• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

A framework to accelerate simulation studies of hyperacute stroke systems
Publication date: Available online 21 September 2017 Source:Operations Research for Health Care Author(s): Thomas Monks, Durk-Jouke van der Zee, Maarten Lahr, Michael Allen, Kerry Pearn, Martin A. James, Erik Buskens, Gert-Jan Luijckx Stroke care has been identified as an area where operations research has great potential. In recent years there has been a small but sustained stream of discrete-event simulation case studies in modelling hyperacute stroke systems. The nature of such case studies has led to a fragmented knowledge base and high entry cost to stroke modelling research. Two common issues have faced researcher...
Source: Operations Research for Health Care - September 22, 2017 Category: Hospital Management Source Type: research

Pathway variation analysis (PVA): Modelling and simulations
In this study, we propose a novel methodology, called pathway variation analysis (PVA), to identify, simulate and analyse variations from the patient care pathways. PVA method includes patient ward level journey dataset and qualitative staff interviews to simulate patient variations. The proposed methodology had been applied to the stroke care services of a hospital, which increased their key performance from 73% to 84.97%. A PVA methodology is proposed which simulated patient diversions from the care pathway by modelling hospital operational parameters, assessing the accuracy of clinical decisions and performance measures...
Source: Operations Research for Health Care - September 19, 2015 Category: Hospital Management Source Type: research

Evaluating the impact of a simulation study in emergency stroke care
Publication date: Available online 16 September 2015 Source:Operations Research for Health Care Author(s): Thomas Monks, Mark Pearson, Martin Pitt, Ken Stein, Martin A. James Very few discrete-event simulation studies follow up on recommendations with evaluation of whether modelled benefits have been realised and the extent to which modelling contributed to any change. This paper evaluates changes made to the emergency stroke care pathway at a UK hospital informed by a simulation modelling study. The aims of the study were to increase the proportion of people with strokes that undergo a time-sensitive treatment to b...
Source: Operations Research for Health Care - September 17, 2015 Category: Hospital Management Source Type: research

STOPGAP: Stroke patient management and capacity planning
The objective is to ensure that capacity constraints are met, while moving as few patients as possible. While our theoretical solution and implementation focus on the specifics of the Belfast Trust, the methodology is clearly generalizable to other hospital settings in different settings.
Source: Operations Research for Health Care - September 17, 2015 Category: Hospital Management Source Type: research

Compliance with national guidelines for stroke in Radiology
Publication date: Available online 14 September 2015 Source:Operations Research for Health Care Author(s): Izabela Komenda, Vincent Knight, Hannah Mary Williams Stroke is a medical emergency, and if patient outcomes are to be optimised there should be no delays in accessing treatment. This project focuses on the application of Operational Research methodology to investigate how a hospital can comply with the revised computerised tomography (CT) scanning guidelines for stroke. Such guidelines, released by the Royal College of Physicians recommend a 50% reduction in time from hospital admission to report of a CT head sc...
Source: Operations Research for Health Care - September 14, 2015 Category: Hospital Management Source Type: research

The scope for improvement in hyper-acute stroke care in Scotland
Publication date: Available online 11 September 2015 Source:Operations Research for Health Care Author(s): Evin Uzun Jacobson, Steffen Bayer, James Barlow, Martin Dennis, Mary Joan MacLeod Thrombolysis is associated with reduced disability for selected patients who have suffered ischemic stroke. However only a fraction of all patients who have suffered this type of stroke receive thrombolysis. The short time window of 4.5 h in which treatment is licensed means that rapid care and well-organised pathways are essential. We studied measures to increase the uptake of thrombolysis through a better understanding of the ho...
Source: Operations Research for Health Care - September 11, 2015 Category: Hospital Management Source Type: research