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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

Most of the studies dealing with the increasing and well-known problem of Emergency Department (ED) overcrowding usually mainly focus on modeling the patient flow within a single ED, without considering the possibilities offered by the…

Optimization and Control · Mathematics 2021-08-10 Christian Piermarini , Massimo Roma

Emergency Medical Services (EMS) in the United States and similar systems typically utilize a single treatment pathway, transporting all patients to emergency departments (EDs), regardless of their actual care needs or preferences. Recent…

Optimization and Control · Mathematics 2025-06-25 Eric G. Stratman , Justin J. Boutilier , Laura A. Albert

Ambulance Diversion (AD) is one of the possible strategies for relieving the worldwide phenomenon of Emergency Department (ED) overcrowding. It can be carried out when an ED is overloaded and consists of redirecting incoming by ambulance…

Systems and Control · Electrical Eng. & Systems 2023-09-06 Christian Piermarini , Massimo Roma

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

Effective hospital capacity management is pivotal for enhancing patient care quality, operational efficiency, and healthcare system resilience, notably during demand spikes like those seen in the COVID-19 pandemic. However, devising optimal…

Computers and Society · Computer Science 2024-04-01 Felix Parker , Fardin Ganjkhanloo , Diego A. Martínez , Kimia Ghobadi

Emergency departments (EDs) often use a shared-queue setup in which physicians self-assign cases from a pool of triaged patients. We conduct a multi-method study to examine this self-assignment behavior and its effects on system…

General Economics · Economics 2026-05-26 Brett Hathaway , Evgeny Kagan , John Jones

Motivated by the experiences of a healthcare service provider during the Covid-19 pandemic, we aim to study the decisions of a provider that operates both an Emergency Department (ED) and a medical Clinic. Patients contact the provider…

Computer Science and Game Theory · Computer Science 2022-07-12 Sanyukta Deshpande , Lavanya Marla , Alan Scheller-Wolf , Siddharth Prakash Singh

Background: Emergency department (ED) overcrowding remains a major challenge, causing delays in care and increased operational strain. Hospital management often reacts to congestion after it occurs. Machine learning predictive modeling…

Machine Learning · Computer Science 2025-04-29 Orhun Vural , Bunyamin Ozaydin , Khalid Y. Aram , James Booth , Brittany F. Lindsey , Abdulaziz Ahmed

Overcrowding in emergency departments (ED) is a persistent problem exacerbated by population growth, emergence of pandemics, and increased morbidity and mortality rates. Thus, automated approaches for ED layout design have recently emerged…

Neural and Evolutionary Computing · Computer Science 2025-04-17 Ola Sarhan , Manal Abdel Wahed , Muhammad Ali Rushdi

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…

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

We consider the problem of load balancing in parallel queues by transferring customers between them at discrete points in time. Holding costs accrue as customers wait in the queue, while transfer decisions incur both fixed (setup) costs and…

Optimization and Control · Mathematics 2025-08-13 Timothy C. Y. Chan , Jangwon Park , Vahid Sarhangian

Emergency Departments (EDs) overcrowding is a well recognized worldwide phenomenon. The consequences range from long waiting times for visits and treatment of patients up to life-threatening health conditions. The international community is…

Computers and Society · Computer Science 2021-02-01 G. Fava , T. Giovannelli , M. Messedaglia , M. Roma

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 has been an increasing problem worldwide. Prior research has identified factors that contribute to ED crowding. However, the relationships between these remain incompletely understood. This study's…

In this paper, we study a queueing model that incorporates patient reentrance to reflect patients' recurring requests for nurse care and their rest periods between these requests. Within this framework, we address two levels of…

Optimization and Control · Mathematics 2024-06-19 Wei Liu , Mengshi Lu , Pengyi Shi

Minimizing response times to meet legal requirements and serve patients in a timely manner is crucial for Emergency Medical Service (EMS) systems. Achieving this goal necessitates optimizing operational decision-making to efficiently manage…

Machine Learning · Computer Science 2025-03-18 Maximiliane Rautenstrauß , Maximilian Schiffer

Accurately forecasting patient arrivals at Urgent Care Clinics (UCCs) and Emergency Departments (EDs) is important for effective resourcing and patient care. However, correctly estimating patient flows is not straightforward since it…

Machine Learning · Computer Science 2022-11-03 Teo Susnjak , Paula Maddigan

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
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