Skip to main content
Erschienen in: Journal of Medical Systems 7/2016

01.07.2016 | Systems-Level Quality Improvement

Forecasting the Emergency Department Patients Flow

verfasst von: Mohamed Afilal, Farouk Yalaoui, Frédéric Dugardin, Lionel Amodeo, David Laplanche, Philippe Blua

Erschienen in: Journal of Medical Systems | Ausgabe 7/2016

Einloggen, um Zugang zu erhalten

Abstract

Emergency department (ED) have become the patient’s main point of entrance in modern hospitals causing it frequent overcrowding, thus hospital managers are increasingly paying attention to the ED in order to provide better quality service for patients. One of the key elements for a good management strategy is demand forecasting. In this case, forecasting patients flow, which will help decision makers to optimize human (doctors, nurses…) and material(beds, boxs…) resources allocation. The main interest of this research is forecasting daily attendance at an emergency department. The study was conducted on the Emergency Department of Troyes city hospital center, France, in which we propose a new practical ED patients classification that consolidate the CCMU and GEMSA categories into one category and innovative time-series based models to forecast long and short term daily attendance. The models we developed for this case study shows very good performances (up to 91,24 % for the annual Total flow forecast) and robustness to epidemic periods.
Literatur
2.
Zurück zum Zitat Aboagye-Sarfo, P., Mai, Q., Sanfilippo, F.M., Preen, D.B., Stewart, L.M., Fatovich, D.M., A comparison of multivariate and univariate time series approaches to modelling and forecasting emergency department demand in Western Australia 57:62–73. Aboagye-Sarfo, P., Mai, Q., Sanfilippo, F.M., Preen, D.B., Stewart, L.M., Fatovich, D.M., A comparison of multivariate and univariate time series approaches to modelling and forecasting emergency department demand in Western Australia 57:62–73.
3.
Zurück zum Zitat Abraham, G., Byrnes, G., Bain, C., Short-Term Forecasting of emergency inpatient flow. IEEE Trans. Inf. Technol. Biomed. 13(3):380–388, 2009.CrossRefPubMed Abraham, G., Byrnes, G., Bain, C., Short-Term Forecasting of emergency inpatient flow. IEEE Trans. Inf. Technol. Biomed. 13(3):380–388, 2009.CrossRefPubMed
4.
Zurück zum Zitat Ajmi, I., Zgaya, H., Hammadi, S.: Optimized workflow for the healthcare logistic: Case of the pediatric emergency department. In: Mohamad, M.S., Nanni, L., Rocha, M.P., Fdez-Riverola, F. (Eds.) 7th International Conference on Practical Applications of Computational Biology & Bioinformatics, no. 222 in Advances in Intelligent Systems and Computing, pp. 77–84. Springer International Publishing (2013) Ajmi, I., Zgaya, H., Hammadi, S.: Optimized workflow for the healthcare logistic: Case of the pediatric emergency department. In: Mohamad, M.S., Nanni, L., Rocha, M.P., Fdez-Riverola, F. (Eds.) 7th International Conference on Practical Applications of Computational Biology & Bioinformatics, no. 222 in Advances in Intelligent Systems and Computing, pp. 77–84. Springer International Publishing (2013)
5.
Zurück zum Zitat Atallah, H.Y., and Lee, E.K.: Modeling and Optimizing Emergency Department Workflow Atallah, H.Y., and Lee, E.K.: Modeling and Optimizing Emergency Department Workflow
6.
Zurück zum Zitat Bergs, J., Heerinckx, P., Verelst, S., Knowing what to expect, forecasting monthly emergency department visits: a time-series analysis. Int. Emerg. Nurs. 22(2):112–115, 2014.CrossRefPubMed Bergs, J., Heerinckx, P., Verelst, S., Knowing what to expect, forecasting monthly emergency department visits: a time-series analysis. Int. Emerg. Nurs. 22(2):112–115, 2014.CrossRefPubMed
