{"id":"https://openalex.org/W4401463551","doi":"https://doi.org/10.4081/ecj.2024.12562","title":"The importance of discrete event simulation as a methodology for per-formance evaluation in the emergency department","display_name":"The importance of discrete event simulation as a methodology for per-formance evaluation in the emergency department","publication_year":2024,"publication_date":"2024-08-09","ids":{"openalex":"https://openalex.org/W4401463551","doi":"https://doi.org/10.4081/ecj.2024.12562"},"language":"en","primary_location":{"id":"doi:10.4081/ecj.2024.12562","doi":"https://doi.org/10.4081/ecj.2024.12562","is_oa":true,"landing_page_url":"https://doi.org/10.4081/ecj.2024.12562","pdf_url":null,"source":{"id":"https://openalex.org/S2737924088","display_name":"Emergency Care Journal","issn_l":"1826-9826","issn":["1826-9826","2282-2054"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310319913","host_organization_name":"PAGEPress (Italy)","host_organization_lineage":["https://openalex.org/P4310319913"],"host_organization_lineage_names":["PAGEPress (Italy)"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Emergency Care Journal","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.4081/ecj.2024.12562","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5094279773","display_name":"Yannik Angler","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Yannik Angler","raw_affiliation_strings":["Detecon International GmbH, Cologne"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Detecon International GmbH, Cologne","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038275655","display_name":"Astrid Lo\u00dfin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210149361","display_name":"University of Applied Sciences Appollon","ror":"https://ror.org/04kzfg204","country_code":"DE","type":"education","lineage":["https://openalex.org/I4210149361"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Astrid Lossin","raw_affiliation_strings":["APOLLON University of Applied Science GmbH, Bremen"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"APOLLON University of Applied Science GmbH, Bremen","institution_ids":["https://openalex.org/I4210149361"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5091732944","display_name":"Olav Goetz","orcid":"https://orcid.org/0000-0002-9677-7521","observed_orcids":["https://orcid.org/0000-0002-9677-7521"]},"institutions":[{"id":"https://openalex.org/I4210149361","display_name":"University of Applied Sciences Appollon","ror":"https://ror.org/04kzfg204","country_code":"DE","type":"education","lineage":["https://openalex.org/I4210149361"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Olav Goetz","raw_affiliation_strings":["APOLLON University of Applied Science GmbH, Bremen"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"APOLLON University of Applied Science GmbH, Bremen","institution_ids":["https://openalex.org/I4210149361"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5094279773"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.0488,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.76646991,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":94,"max":96},"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.5663999915122986,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.5663999915122986,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.42239999771118164,"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/T11195","display_name":"Simulation Techniques and Applications","score":0.004399999976158142,"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/discrete-event-simulation","display_name":"discrete event simulation","score":0.9549999833106995},{"id":"https://openalex.org/keywords/emergency-department","display_name":"emergency department","score":0.7910000085830688},{"id":"https://openalex.org/keywords/performance-evaluation","display_name":"performance evaluation","score":0.8730000257492065},{"id":"https://openalex.org/keywords/process-analysis","display_name":"process analysis","score":0.5979999899864197},{"id":"https://openalex.org/keywords/workflow-modeling","display_name":"workflow modeling","score":0.7139999866485596},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.8830000162124634},{"id":"https://openalex.org/keywords/patient-waiting-time","display_name":"patient waiting time","score":0.9039999842643738},{"id":"https://openalex.org/keywords/resource-utilization-health-care","display_name":"resource utilization (health care)","score":0.9110000133514404},{"id":"https://openalex.org/keywords/hospital-overcrowding","display_name":"hospital overcrowding","score":0.6579999923706055},{"id":"https://openalex.org/keywords/digitalization","display_name":"digitalization","score":0.5640000104904175},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"artificial intelligence","score":0.7699999809265137},{"id":"https://openalex.org/keywords/process-improvement","display_name":"process improvement","score":0.8610000014305115}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.873242199420929},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.7944011688232422},{"id":"https://openalex.org/C2779662365","wikidata":"https://www.wikidata.org/wiki/Q5416694","display_name":"Event (particle physics)","level":2,"score":0.5720070600509644},{"id":"https://openalex.org/C147203929","wikidata":"https://www.wikidata.org/wiki/Q574814","display_name":"Discrete event