Department of Medicine Simulated co-location of inpatients on an internal medicine ward CSIM 2018 Andrew Appleton MD, FRCPC, MHSc, CHE Assistant Professor, Division of GIM
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Simulated co-location CSIM Annual Meeting – Conflict Disclosures None… •
Simulated co-location Learning Objectives Identify the benefits of applying an operations • research approach to health care settings Consider how the admissions process and ward • layout may impact interdisciplinary communication
X Z Y Y Z X X Z Z X Y Z X Y Y Y Z Y Z Y Z X X X
X X X X X X X X Z Z Y Y Y Y Z Z Z Z Y Y Y Z Z Y
X: 24 + 4 - 4 = 24 Y: 24 + 4 - 8 = 20 Z: 24 + 4 - 0 = 28
Th The Ru Rules Designate the beds If bed available: assign new patient to corresponding team If no bed available: assign new patient to team with lowest census Switch teams if bed from a different team opens first
X-23 Open X Y-20 Occupied Z-22 Occupied
X-24 Occupied X Y Y-20 Occupied Z-22 Occupied
X-24 Occupied X Y Z Y-20 Occupied Z-22 Open
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