7.
Zurück zum Zitat Bouleux, G., Marcon, E., Mory, O., Early index for detection of pediatric emergency department crowding. IEEE Journal of Biomedical and Health Informatics PP(99):1–1 , 2014. Bouleux, G., Marcon, E., Mory, O., Early index for detection of pediatric emergency department crowding. IEEE Journal of Biomedical and Health Informatics PP(99):1–1 , 2014.
8.
Zurück zum Zitat Box, G. E. P., and Jenkins, G. M., Time series analysis, forecasting and control. J. R. Stat. Soc. Series A (General) 134(3):450, 1971.CrossRef Box, G. E. P., and Jenkins, G. M., Time series analysis, forecasting and control. J. R. Stat. Soc. Series A (General) 134(3):450, 1971.CrossRef
9.
Zurück zum Zitat Boyle, A., Beniuk, K., Higginson, I., Atkinson, P., Emergency department crowding: Time for interventions and policy evaluations. Emergency Medicine International 2012:e838,610, 2012.CrossRef Boyle, A., Beniuk, K., Higginson, I., Atkinson, P., Emergency department crowding: Time for interventions and policy evaluations. Emergency Medicine International 2012:e838,610, 2012.CrossRef
10.
Zurück zum Zitat Boyle, J., Wallis, M., Jessup, M., Crilly, J., Lind, J., Miller, P., Fitzgerald, G.: Regression forecasting of patient admission data. In: 30th annual international conference of the IEEE engineering in medicine and biology society, 2008. EMBS 2008, pp. 3819–3822 (2008) Boyle, J., Wallis, M., Jessup, M., Crilly, J., Lind, J., Miller, P., Fitzgerald, G.: Regression forecasting of patient admission data. In: 30th annual international conference of the IEEE engineering in medicine and biology society, 2008. EMBS 2008, pp. 3819–3822 (2008)
11.
Zurück zum Zitat Brockwell, P.J., and Davis, R.A. (eds.): Introduction to Time Series and Forecasting. Springer Texts in Statistics. Springer, New York (2002) Brockwell, P.J., and Davis, R.A. (eds.): Introduction to Time Series and Forecasting. Springer Texts in Statistics. Springer, New York (2002)
13.
Zurück zum Zitat Cooke, M., Wilson, S., Halsall, J., Roalfe, A., Total time in English accident and emergency departments is related to bed occupancy. Emerg. Med. J. : EMJ 21(5):575–576, 2004.CrossRefPubMedPubMedCentral Cooke, M., Wilson, S., Halsall, J., Roalfe, A., Total time in English accident and emergency departments is related to bed occupancy. Emerg. Med. J. : EMJ 21(5):575–576, 2004.CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat De Gooijer, J.G., and Hyndman, R.J., 25 years of time series forecasting. Int. J. Forecast. 22(3):443–473, 2006.CrossRef De Gooijer, J.G., and Hyndman, R.J., 25 years of time series forecasting. Int. J. Forecast. 22(3):443–473, 2006.CrossRef
16.
Zurück zum Zitat Derlet, R., Richards, J., Kravitz, R., Frequent overcrowding in U.S. emergency departments. Acad. Emerg. Med. Off. J. Soc. Acad. Emerg. Med. 8(2):151–155, 2001.CrossRef Derlet, R., Richards, J., Kravitz, R., Frequent overcrowding in U.S. emergency departments. Acad. Emerg. Med. Off. J. Soc. Acad. Emerg. Med. 8(2):151–155, 2001.CrossRef
17.
Zurück zum Zitat Ekström, A., Kurland, L., Farrokhnia, N., Castrén, M., Nordberg, M., Forecasting emergency department visits using internet data. Ann. Emerg. Med. 65(4):436–442.e1, 2015.CrossRefPubMed Ekström, A., Kurland, L., Farrokhnia, N., Castrén, M., Nordberg, M., Forecasting emergency department visits using internet data. Ann. Emerg. Med. 65(4):436–442.e1, 2015.CrossRefPubMed
18.
