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Operations Research, Systems Engineering and Industrial Engineering Commons

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Industrial Engineering

Clemson University

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Emergency department transfers

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Network Effects Of Emergency Department Clinician Strain And Patient Congestion, Aisha Nelson May 2023

Network Effects Of Emergency Department Clinician Strain And Patient Congestion, Aisha Nelson

All Theses

We develop a discrete-event simulation model to study how staffing strain affects patient outcomes across a network of Emergency Departments (EDs). The aim is to observe how clinician staffing and transfers throughout the system affect the system’s behavior. We will study the network of the seven EDs in the Prisma Health-Upstate system. Patient acuity and resource need are stratified using the five-level Emergency Severity Index (ESI). Patient flow data within and between EDs are collected from EPIC, staffing data from ShiftAdmin, and environmental COVID-19 prevalence data from the Department of Health and Environmental Control. Time periods include the Omicron wave …