Development of a simulation environment to study emergency department information technology

Priyadarshini R Pennathur; Dapeng Cao; Zheng Sui; Li Lin; Ann M Bisantz; Rollin J Fairbanks; Theresa K Guarrera; Jennifer L Brown; Shawna J Perry; Robert L Wears

doi:10.1097/SIH.0b013e3181c82c0a

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Development of a simulation environment to study emergency department information technology

Journal article

Open access

Development of a simulation environment to study emergency department information technology

Priyadarshini R Pennathur, Dapeng Cao, Zheng Sui, Li Lin, Ann M Bisantz, Rollin J Fairbanks, Theresa K Guarrera, Jennifer L Brown, Shawna J Perry and Robert L Wears

Simulation in healthcare : journal of the Society for Medical Simulation, Vol.5(2), pp.103-111

04/2010

DOI: 10.1097/SIH.0b013e3181c82c0a

PMCID: PMC4419378

PMID: 20661009

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https://doi.org/10.1097/SIH.0b013e3181c82c0aView

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Abstract

This article presents a simulation architecture for a patient tracking system simulator to study caregiver performance in emergency departments (EDs). The architecture integrates discrete event simulation modeling with clinical patient information. Evaluation components for electronic patient tracking system displays are also described. A simulation of an ED electronic whiteboard was developed to study situation awareness metrics. Dynamic process data from an actual ED was used to generate simulation parameters including patient arrivals at various hours, distribution of severities, times required to treat the ED patients, and ancillary turnaround times (laboratory and radiology). A team of industrial engineers and ED physicians contributed demographic and clinical information for simulator patients. ED simulation parameters were combined with clinical information resulting in an event timeline database. Event timelines were used to populate a front-end patient-tracking system display simulation. The resulting patient-tracking system display simulation consists of underlying software, desktop and large-screen displays, a phone call/pager system, and typical tasks that enhance the realism of the simulation experience. The system can evaluate the impact of display parameters and ED operations on user performance. Modular design of the patient-tracking system display simulation helps adaptation for different studies to support various interface features and interaction types. The methodology described in this work exploits the benefits of discrete event simulation to iteratively design and test technologies such as electronic patient tracking systems and allows assessment of human performance measures.

Caregivers

Computer Simulation

Emergency Service, Hospital - organization & administration

Humans

Emergency Service, Hospital - manpower

Workflow

Task Performance and Analysis

Hospital Information Systems

Details

Title: Subtitle: Development of a simulation environment to study emergency department information technology
Creators: Priyadarshini R Pennathur - Industrial and Systems Engineering, University at Buffalo, Department of Emergency Medicine, Sisters Charity Hospital, St. Joseph Campus, Buffalo, NY 14260, USA
Dapeng Cao
Zheng Sui
Li Lin
Ann M Bisantz
Rollin J Fairbanks
Theresa K Guarrera
Jennifer L Brown
Shawna J Perry
Robert L Wears
Resource Type: Journal article
Publication Details: Simulation in healthcare : journal of the Society for Medical Simulation, Vol.5(2), pp.103-111
DOI: 10.1097/SIH.0b013e3181c82c0a
PMID: 20661009
PMCID: PMC4419378
NLM abbreviation: Simul Healthc
ISSN: 1559-2332
eISSN: 1559-713X
Grant note: U18 HS016672 / AHRQ HHS 1 U18 HS016672 / AHRQ HHS K08 EB009090 / NIBIB NIH HHS
Language: English
Date published: 04/2010
Academic Unit: Industrial and Systems Engineering; Internal Medicine
Record Identifier: 9984094665302771

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