Related Experiment Video
Updated: Jun 20, 2026
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Understanding target-driven action in emergency department performance using simulation.
1Department of Management Science, Lancaster University Management School, Lancaster LA1 4YX, UK.
Emergency Medicine Journal : EMJ
|September 24, 2009
Summary
Computer simulation models help emergency departments improve performance. This model reveals how the 4-hour target regime in the English National Health Service (NHS) impacts operations and uncovers true departmental performance.
Area of Science:
- Health Services Research
- Operations Research
- Health Informatics
Background:
- Emergency departments (EDs) face performance challenges.
- Computer simulation models are used to optimize ED operations.
- The 4-hour target regime in the English National Health Service (NHS) necessitates performance evaluation.
Purpose of the Study:
- To present a simulation model for evaluating ED performance.
- To analyze the impact of the NHS 4-hour target on ED operations.
- To differentiate between normal activity performance and actual performance.
Main Methods:
- Development of a computer simulation model for EDs.
- Simulation of ED performance under normal activity conditions.
- Comparison of simulated normal performance with actual observed performance.
Main Results:
- The model effectively simulates ED performance.
- Analysis revealed significant "special actions" taken to meet the 4-hour target.
- The model exposed the true underlying performance of EDs, distinct from target-driven adjustments.
Conclusions:
- Simulation modeling is valuable for understanding ED dynamics.
- The 4-hour target regime influences ED operations significantly.
- The model provides insights into genuine ED performance beyond target compliance.
