{"id":"https://openalex.org/W3145636598","doi":"https://doi.org/10.1109/wsc.2008.4736229","title":"Simulation-based verification of lean improvement for emergency room process","display_name":"Simulation-based verification of lean improvement for emergency room process","publication_year":2008,"publication_date":"2008-12-01","ids":{"openalex":"https://openalex.org/W3145636598","doi":"https://doi.org/10.1109/wsc.2008.4736229","mag":"3145636598"},"language":"en","primary_location":{"id":"doi:10.1109/wsc.2008.4736229","is_oa":false,"landing_page_url":"https://doi.org/10.1109/wsc.2008.4736229","pdf_url":null,"source":{"id":"https://openalex.org/S4363608392","display_name":"2008 Winter Simulation Conference","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"conference"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2008 Winter Simulation Conference","raw_type":"proceedings-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5079859291","display_name":"Nancy Khurma","orcid":null},"institutions":[{"id":"https://openalex.org/I74413500","display_name":"University of Windsor","ror":"https://ror.org/01gw3d370","country_code":"CA","type":"education","lineage":["https://openalex.org/I74413500"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"Nancy Khurma","raw_affiliation_strings":["Department of Industrial and Manufacturing Systems Engineering, University of Windsor, Windsor, ONT, Canada"],"affiliations":[{"raw_affiliation_string":"Department of Industrial and Manufacturing Systems Engineering, University of Windsor, Windsor, ONT, Canada","institution_ids":["https://openalex.org/I74413500"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064786539","display_name":"Gheorghe M. Bacioiu","orcid":null},"institutions":[{"id":"https://openalex.org/I74413500","display_name":"University of Windsor","ror":"https://ror.org/01gw3d370","country_code":"CA","type":"education","lineage":["https://openalex.org/I74413500"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Gheorghe M. Bacioiu","raw_affiliation_strings":["Department of Industrial and Manufacturing Systems Engineering, University of Windsor, Windsor, ONT, Canada"],"affiliations":[{"raw_affiliation_string":"Department of Industrial and Manufacturing Systems Engineering, University of Windsor, Windsor, ONT, Canada","institution_ids":["https://openalex.org/I74413500"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5085670952","display_name":"Zbigniew J. Pasek","orcid":"https://orcid.org/0000-0002-1713-7885"},"institutions":[{"id":"https://openalex.org/I74413500","display_name":"University of Windsor","ror":"https://ror.org/01gw3d370","country_code":"CA","type":"education","lineage":["https://openalex.org/I74413500"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Zbigniew J. Pasek","raw_affiliation_strings":["Department of Industrial and Manufacturing Systems Engineering, University of Windsor, Windsor, ONT, Canada"],"affiliations":[{"raw_affiliation_string":"Department of Industrial and Manufacturing Systems Engineering, University of Windsor, Windsor, ONT, Canada","institution_ids":["https://openalex.org/I74413500"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5079859291"],"corresponding_institution_ids":["https://openalex.org/I74413500"],"apc_list":null,"apc_paid":null,"fwci":4.1558,"has_fulltext":false,"cited_by_count":25,"citation_normalized_percentile":{"value":0.97435897,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":null,"issue":null,"first_page":"1490","last_page":"1499"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.9814000129699707,"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":0.9814000129699707,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/overcrowding","display_name":"Overcrowding","score":0.8232089281082153},{"id":"https://openalex.org/keywords/process","display_name":"Process (computing)","score":0.5818786025047302},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.5411962270736694},{"id":"https://openalex.org/keywords/lean-manufacturing","display_name":"Lean manufacturing","score":0.4425082802772522},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.42891770601272583},{"id":"https://openalex.org/keywords/key","display_name":"Key (lock)","score":0.41140297055244446},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.38778701424598694},{"id":"https://openalex.org/keywords/process-management","display_name":"Process management","score":0.377074658870697},{"id":"https://openalex.org/keywords/risk-analysis","display_name":"Risk analysis (engineering)","score":0.3390377163887024},{"id":"https://openalex.org/keywords/operations-management","display_name":"Operations management","score":0.3146408796310425},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.283351868391037},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.2722240090370178},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.15686988830566406},{"id":"https://openalex.org/keywords/computer-security","display_name":"Computer