simulation","level":2,"score":0.4913441240787506},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.34692084789276123},{"id":"https://openalex.org/C44154836","wikidata":"https://www.wikidata.org/wiki/Q45045","display_name":"Simulation","level":1,"score":0.22044798731803894},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.0955469012260437},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.06568071246147156},{"id":"https://openalex.org/C62520636","wikidata":"https://www.wikidata.org/wiki/Q944","display_name":"Quantum mechanics","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.4081/ecj.2024.12562","doi":"https://doi.org/10.4081/ecj.2024.12562","is_oa":true,"landing_page_url":"https://doi.org/10.4081/ecj.2024.12562","pdf_url":null,"source":{"id":"https://openalex.org/S2737924088","display_name":"Emergency Care Journal","issn_l":"1826-9826","issn":["1826-9826","2282-2054"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310319913","host_organization_name":"PAGEPress (Italy)","host_organization_lineage":["https://openalex.org/P4310319913"],"host_organization_lineage_names":["PAGEPress (Italy)"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Emergency Care Journal","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:cbdb2349521f4d368a870ae8312ed173","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/cbdb2349521f4d368a870ae8312ed173","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","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":"Emergency Care Journal (2024)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.4081/ecj.2024.12562","doi":"https://doi.org/10.4081/ecj.2024.12562","is_oa":true,"landing_page_url":"https://doi.org/10.4081/ecj.2024.12562","pdf_url":null,"source":{"id":"https://openalex.org/S2737924088","display_name":"Emergency Care Journal","issn_l":"1826-9826","issn":["1826-9826","2282-2054"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310319913","host_organization_name":"PAGEPress (Italy)","host_organization_lineage":["https://openalex.org/P4310319913"],"host_organization_lineage_names":["PAGEPress (Italy)"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Emergency Care Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.5683000087738037,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/9","score":0.6499999761581421,"display_name":"Industry, innovation and infrastructure"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":28,"referenced_works":["https://openalex.org/W2001665719","https://openalex.org/W2036422814","https://openalex.org/W2059018850","https://openalex.org/W2118882248","https://openalex.org/W2122119594","https://openalex.org/W2139145508","https://openalex.org/W2591694803","https://openalex.org/W2795414199","https://openalex.org/W2984942011","https://openalex.org/W2997269505","https://openalex.org/W3036880582","https://openalex.org/W3088529178","https://openalex.org/W3123982139","https://openalex.org/W3130487405","https://openalex.org/W4307253310","https://openalex.org/W4312621205","https://openalex.org/W4318051935","https://openalex.org/W4318483728","https://openalex.org/W4320035638","https://openalex.org/W4377564996","https://openalex.org/W4378714206","https://openalex.org/W4381849506","https://openalex.org/W4385607650","https://openalex.org/W4386573522","https://openalex.org/W4386636451","https://openalex.org/W4388074096","https://openalex.org/W4388214475","https://openalex.org/W4393323024"],"related_works":["https://openalex.org/W2748952813","https://openalex.org/W3031052312","https://openalex.org/W4389568370","https://openalex.org/W3032375762","https://openalex.org/W1995515455","https://openalex.org/W4384345078","https://openalex.org/W2050305294","https://openalex.org/W2244194037","https://openalex.org/W2625702017","https://openalex.org/W322167246"],"abstract_inverted_index":{"Emergency":[0],"Departments":[1],"(ED)":[2],"face":[3],"the":[4,93,137,144,150,157],"challenge":[5],"of":[6,64,107,141,146,152,159],"providing":[7],"high-quality":[8,34],"patient":[9,35,59],"care":[10,36,60],"under":[11],"difficult":[12],"conditions":[13],"due":[14],"to":[15,29,32,57,86],"staff":[16,65,102,116],"shortages":[17],"or":[18],"overcrowding.":[19],"These":[20],"challenges":[21,158],"mean":[22],"that":[23,95,124],"more":[24],"than":[25],"ever,":[26],"ED":[27,85],"need":[28],"find":[30],"ways":[31],"provide":[33],"despite":[37],"limited":[38],"resources":[39],"and":[40,61,66,73,98,109,118],"bottlenecks.":[41],"Process":[42],"analysis":[43],"using":[44],"Discrete":[45],"Event":[46],"Simulation":[47],"(DES),":[48],"taking":[49],"into":[50],"account":[51],"performance-related":[52],"assessment":[53],"indicators,":[54],"can":[55,104],"help":[56],"improve":[58],"resource":[62],"utilization":[63],"infrastructure.":[67],"Based":[68],"on":[69],"process":[70,77,153],"observations,":[71],"interviews":[72],"time":[74],"studies,":[75],"a":[76,82,132],"model":[78],"was":[79],"developed":[80],"in":[81,101,136,149],"general":[83],"hospital":[84],"realistically":[87],"simulate":[88],"workflows.":[89],"The":[90,121],"results":[91],"allow":[92],"assumption":[94],"digital":[96],"technologies":[97],"an":[99],"increase":[100],"capacity":[103],"reduce":[105],"length":[106],"stay":[108],"waiting":[110],"times":[111,140],"for":[112,129],"patients":[113],"while":[114],"improving":[115],"distribution":[117],"infrastructure":[119],"utilization.":[120],"study":[122],"suggests":[123],"DES":[125],"has":[126],"great":[127],"potential":[128,145],"use":[130],"as":[131],"performance":[133],"evaluation":[134],"tool":[135],"ED.":[138],"In":[139],"increasing":[142],"digitalization,":[143],"artificial":[147],"intelligence":[148],"context":[151],"improvements,":[154],"but":[155],"also":[156],"this":[160],"technology,":[161],"must":[162],"be":[163],"given":[164],"greater":[165],"consideration.":[166]},"counts_by_year":[{"year":2025,"cited_by_count":2}],"updated_date":"2026-10-03T13:16:28.481748","created_date":"2025-10-10T00:00:00"}