Zurück zum Zitat Findley, D.F., Monsell, B.C., Bell, W.R., Otto, M.C., Chen, B.C., New capabilities and methods of the x-12-ARIMA Seasonal-Adjustment program. J. Bus. Econ. Stat. 16(2):127, 1998. Findley, D.F., Monsell, B.C., Bell, W.R., Otto, M.C., Chen, B.C., New capabilities and methods of the x-12-ARIMA Seasonal-Adjustment program. J. Bus. Econ. Stat. 16(2):127, 1998.
19.
Zurück zum Zitat Foley, M., Kifaieh, N., Mallon, W. K., Financial impact of emergency department crowding. Western Journal of Emergency Medicine 12(2):192–197, 2011.PubMedPubMedCentral Foley, M., Kifaieh, N., Mallon, W. K., Financial impact of emergency department crowding. Western Journal of Emergency Medicine 12(2):192–197, 2011.PubMedPubMedCentral
20.
Zurück zum Zitat Gendreau, M., Ferland, J., Gendron, B., Hail, N., Jaumard, B., Lapierre, S., Pesant, G., Soriano, P.: Physician scheduling in emergency rooms. In: Burke, E.K., and Rudová, H. (Eds.) Practice and Theory of Automated Timetabling VI, no. 3867 in Lecture Notes in Computer Science, pp. 53–66. Springer, Berlin (2007) Gendreau, M., Ferland, J., Gendron, B., Hail, N., Jaumard, B., Lapierre, S., Pesant, G., Soriano, P.: Physician scheduling in emergency rooms. In: Burke, E.K., and Rudová, H. (Eds.) Practice and Theory of Automated Timetabling VI, no. 3867 in Lecture Notes in Computer Science, pp. 53–66. Springer, Berlin (2007)
21.
Zurück zum Zitat Han, J.H., Zhou, C., France, D.J., Zhong, S., Jones, I., Storrow, A.B., Aronsky, D., The effect of emergency department expansion on emergency department overcrowding. Acad. Emerg. Med. Off. J. Soc. Acad. Emerg. Med. 14(4):338–343, 2007.CrossRef Han, J.H., Zhou, C., France, D.J., Zhong, S., Jones, I., Storrow, A.B., Aronsky, D., The effect of emergency department expansion on emergency department overcrowding. Acad. Emerg. Med. Off. J. Soc. Acad. Emerg. Med. 14(4):338–343, 2007.CrossRef
22.
Zurück zum Zitat Headrick, R.W., and Morgan, G.W., Resource allocation in multifacility Emergency Medical Service Systems. J. Med. Syst. 12(3):121–128, 1988.CrossRefPubMed Headrick, R.W., and Morgan, G.W., Resource allocation in multifacility Emergency Medical Service Systems. J. Med. Syst. 12(3):121–128, 1988.CrossRefPubMed
23.
Zurück zum Zitat Jalalpour, M., Gel, Y., Levin, S., Forecasting demand for health services: Development of a publicly available toolbox 5:1–9. Jalalpour, M., Gel, Y., Levin, S., Forecasting demand for health services: Development of a publicly available toolbox 5:1–9.
24.
Zurück zum Zitat Jones, S.A., Joy, M.P., Pearson, J., Forecasting demand of emergency care. Health Care Manag. Sci. 5 (4):297–305, 2002.CrossRefPubMed Jones, S.A., Joy, M.P., Pearson, J., Forecasting demand of emergency care. Health Care Manag. Sci. 5 (4):297–305, 2002.CrossRefPubMed
25.
Zurück zum Zitat Jones, S.S., Evans, R.S., Allen, T.L., Thomas, A., Haug, P.J., Welch, S.J., Snow, G.L., A multivariate time series approach to modeling and forecasting demand in the emergency department. J. Biomed. Inform. 42(1):123–139, 2009.CrossRefPubMed Jones, S.S., Evans, R.S., Allen, T.L., Thomas, A., Haug, P.J., Welch, S.J., Snow, G.L., A multivariate time series approach to modeling and forecasting demand in the emergency department. J. Biomed. Inform. 42(1):123–139, 2009.CrossRefPubMed
26.
Zurück zum Zitat Kadri, F., Harrou, F., Chaabane, S., Tahon, C., Time series modelling and forecasting of emergency department overcrowding. J. Med. Syst. 38(9):1–20, 2014.CrossRef Kadri, F., Harrou, F., Chaabane, S., Tahon, C., Time series modelling and forecasting of emergency department overcrowding. J. Med. Syst. 38(9):1–20, 2014.CrossRef
27.
