{"id":"https://openalex.org/W1983315917","doi":"https://doi.org/10.1111/j.1553-2712.2006.tb00985.x","title":"Using Queueing Theory to Increase the Effectiveness of Emergency Department Provider Staffing","display_name":"Using Queueing Theory to Increase the Effectiveness of Emergency Department Provider Staffing","publication_year":2005,"publication_date":"2005-12-20","ids":{"openalex":"https://openalex.org/W1983315917","doi":"https://doi.org/10.1111/j.1553-2712.2006.tb00985.x","mag":"1983315917","pmid":"https://pubmed.ncbi.nlm.nih.gov/16365329"},"language":"en","primary_location":{"id":"doi:10.1111/j.1553-2712.2006.tb00985.x","doi":"https://doi.org/10.1111/j.1553-2712.2006.tb00985.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1553-2712.2006.tb00985.x","pdf_url":null,"source":{"id":"https://openalex.org/S171705774","display_name":"Academic Emergency Medicine","issn_l":"1069-6563","issn":["1069-6563","1553-2712"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","medline","norway-1","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Academic Emergency Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://hdl.handle.net/10316/8216","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5091101371","display_name":"Linda V. Green","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I78577930","display_name":"Columbia University","ror":"https://ror.org/00hj8s172","country_code":"US","type":"education","lineage":["https://openalex.org/I78577930"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Linda V. Green","raw_affiliation_strings":["Graduate School of Business, Columbia University, New York, NY, USA#TAB#"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Graduate School of Business, Columbia University, New York, NY, USA#TAB#","institution_ids":["https://openalex.org/I78577930"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011702032","display_name":"Jo\u00e3o Soares","orcid":"https://orcid.org/0000-0001-6534-1824","observed_orcids":["https://orcid.org/0000-0001-6534-1824"]},"institutions":[{"id":"https://openalex.org/I76903346","display_name":"University of Coimbra","ror":"https://ror.org/04z8k9a98","country_code":"PT","type":"education","lineage":["https://openalex.org/I76903346"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Jo\u00e3o Soares","raw_affiliation_strings":["Departmento de Matematica, University of Coimbra, Coimbra, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departmento de Matematica, University of Coimbra, Coimbra, Portugal","institution_ids":["https://openalex.org/I76903346"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016617246","display_name":"James F. Giglio","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1340179700","display_name":"NewYork\u2013Presbyterian Hospital","ror":"https://ror.org/03gzbrs57","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1340179700"]},{"id":"https://openalex.org/I2799503643","display_name":"Columbia University Irving Medical Center","ror":"https://ror.org/01esghr10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799503643"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"James F. Giglio","raw_affiliation_strings":["Department of Emergency Medicine, New York\u2010Presbyterian Hospital/Columbia University Medical Center, New York, NY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, New York\u2010Presbyterian Hospital/Columbia University Medical Center, New York, NY","institution_ids":["https://openalex.org/I1340179700","https://openalex.org/I2799503643"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5023541027","display_name":"Robert A. Green","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1340179700","display_name":"NewYork\u2013Presbyterian Hospital","ror":"https://ror.org/03gzbrs57","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1340179700"]},{"id":"https://openalex.org/I2799503643","display_name":"Columbia University Irving Medical Center","ror":"https://ror.org/01esghr10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799503643"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robert A. Green","raw_affiliation_strings":["Department of Emergency Medicine, New York\u2010Presbyterian Hospital/Columbia University Medical Center, New York, NY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, New York\u2010Presbyterian Hospital/Columbia University Medical Center, New York, NY","institution_ids":["https://openalex.org/I1340179700","https://openalex.org/I2799503643"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":3900,"currency":"USD","value_usd":3900},"apc_paid":null,"fwci":8.9095,"has_fulltext":false,"cited_by_count":344,"citation_normalized_percentile":{"value":0.97792249,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":100},"biblio":{"volume":"13","issue":"1","first_page":"61","last_page":"68"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.8144999742507935,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.8144999742507935,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.18209999799728394,"subfield":{"id":"https://openalex.org/subfields/1803","display_name":"Management