to identify the dysfunctions of the PED and also to propose and to estimate prevention indicators of tensions. Our survey is integrated into the French National Research Agency project, titled: "Hospital: optimization, simulation and avoidance of strain" (ANR HOST)1 .
The purpose of this paper is twofold: to depict the patient's journey in operating block of the hospital and to provide a flexible model that matches the reality. In operating block of Jeanne de Flandres Hospital, a daily meeting is held in order to establish the operations that will occur the next day. Organizing a schedule in these circumstances leads to a loss of time and can often lead to conflictual situations. The overall study objective is therefore to provide an interactive schedule. Hence, we will need to consider parameters such as the type of surgery, patient's age, and their past history. From model analysis, some operation's duration will be estimated.
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