Several practices and strategies are carried out over time in order to reduce the patient wait times and other care restrictions. The agent-based model (ABM) and the queuing model (QM) techniques can be applied to the operations of emergency department with respect to patient flow and patient access through the emergency department (Mount Sinai Hospital, 2010). Improving Delivery The understanding of wait times that patients face enables the health care professionals to implement strategies that can lead to improvements across the health care systems. Real time information collected helps in improving patient flow, inform decisions on the distribution of resources for communities and hospitals and reduces the emergency room wait times. The initial efforts have focused very much on the modeling basic aspects of emergency room treatment process. In the current model, patients arrive by walking in or by ambulance. Due to the need of an immediate care they are directed to a treatment room. McHugh et al. (2004) says that the ones who do not need immediate treatment wait in the queue in case the registration desk is busy at the moment. Once the registration is complete, the patients are directed to the triage station and wait in the queue for their turn to come. The staff at the triage station assigns the patient a priority level depending on the severity of the condition. The arriving patients are expected to wait with other patients in the queue as they wait to be assigned to the treatment room. The patient is expected to wait for the physician staff to attend to him after being assigned to the treatment room (PRWeb, 2011). The physicians provide patients with treatment in the order of urgency and later in order of arrival. The patients that have been treated leave the room for the others to be attended to. The patients therefore follow the trend until the last patient is treated. Emergency Cases Overcrowding is a major problem that has become a chronic state in the emergency department. Overcrowding is a situation in which the demand for services is greater than the ability to provide care within the required time. This condition makes the physicians unable to provide quality care in a timely manner. According to the Canadian Association of Emergency Physicians and the National Emergency Nurses Affiliation, there are several causes of overcrowding (Moreea et al. 2001). First, they stated that lack of beds for the admitted patients causes this problem. The main cause of the emergency department overcrowding is the increased waiting times for transfer to an inpatient bed. Sachdev (2010) claims that the other cause is lack of access to primary care, nurse practitioners and specialist physicians. In most cases, there is always a shortage of family physicians, and many specialists including nurse practitioners in various health centers. Furthermore, the primary care physicians take a lot of time while attending to the patients. Patients do seek emergency department care when they can’t see their physicians within an appropriate period of time or when the waiting times for the tests or procedures of the specialists are very long. As the patients conditions worsen and become frustrated, they seek help in the emergency department (Health Care IT News, 2011). This is because they are aware that in emergency departm
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