American Heart Journal
Volume 156, Issue 6 , Pages 1202-1209 , December 2008

Optimizing cardiology capacity to reduce emergency department boarding: A systems engineering approach

  • Scott R. Levin, PhD

      Affiliations

    • Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, MD
    • Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN
    • Corresponding Author InformationReprint requests: Scott Levin, PhD, Assistant Professor of Emergency Medicine, Johns Hopkins University, Department of Emergency Medicine, 5801 Smith Ave, Ste 3220, Baltimore, MD 21230.
    • ,
  • Robert Dittus, MD, MPH

      Affiliations

    • Division of General Internal Medicine, Vanderbilt University Medical Center, Nashville, TN
    • Institute for Global Health, Vanderbilt University Medical Center, Nashvillle, TN
    • ,
  • Dominik Aronsky, MD, PhD

      Affiliations

    • Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN
    • Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN
    • ,
  • Matthew B. Weinger, MD, MSc

      Affiliations

    • Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN
    • Institute for Global Health, Vanderbilt University Medical Center, Nashvillle, TN
    • ,
  • Jin Han, MD, MSc

      Affiliations

    • Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN
    • ,
  • Jeffrey Boord, MD, MPH

      Affiliations

    • Division of Cardiology, Vanderbilt University Medical Center, Nashville, TN
    • ,
  • Daniel France, PhD, MPH

      Affiliations

    • Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN
    • Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN
    • Center for Perioperative Research in Quality, Vanderbilt University Medical Center, Nashville, TN

Received 20 May 2008 ,Accepted 10 July 2008.

References 

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  17. Institute of Medicine, National Academy of Engineering . The tools of systems engineering. In:  Reid PP,  Compton DW,  Grossman JH, et al. editor. Building a better delivery system: a new engineering/health care partnership. Washington, DC: National Academy Press; 2005;
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  19. Levin S, Han J, Aronsky D, et al. Stranded on emergency isle: modeling competition for cardiac services using survival analysis. In: Industrial Engineering and Engineering Management. Singapore: International Conference on Industrial Engineering and Engineering Management. 2007;p. 1772–1776
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  25. Litvak E, Buerhaus PI, Davidoff F, et al. Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety. Jt Comm J Qual Patient Saf. 2005;31:330–338
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PII: S0002-8703(08)00617-0

doi: 10.1016/j.ahj.2008.07.007

American Heart Journal
Volume 156, Issue 6 , Pages 1202-1209 , December 2008

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