Zurück zum Zitat Kwak, N.K., and Lee, C., A linear goal programming model for human resource allocation in a health-care organization. J. Med. Syst. 21(3):129–140, 1997.CrossRefPubMed Kwak, N.K., and Lee, C., A linear goal programming model for human resource allocation in a health-care organization. J. Med. Syst. 21(3):129–140, 1997.CrossRefPubMed
28.
Zurück zum Zitat Lin, B.Y.J., Hsu, C.P.C., Chao, M.C., Luh, S.P., Hung, S.W., Breen, G.M., Physician and Nurse Job Climates in Hospital-Based Emergency Departments in Taiwan: Management and Implications. J. Med. Syst. 32(4):269–281, 2008. doi:10.1007/s10916-008-9132-1.CrossRefPubMed Lin, B.Y.J., Hsu, C.P.C., Chao, M.C., Luh, S.P., Hung, S.W., Breen, G.M., Physician and Nurse Job Climates in Hospital-Based Emergency Departments in Taiwan: Management and Implications. J. Med. Syst. 32(4):269–281, 2008. doi:10.​1007/​s10916-008-9132-1.CrossRefPubMed
30.
Zurück zum Zitat Mielczarek, B.: Estimating future demand for hospital emergency services at the regional level. In: Simulation conference (WSC), 2013 winter, pp. 2386–2397 (2013) Mielczarek, B.: Estimating future demand for hospital emergency services at the regional level. In: Simulation conference (WSC), 2013 winter, pp. 2386–2397 (2013)
31.
Zurück zum Zitat Milner, P.C., Forecasting the demand on accident and emergency departments in health districts in the Trent region. Stat. Med. 7(10):1061–1072, 1988.CrossRefPubMed Milner, P.C., Forecasting the demand on accident and emergency departments in health districts in the Trent region. Stat. Med. 7(10):1061–1072, 1988.CrossRefPubMed
32.
Zurück zum Zitat Mohammadi, R., Fatemi Ghomi, S.M.T., Zeinali, F., A new hybrid evolutionary based RBF networks method for forecasting time series: a case study of forecasting emergency supply demand time series. Eng. Appl. Artif. Intel. 36:204–214, 2014.CrossRef Mohammadi, R., Fatemi Ghomi, S.M.T., Zeinali, F., A new hybrid evolutionary based RBF networks method for forecasting time series: a case study of forecasting emergency supply demand time series. Eng. Appl. Artif. Intel. 36:204–214, 2014.CrossRef
33.
Zurück zum Zitat Rydman, R.J., Tannebaum, R.D., Zalenski, R.J., An evaluation of Hospital Emergency Department (HED) adherence to universal precautions. J. Med. Syst. 18(4):207–220, 1994.CrossRefPubMed Rydman, R.J., Tannebaum, R.D., Zalenski, R.J., An evaluation of Hospital Emergency Department (HED) adherence to universal precautions. J. Med. Syst. 18(4):207–220, 1994.CrossRefPubMed
34.
Zurück zum Zitat Schull, M.J., Mamdani, M.M., Fang, J., Influenza and emergency department utilization by elders. Acad. Emerg. Med. Off. J. Soc. Acad. Emerg. Med. 12(4):338–344, 2005.CrossRef Schull, M.J., Mamdani, M.M., Fang, J., Influenza and emergency department utilization by elders. Acad. Emerg. Med. Off. J. Soc. Acad. Emerg. Med. 12(4):338–344, 2005.CrossRef
35.
Zurück zum Zitat Shi, H.Y., Tsai, J.T., Ho, W.H., Lee, K.T.: Autoregressive integrated moving average model for long-term prediction of emergency department revenue and visitor volume. In: 2011 International conference on machine learning and cybernetics (ICMLC), vol. 3, pp. 979–982 (2011) Shi, H.Y., Tsai, J.T., Ho, W.H., Lee, K.T.: Autoregressive integrated moving average model for long-term prediction of emergency department revenue and visitor volume. In: 2011 International conference on machine learning and cybernetics (ICMLC), vol. 3, pp. 979–982 (2011)
36.
