Generic selectors
Exact matches only
Search in title
Search in content
Search in posts
Search in pages

Hospital Surge Capacity Planning

Hospital Surge Capacity Planning

Client Health Resources and Services Administration (HRSA), US Department of Health and Human Services
Authors/Consultants Manley W, Homer J, Hoard M, Roy S, Furbee P, et al.

A system dynamics model was developed to help hospitals assess their ability to handle surges of demand during various types of disasters.  The model represents all major flows of patients through a hospital and indicates how specific responses to a surge may ameliorate bottlenecks and their potentially harmful effects on patients.  The model was calibrated to represent a specific hospital in West Virginia and was tested under three quite different surge scenarios: a bus crash, a chemical plant leak, and a SARS outbreak.

Under the difficult conditions of the SARS scenario, avoidable deaths of patients awaiting emergency care could be effectively reduced by adding reserve nursing staff not in the emergency department, as might be expected, but in the overloaded inpatient wards.  The model can help hospital planners better anticipate how patient flows may be affected by disasters, and identify best practices for maximizing the hospital’s surge capacity under such conditions.

Publications

Manley W, Homer J, Hoard M, Roy S, Furbee P, Summers D, Blake R, Kimble M. 2005. A Dynamic Model to Support Surge Capacity Planning in a Rural Hospital. ISDC proceedings 2005, Boston
Hoard M, Homer J, Manley W, Furbee P, Haque A, Helmkamp J.  Systems Modeling in Support of Evidence-Based Disaster Planning for Rural Areas.  Intl. J of Hygiene and Environmental Health, 208: 117-125, 2005.
System Dynamics Admins
System Dynamics Admins