The Composite Crowding Index for the Medical Emergency Department

응급의료센터의 특성을 반영한 과밀화 지표 개발 및 적용 방안 연구

  • Lee, Young-Hoon (Department of Information and Industrial Engineering, Yonsei University) ;
  • Kim, Jeong-Woo (Department of Information and Industrial Engineering, Yonsei University) ;
  • Lee, Yoon-Ho (Department of Information and Industrial Engineering, Yonsei University) ;
  • Kim, Seung-Ho (Department of Emergency Medicine, Yonsei University, College of Medicine) ;
  • Park, Yoo-Seok (Department of Emergency Medicine, Yonsei University, College of Medicine) ;
  • Park, In-Cheol (Department of Emergency Medicine, Yonsei University, College of Medicine)
  • 이영훈 (연세대학교 정보산업공학과) ;
  • 김정우 (연세대학교 정보산업공학과) ;
  • 이윤호 (연세대학교 정보산업공학과) ;
  • 김승호 (연세대학교 의과대학 응급의학교실) ;
  • 박유석 (연세대학교 의과대학 응급의학교실) ;
  • 박인철 (연세대학교 의과대학 응급의학교실)
  • Received : 2010.02.10
  • Accepted : 2010.02.21
  • Published : 2010.03.01

Abstract

The medical emergency departments are suffering from the crowdness of patients, hence the quality of medical service the patients are receiving are getting poorer. Overcrowding of medical emergency departments may incur the waiting time for the treatment, and the improper treatment in time. For the operational control of the emergency department, the crowding index is commonly used to identify the crowding intensity, with which the operation process is managed, and future process can be expected. In this study the composite crowding index is suggested, in which the trend of inpatients rate, the age and acuity of patients, and resource of ED are considered. The validity of the suggested crowding index is discussed by the regression analysis for the index and the actual number of inpatients, and by the simulation study using the process model and the real data.

Keywords

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