Science and Operations Research"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10974","display_name":"Advanced Queuing Theory Analysis","score":0.0015999999595806003,"subfield":{"id":"https://openalex.org/subfields/1803","display_name":"Management Science and Operations Research"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/emergency-department-staffing","display_name":"emergency department staffing","score":0.9769999980926514},{"id":"https://openalex.org/keywords/queueing-theory","display_name":"queueing theory","score":0.7919999957084656},{"id":"https://openalex.org/keywords/patient-abandonment","display_name":"patient abandonment","score":0.5899999737739563},{"id":"https://openalex.org/keywords/patient-arrival-patterns","display_name":"patient arrival patterns","score":0.6549999713897705},{"id":"https://openalex.org/keywords/staff-reallocation","display_name":"staff reallocation","score":0.7540000081062317},{"id":"https://openalex.org/keywords/timely-access-to-care","display_name":"timely access to care","score":0.7979999780654907}],"concepts":[{"id":"https://openalex.org/C2777512617","wikidata":"https://www.wikidata.org/wiki/Q1783605","display_name":"Staffing","level":2,"score":0.9591077566146851},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7902631759643555},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.7713367938995361},{"id":"https://openalex.org/C22684755","wikidata":"https://www.wikidata.org/wiki/Q847526","display_name":"Queueing theory","level":2,"score":0.6623525619506836},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4197436571121216},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.16174805164337158},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.12238076329231262},{"id":"https://openalex.org/C31258907","wikidata":"https://www.wikidata.org/wiki/Q1301371","display_name":"Computer network","level":1,"score":0.08567026257514954}],"mesh":[{"descriptor_ui":"D000078329","descriptor_name":"Workforce","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009519","descriptor_name":"New York City","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010043","descriptor_name":"Outcome and Process Assessment, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010343","descriptor_name":"Patient Admission","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010561","descriptor_name":"Personnel Staffing and Scheduling","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D010561","descriptor_name":"Personnel Staffing and Scheduling","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D013598","descriptor_name":"Systems Theory","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D015233","descriptor_name":"Models, Statistical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015397","descriptor_name":"Program Evaluation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015999","descriptor_name":"Multivariate Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016012","descriptor_name":"Poisson Distribution","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016014","descriptor_name":"Linear Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.1111/j.1553-2712.2006.tb00985.x","doi":"https://doi.org/10.1111/j.1553-2712.2006.tb00985.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1553-2712.2006.tb00985.x","pdf_url":null,"source":{"id":"https://openalex.org/S171705774","display_name":"Academic Emergency Medicine","issn_l":"1069-6563","issn":["1069-6563","1553-2712"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","medline","norway-1","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Academic Emergency Medicine","raw_type":"journal-article"},{"id":"doi:10.1197/j.aem.2005.07.034","doi":"https://doi.org/10.1197/j.aem.2005.07.034","is_oa":false,"landing_page_url":"https://doi.org/10.1197/j.aem.2005.07.034","pdf_url":null,"source":{"id":"https://openalex.org/S171705774","display_name":"Academic Emergency Medicine","issn_l":"1069-6563","issn":["1069-6563","1553-2712"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","medline","norway-1","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Academic Emergency Medicine","raw_type":"journal-article"},{"id":"pmid:16365329","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16365329","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Academic emergency medicine : official journal of the Society for Academic Emergency Medicine","raw_type":"Comparative Study"},{"id":"pmh:oai:estudogeral.sib.uc.pt:10316/8216","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10316/8216","pdf_url":null,"source":{"id":"https://openalex.org/S4306402433","display_name":"Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"http://purl.org/coar/resource_type/c_6501"},{"id":"pmh:oai:estudogeral.uc.pt:10316/8216","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/10316/8216","pdf_url":null,"source":{"id":"https://openalex.org/S4306402433","display_name":"Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"journal