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Abdominal surgery process modeling framework for simulation using spreadsheets.

Biljana Mileva Boshkoska1, Talib Damij2, Franc Jelenc3

  • 1Faculty of Information Studies, Ulica talcev 3, Novo mesto, Slovenia.

Computer Methods and Programs in Biomedicine
|May 26, 2015
PubMed
Summary

This study introduces a modular spreadsheet simulation for abdominal surgery processes, enhancing the Activity Table Modeling methodology. The model is user-friendly, requiring no programming experience for replication or upgrades, and demonstrates effective patient flow simulation.

Keywords:
Activity table modeling techniqueBusiness process managementSimulationsSpreadsheets

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Area of Science:

  • Healthcare Operations Research
  • Simulation Modeling
  • Health Systems Engineering

Background:

  • Existing Activity Table Modeling (ATM) methodologies require enhancements for practical application in complex healthcare settings.
  • Spreadsheet-based simulations offer accessibility but often lack modularity and ease of extension.
  • Modeling patient flow in surgical departments is crucial for optimizing resource allocation and patient care.

Purpose of the Study:

  • To extend the Activity Table Modeling methodology using a modular spreadsheet simulation approach.
  • To develop a user-friendly simulation model for the abdominal surgery cycle process.
  • To demonstrate the applicability of the proposed methodology in simulating patient flow within a clinical setting.

Main Methods:

  • Developed a modular spreadsheet simulation model with 28 elements for the abdominal surgery cycle.
  • Implemented a first-in-first-served approach for servicing multiple patients.
  • Modeled uncertain activity durations using the "rand()" function and patient movement with nested "if()" functions.
  • Ensured the model is macro-free, requiring no programming experience for use or modification.

Main Results:

  • Successfully simulated a two-week patient flow in a 75-bed abdominal clinic, validating the methodology's applicability.
  • The modular approach enhanced model readability and facilitated easy upgrading and extension with other activities or models.
  • The simulation effectively tracked patient movements through various activities without complex programming.

Conclusions:

  • The modular spreadsheet simulation is a viable and accessible extension of the Activity Table Modeling methodology for surgical processes.
  • The developed model offers improved readability, extensibility, and ease of use compared to existing methods.
  • This approach provides a practical tool for analyzing and optimizing patient flow in abdominal surgery departments.