Adv Rehabil Sci Pract
January 2025
Background: Trauma systems provide comprehensive care across various settings, from prehospital services to rehabilitation, integrating clinical and social care aspects. Established in the 1970s, these systems are pivotal yet under-researched in their operational management. This study aims to fill this gap by focussing on the integration of operations management (OM) techniques to enhance the efficiency and effectiveness of trauma systems.
View Article and Find Full Text PDFHealth Syst (Basingstoke)
May 2023
An accurate forecast of Emergency Department (ED) arrivals by an hour of the day is critical to meet patients' demand. It enables planners to match ED staff to the number of arrivals, redeploy staff, and reconfigure units. In this study, we develop a model based on Generalised Additive Models and an advanced dynamic model based on exponential smoothing to generate an hourly probabilistic forecast of ED arrivals for a prediction window of 48 hours.
View Article and Find Full Text PDFBackground: Length of stay (LOS) is frequently employed as a performance metric for trauma care. Following the establishment of the trauma network worldwide, the assessment and prediction of LOS in different levels of trauma centres have been extensively studied. However, assessing the total patient length of stay from a whole trauma network perspective is unclear.
View Article and Find Full Text PDFThe need to forecast COVID-19 related variables continues to be pressing as the epidemic unfolds. Different efforts have been made, with compartmental models in epidemiology and statistical models such as AutoRegressive Integrated Moving Average (ARIMA), Exponential Smoothing (ETS) or computing intelligence models. These efforts have proved useful in some instances by allowing decision makers to distinguish different scenarios during the emergency, but their accuracy has been disappointing, forecasts ignore uncertainties and less attention is given to local areas.
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