article"}],"best_oa_location":{"id":"pmh:oai:estudogeral.uc.pt:10316/8216","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/10316/8216","pdf_url":null,"source":{"id":"https://openalex.org/S4306402433","display_name":"Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"journal article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.8560000061988831,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":27,"referenced_works":["https://openalex.org/W123609371","https://openalex.org/W1528627055","https://openalex.org/W1595656780","https://openalex.org/W1964320139","https://openalex.org/W1965554348","https://openalex.org/W1966714703","https://openalex.org/W1967787252","https://openalex.org/W1981587818","https://openalex.org/W1982016174","https://openalex.org/W1983452337","https://openalex.org/W1997304485","https://openalex.org/W1998855712","https://openalex.org/W2023853515","https://openalex.org/W2040729986","https://openalex.org/W2045086940","https://openalex.org/W2045553720","https://openalex.org/W2073374123","https://openalex.org/W2081340212","https://openalex.org/W2081983135","https://openalex.org/W2085910094","https://openalex.org/W2093136664","https://openalex.org/W2115668976","https://openalex.org/W2116700700","https://openalex.org/W2128643063","https://openalex.org/W2155637385","https://openalex.org/W2158988332","https://openalex.org/W4324262638"],"related_works":["https://openalex.org/W7098675683","https://openalex.org/W2892734571","https://openalex.org/W2172122683","https://openalex.org/W2145660003","https://openalex.org/W2058575484","https://openalex.org/W2402585668","https://openalex.org/W7097050702","https://openalex.org/W2236738654","https://openalex.org/W2039357126","https://openalex.org/W2893330554"],"abstract_inverted_index":{"OBJECTIVES:":[0],"Significant":[1],"variation":[2],"in":[3,32,108,118,128,141,168,182,199,223,243],"emergency":[4],"department":[5],"(ED)":[6],"patient":[7],"arrival":[8,54,109,231],"rates":[9],"necessitates":[10],"the":[11,18,26,39,78,94,101,142,160,178,200,204,234,245],"adjustment":[12],"of":[13,21,28,41,80,111,121,144,159,174,203,216,230,236,249],"staffing":[14,35,75],"patterns":[15,36,232],"to":[16,37,67,72,76,155,209],"optimize":[17],"timely":[19],"care":[20],"patients.":[22],"This":[23,137],"study":[24],"evaluated":[25],"effectiveness":[27],"a":[29,62,139,156,172,210,213],"queueing":[30,65,179,237],"model":[31,180],"identifying":[33,244],"provider":[34,74,119,170,211],"reduce":[38],"fraction":[40],"patients":[42,81,113,131,145,185,196],"who":[43,82,132,146,186],"leave":[44,83],"without":[45,84,134,148,188],"being":[46,85,135,149,189],"seen.":[47,86,136],"METHODS:":[48],"The":[49,87],"authors":[50,88],"collected":[51],"detailed":[52],"ED":[53,217],"data":[55],"from":[56],"an":[57,106,115,193,221],"urban":[58],"hospital":[59],"and":[60,99,233],"used":[61],"Lag":[63],"SIPP":[64],"analysis":[66],"gain":[68],"insights":[69],"on":[70,177],"how":[71],"change":[73],"decrease":[77,140],"proportion":[79,92,143],"then":[89],"compared":[90],"this":[91],"for":[93],"same":[95],"39-week":[96],"period":[97],"before":[98],"after":[100],"resulting":[102],"changes.":[103],"RESULTS:":[104],"Despite":[105],"increase":[107,117,167],"volume":[110],"1,078":[112],"(6.3%),":[114],"average":[116],"hours":[120,123],"12":[122],"per":[124],"week":[125,161],"(3.1%)":[126],"resulted":[127,181],"258":[129],"fewer":[130,184],"left":[133,147,187],"represents":[138],"seen":[150,190],"by":[151],"22.9%.":[152],"Restricting":[153],"attention":[154],"four-day":[157],"subset":[158],"during":[162],"which":[163,224],"there":[164],"was":[165],"no":[166],"total":[169],"hours,":[171],"reallocation":[173],"providers":[175],"based":[176],"161":[183],"(21.7%),":[191],"despite":[192],"additional":[194],"548":[195],"(5.5%)":[197],"arriving":[198],"second":[201],"half":[202],"study.":[205],"CONCLUSIONS:":[206],"Timely":[207],"access":[208],"is":[212],"critical":[214],"dimension":[215],"quality":[218],"performance.":[219],"In":[220],"environment":[222],"EDs":[225],"are":[226],"often":[227],"understaffed,":[228],"analyses":[229],"use":[235],"models":[238],"can":[239],"be":[240],"extremely":[241],"useful":[242],"most":[246],"effective":[247],"allocation":[248],"staff.":[250]},"counts_by_year":[{"year":2026,"cited_by_count":10},{"year":2025,"cited_by_count":15},{"year":2024,"cited_by_count":8},{"year":2023,"cited_by_count":13},{"year":2022,"cited_by_count":10},{"year":2021,"cited_by_count":18},{"year":2020,"cited_by_count":17},{"year":2019,"cited_by_count":20},{"year":2018,"cited_by_count":14},{"year":2017,"cited_by_count":25},{"year":2016,"cited_by_count":25},{"year":2015,"cited_by_count":21},{"year":2014,"cited_by_count":32},{"year":2013,"cited_by_count":26},{"year":2012,"cited_by_count":21}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2016-06-24T00:00:00"}
