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Promoting High-Value Mental Health Care
Published Online: 8 October 2019

Use of Computer Modeling to Streamline Care in a Psychiatric Emergency Room: A Case Report

Abstract

Computer simulation using JaamSim tested the impact of changing the number of providers, proportion of independent to supervised providers, shift provider added, time to hospitalization, and the number of beds in order to identify bottlenecks in a psychiatric emergency department. Adding an independent provider from 4 p.m. to midnight produced the largest improvements: reductions in time to bed, time to provider, and length of stay by 82%, 68%, and 31%, respectively. Decreasing time to hospitalization and adding beds achieved modest improvements. Modeling allows simulated changes to one parameter at a time and provides bespoke analysis for a variety of clinical settings.

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Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Pages: 92 - 95
PubMed: 31590624

History

Received: 21 January 2019
Revision received: 19 July 2019
Accepted: 26 August 2019
Published online: 8 October 2019
Published in print: January 01, 2020

Keywords

  1. Computer technology
  2. Emergency psychiatry

Authors

Details

Seewan Kim, B.S.
Yale School of Medicine (Kim), and Department of Psychiatry and Department of Emergency Medicine (Chepenik), Yale School of Medicine, New Haven, Connecticut. Marcela Horvitz-Lennon, M.D., and Kenneth Minkoff, M.D., are editors of this column.
Lara G. Chepenik, M.D., Ph.D. [email protected]
Yale School of Medicine (Kim), and Department of Psychiatry and Department of Emergency Medicine (Chepenik), Yale School of Medicine, New Haven, Connecticut. Marcela Horvitz-Lennon, M.D., and Kenneth Minkoff, M.D., are editors of this column.

Notes

Send correspondence to Dr. Chepenik ([email protected]).

Funding Information

The authors report no financial relationships with commercial interests.

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