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This study presents a deep learning-based framework for predicting emergency department (ED) boarding counts six hours in advance using only operational and contextual data, without patient-level information. Data from ED tracking systems,…

Machine Learning · Computer Science 2025-07-14 Orhun Vural , Bunyamin Ozaydin , James Booth , Brittany F. Lindsey , Abdulaziz Ahmed

Overcrowding in emergency departments (ED) remains a persistent operational challenge worldwide, causing delays in care delivery and downstream congestion. ED boarding time, defined as the duration admitted patients remain in the ED while…

Machine Learning · Computer Science 2026-05-20 Orhun Vural , Abdulaziz Ahmed , Ferhat Zengul , James Booth , Bunyamin Ozaydin

There were 25.6 million attendances at Emergency Departments (EDs) in England in 2019 corresponding to an increase of 12 million attendances over the past ten years. The steadily rising demand at EDs creates a constant challenge to provide…

Emergency department (ED) crowding is a significant threat to patient safety and it has been repeatedly associated with increased mortality. Forecasting future service demand has the potential patient outcomes. Despite active research on…

Machine Learning · Computer Science 2023-09-01 Jalmari Tuominen , Eetu Pulkkinen , Jaakko Peltonen , Juho Kanniainen , Niku Oksala , Ari Palomäki , Antti Roine

Over the past several years, across the globe, there has been an increase in people seeking care in emergency departments (EDs). ED resources, including nurse staffing, are strained by such increases in patient volume. Accurate forecasting…

Background: The stochastic behavior of patient arrival at an emergency department (ED) complicates the management of an ED. More than 50% of hospitals ED capacity tends to operate beyond its normal capacity and eventually fails to deliver…

Computers and Society · Computer Science 2019-01-10 Avishek Choudhury

Emergency department (ED) crowding is a well-recognized threat to patient safety and it has been repeatedly associated with increased mortality. Accurate forecasts of future service demand could lead to better resource management and has…

Systems and Control · Electrical Eng. & Systems 2023-01-24 Jalmari Tuominen , Teemu Koivistoinen , Juho Kanniainen , Niku Oksala , Ari Palomäki , Antti Roine

Recently, the combination of machine learning (ML) and simulation is gaining a lot of attention. This paper presents a novel application of ML within the simulation to improve patient flow within an emergency department (ED). An ML model…

Computers and Society · Computer Science 2020-12-03 Emad Alenany , Abdessamad Ait El Cadi

Urgent care clinics and emergency departments around the world periodically suffer from extended wait times beyond patient expectations due to inadequate staffing levels. These delays have been linked with adverse clinical outcomes.…

Machine Learning · Computer Science 2022-05-27 Paula Maddigan , Teo Susnjak

Introduction: One of the most important tasks in the Emergency Department (ED) is to promptly identify the patients who will benefit from hospital admission. Machine Learning (ML) techniques show promise as diagnostic aids in healthcare.…

This work proposes a framework for optimizing machine learning algorithms. The practicality of the framework is illustrated using an important case study from the healthcare domain, which is predicting the admission status of emergency…

Machine Learning · Computer Science 2022-02-21 Abdulaziz Ahmed , Omar Ashour , Haneen Ali , Mohammad Firouz

The performance of Emergency Departments (EDs) is of great importance for any health care system, as they serve as the entry point for many patients. However, among other factors, the variability of patient acuity levels and corresponding…

Machine Learning · Computer Science 2022-06-09 Nikolaus Furian , Michael O'Sullivan , Cameron Walker , Melanie Reuter-Oppermann

Emergency Department overcrowding is a critical issue that compromises patient safety and operational efficiency, necessitating accurate demand forecasting for effective resource allocation. This study evaluates and compares three distinct…

Machine Learning · Computer Science 2026-01-23 Jakub Antczak , James Montgomery , Małgorzata O'Reilly , Zbigniew Palmowski , Richard Turner

Problem definition: Emergency department (ED) boarding refers to the practice of holding patients in the ED after they have been admitted to hospital wards, usually resulting from insufficient inpatient resources. Boarded patients may…

Optimization and Control · Mathematics 2021-11-17 Shasha Han , Shuangchi He , Hong Choon Oh

In the emergency department (ED), patients undergo triage and multiple laboratory tests before diagnosis. This time-consuming process causes ED crowding which impacts patient mortality, medical errors, staff burnout, etc. This work proposes…

Computation and Language · Computer Science 2024-05-29 Liwen Sun , Abhineet Agarwal , Aaron Kornblith , Bin Yu , Chenyan Xiong

The discrepancy between patient demand and the emergency departments (ED) capacity, that mainly depends on human resources and on beds available for patients, often lead to ED's overcrowding and to the increase in waiting time. In this…

Robotics · Computer Science 2020-11-30 Ibtissem Chouba , Lionel Amodeo , Farouk Yalaoui , Taha Arbaoui , David Laplanche

Study Objective: To analyze the factors influencing Emergency Department (ED) overcrowding by examining the impacts of operational, environmental, and external variables, including weather conditions and football games. Methods: This study…

Computers and Society · Computer Science 2025-05-13 Abdulaziz Ahmed , Khalid Y Aram , Mohammed Alzeen , Orhun Vural , James Booth , Brittany F. Lindsey , Bunyamin Ozaydin

Emergency department (ED) crowding is a global public health issue that has been repeatedly associated with increased mortality. Predicting future service demand would enable preventative measures aiming to eliminate crowding along with…

Optimization of patient throughput and wait time in emergency departments (ED) is an important task for hospital systems. For that reason, Emergency Severity Index (ESI) system for patient triage was introduced to help guide manual…

Computers and Society · Computer Science 2018-04-11 Djordje Gligorijevic , Jelena Stojanovic , Wayne Satz , Ivan Stojkovic , Kathrin Schreyer , Daniel Del Portal , Zoran Obradovic

Emergency Departments (EDs) are a fundamental element of the Portuguese National Health Service, serving as an entry point for users with diverse and very serious medical problems. Due to the inherent characteristics of the ED; forecasting…

Computers and Society · Computer Science 2023-06-27 Francisco M. Caldas , Cláudia Soares
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