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Quality Improvement With Discrete Event Simulation: A Primer for Radiologists
Michael T Booker1, Ryan J O'Connell2, Bhushan Desai3
1Department of Radiology, University of California San Diego, San Diego, California.
Journal of the American College of Radiology : JACR
|February 29, 2016
Summary
Discrete-event simulation (DES) software can enhance healthcare quality and radiology processes. This guide introduces DES modeling basics and practical steps for implementing it in radiology practices to improve decision-making.
Area of Science:
- Healthcare Management
- Medical Imaging Systems
- Simulation Modeling
Background:
- Simulation software, particularly discrete-event simulation (DES), has proven effective in improving healthcare quality and processes.
- While DES has been applied successfully in medical literature, its potential in healthcare, especially radiology, remains underutilized.
Purpose of the Study:
- To introduce the fundamental principles of discrete-event simulation (DES) modeling.
- To provide practical guidance on selecting DES software and developing radiology-specific models.
- To demonstrate the application and benefits of DES in radiology through system examples.
Main Methods:
- Explanation of discrete-event simulation (DES) modeling concepts.
- Discussion of practical steps for software selection and model building for radiology.
- Presentation of three case studies with accompanying DES models for radiology systems.
Main Results:
- The study outlines the foundational knowledge required for DES implementation in healthcare settings.
- Practical examples illustrate how DES models can be used for analysis and decision-making in radiology.
- The benefits of integrating DES into radiology practices for process improvement are highlighted.
Conclusions:
- Discrete-event simulation (DES) offers significant, yet underutilized, potential for enhancing radiology workflows and quality improvement.
- This work equips readers with the necessary understanding and practical steps to begin applying DES in their radiology practices.
- Implementing DES can lead to better analysis, informed decision-making, and optimized radiology system performance.