security","score":0.11250108480453491}],"concepts":[{"id":"https://openalex.org/C2778872837","wikidata":"https://www.wikidata.org/wiki/Q7113614","display_name":"Overcrowding","level":2,"score":0.8232089281082153},{"id":"https://openalex.org/C98045186","wikidata":"https://www.wikidata.org/wiki/Q205663","display_name":"Process (computing)","level":2,"score":0.5818786025047302},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5411962270736694},{"id":"https://openalex.org/C137335462","wikidata":"https://www.wikidata.org/wiki/Q380772","display_name":"Lean manufacturing","level":2,"score":0.4425082802772522},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.42891770601272583},{"id":"https://openalex.org/C26517878","wikidata":"https://www.wikidata.org/wiki/Q228039","display_name":"Key (lock)","level":2,"score":0.41140297055244446},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.38778701424598694},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.377074658870697},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.3390377163887024},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.3146408796310425},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.283351868391037},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.2722240090370178},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.15686988830566406},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.11250108480453491},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1109/wsc.2008.4736229","is_oa":false,"landing_page_url":"https://doi.org/10.1109/wsc.2008.4736229","pdf_url":null,"source":{"id":"https://openalex.org/S4363608392","display_name":"2008 Winter Simulation Conference","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"conference"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2008 Winter Simulation Conference","raw_type":"proceedings-article"}],"best_oa_location":null,"sustainable_development_goals":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320323382","display_name":"University of Jordan","ror":"https://ror.org/05k89ew48"},{"id":"https://openalex.org/F4320324335","display_name":"Universitatea din Bucure\u0219ti","ror":"https://ror.org/02x2v6p15"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":11,"referenced_works":["https://openalex.org/W5996038","https://openalex.org/W135056953","https://openalex.org/W1986953814","https://openalex.org/W2008412068","https://openalex.org/W2047439485","https://openalex.org/W2125197936","https://openalex.org/W2991813816","https://openalex.org/W4240911001","https://openalex.org/W4249498367","https://openalex.org/W6600256106","https://openalex.org/W6771169153"],"related_works":["https://openalex.org/W2899084033","https://openalex.org/W4321054264","https://openalex.org/W2416482338","https://openalex.org/W64066771","https://openalex.org/W1538085484","https://openalex.org/W4285209920","https://openalex.org/W2736248901","https://openalex.org/W3031389914","https://openalex.org/W4235285080","https://openalex.org/W2067040092"],"abstract_inverted_index":{"One":[0],"of":[1,15,46,64,86,102,111,137,141,143],"the":[2,16,22,27,40,44,47,62,68,84,87,121],"key":[3],"challenges":[4],"to":[5,21,31,50,53,90,116],"health":[6,55],"care":[7,72],"access":[8],"in":[9],"Canadian":[10],"hospitals":[11],"is":[12],"growing":[13],"overcrowding":[14],"Emergency":[17],"Departments":[18],"(EDs),":[19],"leading":[20],"medical":[23,48,88],"personnel":[24],"overload,":[25],"and":[26,57,66,73,83,119,129,146],"excessive":[28],"waiting":[29],"times":[30],"receive":[32],"proper":[33],"care.":[34],"These":[35],"adverse":[36],"effects":[37],"directly":[38],"impact":[39],"patient":[41,75],"satisfaction":[42],"levels,":[43],"ability":[45,85],"professionals":[49,89],"attend":[51],"promptly":[52],"patients'":[54,103],"issues,":[56],"generate":[58],"unnecessary":[59],"costs.":[60],"Addressing":[61],"sources":[63],"waste":[65],"improving":[67],"process":[69],"provides":[70],"better":[71],"higher":[74],"satisfaction,":[76],"as":[77,79],"well":[78],"increases":[80],"operational":[81],"efficiency":[82],"intervene":[91],"on":[92,127],"time.":[93],"This":[94],"paper":[95],"describes":[96],"an":[97],"effort":[98],"aimed":[99],"at":[100],"improvement":[101],"experience":[104],"over":[105],"their":[106],"ED":[107],"stay.":[108],"A":[109],"combination":[110],"lean":[112],"tools":[113],"were":[114,133],"used":[115],"analyze,":[117],"assess":[118],"improve":[120],"current":[122,128],"situation.":[123],"Simulation":[124],"models":[125],"based":[126],"future":[130],"(desired)":[131],"states":[132],"developed.":[134],"Comparative":[135],"analysis":[136],"both":[138],"enabled":[139],"verification":[140],"feasibility":[142],"proposed":[144],"solutions,":[145],"provided":[147],"quantifiable":[148],"results.":[149]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":3},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":2},{"year":2012,"cited_by_count":1}],"updated_date":"2026-04-04T16:13:02.066488","created_date":"2025-10-10T00:00:00"}