The Application of Discrete Event Simulation to Hospital Nursing Teams
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Published on: January 15, 2017
Robin Steaban1, Sandra Simmons, Jay Morrison
1Correspondence: Vanderbilt University Medical Center, Division of Geriatrics2147 Belcourt Ave, Suite 100, Center for Quality AgingNashville, TN 37212. sandra.simmons@vumc.org (S. Simmons).Author Affiliations: Professor (France); Associate Professor (Slagle); Professor, Anesthesiology and Director of the Center for Quality Aging, Geriatrics, Vanderbilt University (Simmons); Research Program Manager of the Center for Quality Aging (Hollingsworth); Associate Nurse Executive (Ivory), Nursing Professional (Camerson), Chief Nursing Officer (Steaban), Director of Nursing Practice (Morrison), Director of Nursing Inpatient (Campbell), Nursing Education Specialist (Cameron), Director of Clinical Education and Development (Kromer), Vanderbilt University Medical Center; Professor and Vice Dean (Kleinpell), Vanderbilt University School of Nursing, Nashville, Tennessee.
Abstract:
This quality improvement initiative evaluated skill mix adjustments for registered nurses and unlicensed assistive personnel on 15 inpatient units at an academic medical center. Discrete event simulation modeling incorporated standardized time motion observations of predefined registered nurse and unlicensed assistive personnel direct and indirect care tasks, patient medical record data, and clinical team input related to care routines to simulate skill mix adjustments. Unit-level discrete event simulation modeling guided nursing skill mix adjustments on 12 of 15 units.
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