Zurück zum Zitat Stout, W.A., and Tawney, J.B.: An Excel forecasting model to aid in decision making that affects hospital resource/bed utilization - hospital capability to admit emergency room patients. In: 2005 IEEE Systems and information engineering design symposium, pp. 222–228 (2005) Stout, W.A., and Tawney, J.B.: An Excel forecasting model to aid in decision making that affects hospital resource/bed utilization - hospital capability to admit emergency room patients. In: 2005 IEEE Systems and information engineering design symposium, pp. 222–228 (2005)
37.
Zurück zum Zitat Sun, B.C., Hsia, R.Y., Weiss, R.E., Zingmond, D., Liang, L.J., Han, W., McCreath, H., Asch, S. M., Effect of emergency department crowding on outcomes of admitted patients. Ann. Emerg. Med. 61 (6):605–611.e6, 2013.CrossRefPubMed Sun, B.C., Hsia, R.Y., Weiss, R.E., Zingmond, D., Liang, L.J., Han, W., McCreath, H., Asch, S. M., Effect of emergency department crowding on outcomes of admitted patients. Ann. Emerg. Med. 61 (6):605–611.e6, 2013.CrossRefPubMed
38.
Zurück zum Zitat Sun, Y., Heng, B.H., Seow, Y.T., Seow, E., Forecasting daily attendances at an emergency department to aid resource planning. BMC Emerg. Med. 9(1):1–9, 2009.CrossRefPubMedPubMedCentral Sun, Y., Heng, B.H., Seow, Y.T., Seow, E., Forecasting daily attendances at an emergency department to aid resource planning. BMC Emerg. Med. 9(1):1–9, 2009.CrossRefPubMedPubMedCentral
39.
Zurück zum Zitat Trzeciak, S., and Rivers, E.P., Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emerg. Med. J. EMJ 20(5):402–405 , 2003.CrossRefPubMed Trzeciak, S., and Rivers, E.P., Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emerg. Med. J. EMJ 20(5):402–405 , 2003.CrossRefPubMed
40.
Zurück zum Zitat Walker, G., On periodicity in series of related terms. Proceedings of the royal society of london a: Mathematical. Phys. Eng. Sci. 131(818):518–532, 1931.CrossRef Walker, G., On periodicity in series of related terms. Proceedings of the royal society of london a: Mathematical. Phys. Eng. Sci. 131(818):518–532, 1931.CrossRef
41.
Zurück zum Zitat Wullink, G., Houdenhoven, M., Hans, E.W., Oostrum, J.M., Lans, M., Kazemier, G., Closing emergency operating rooms improves efficiency. J. Med. Syst. 31(6):543–546 , 2007.CrossRefPubMed Wullink, G., Houdenhoven, M., Hans, E.W., Oostrum, J.M., Lans, M., Kazemier, G., Closing emergency operating rooms improves efficiency. J. Med. Syst. 31(6):543–546 , 2007.CrossRefPubMed
42.
Zurück zum Zitat Yalaoui, A., Chehade, H., Yalaoui, F., Amodeo, L., Optimization of Logistics. Hoboken: Wiley, 2012.CrossRef Yalaoui, A., Chehade, H., Yalaoui, F., Amodeo, L., Optimization of Logistics. Hoboken: Wiley, 2012.CrossRef
44.
Zurück zum Zitat Yule, G.U., On a method of investigating periodicities in disturbed series, with special reference to wolfer’s sunspot numbers. Physical and Engineering Sciences Philosophical transactions of the royal society of london a: Mathematical 226(636–646):267–298, 1927.CrossRef Yule, G.U., On a method of investigating periodicities in disturbed series, with special reference to wolfer’s sunspot numbers. Physical and Engineering Sciences Philosophical transactions of the royal society of london a: Mathematical 226(636–646):267–298, 1927.CrossRef
Metadaten
Titel
Forecasting the Emergency Department Patients Flow
verfasst von
Mohamed Afilal
Farouk Yalaoui
Frédéric Dugardin
Lionel Amodeo
David Laplanche
Philippe Blua
Publikationsdatum
01.07.2016
Verlag
Springer US
Erschienen in
Journal of Medical Systems / Ausgabe 7/2016
Print ISSN: 0148-5598
Elektronische ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-016-0527-0

Weitere Artikel der Ausgabe 7/2016

Journal of Medical Systems 7/2016 Zur Ausgabe