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Securing the safety net : applying manufacturing systems methods towards understanding and redesigning a hospital emergency department

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dc.contributor.advisor Dang-Gook Kim. en_US
dc.contributor.author Peck, Jordan S. (Jordan Shefer) en_US
dc.contributor.other Massachusetts Institute of Technology. Technology and Policy Program. en_US
dc.date.accessioned 2008-11-07T14:11:45Z
dc.date.available 2008-11-07T14:11:45Z
dc.date.copyright 2008 en_US
dc.date.issued 2008 en_US
dc.identifier.uri http://hdl.handle.net/1721.1/42934
dc.description Thesis (S.M.)--Massachusetts Institute of Technology, Engineering Systems Division, Technology and Policy Program, 2008. en_US
dc.description This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections. en_US
dc.description Includes bibliographical references (p. 85-88). en_US
dc.description.abstract Emergency Departments have been referred to as the "Safety Net" of our Healthcare system. This is because of their ability to catch all patients who would otherwise slip through the system, due to lack of funds, insurance, time, transportation and knowledge, etc. Because of this, as demand for health treatment increases, the occurrence of crowding in our nation's emergency departments is also increasing. At the same time hospitals are being expected to perform more, with lower funding. Observation of a hospital emergency department yields similarities between the emergency department and a manufacturing system. This is not completely a new concept, yet there have been barriers towards adopting manufacturing system practices into healthcare systems due to differences in culture, economics, politics, and the nature of the system itself. The focus of this thesis is to select manufacturing systems methods and apply them to an emergency department. This application is done with an understanding of the fundamental differences between the two systems. The first applied method is Axiomatic Design, a system design method that clearly maps out the functional requirements of a system to design solutions more efficiently. Upon applying Axiomatic Design to show that it can be used to discover and describe problems in an Emergency Department, the specific problem of patient flow is selected. Discrete Event Simulation is used in order to analyze patient flow in the Emergency Department. This results in actionable changes in the operations of an emergency department fast track. One significant actionable change is the creation of a new index for assigning patients a level based on their expected time in the Emergency Room to be used in conjunction with the current index which is based on acuity level. The purpose of this exercise is to show that manufacturing methods can be applied in an emergency department/healthcare system while taking the differences between the two systems into account. en_US
dc.description.statementofresponsibility by Jordan S. Peck en_US
dc.format.extent 88 p. en_US
dc.language.iso eng en_US
dc.publisher Massachusetts Institute of Technology en_US
dc.rights M.I.T. theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. See provided URL for inquiries about permission. en_US
dc.rights.uri http://dspace.mit.edu/handle/1721.1/7582 en_US
dc.subject Technology and Policy Program. en_US
dc.title Securing the safety net : applying manufacturing systems methods towards understanding and redesigning a hospital emergency department en_US
dc.title.alternative Applying manufacturing systems methods towards understanding and redesigning a hospital emergency department en_US
dc.type Thesis en_US
dc.description.degree S.M. en_US
dc.contributor.department Massachusetts Institute of Technology. Technology and Policy Program. en_US
dc.identifier.oclc 251527556 en_US


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