Crowe, Sonya;
Grieco, Luca;
Monks, Tom;
Keogh, Brad;
Penn, Marion;
Clancey, Mike;
Elkhodair, Samer;
... Utley, Martin; + view all
(2024)
Here’s something we prepared earlier: development, use and reuse of a configurable, inter-disciplinary approach for tackling overcrowding in NHS hospitals.
Journal of the Operational Research Society
10.1080/01605682.2023.2199094.
(In press).
Preview |
Text
Crowe_Here s something we prepared earlier.pdf Download (2MB) | Preview |
Abstract
Overcrowding affects hospital emergency departments (ED) worldwide. Most OR studies addressing overcrowding develop bespoke models to explore potential improvements but ignore the organisational context in which they would be implemented, and few influence practice. There is interest in whether reusable models, for ED crowding and in healthcare generally, could have more impact. We developed a configurable approach for tackling ED overcrowding. A reusable queuing model for exploring drivers of ED performance was augmented by a qualitative approach for exploring the implementation context and a generic framework for assessing the likely compatibility of interventions with a given organisation. At the hospital where the approach was developed it directly informed strategy. We describe reuse of the approach at three hospitals. One project was completed and well-received by hospital management, two were terminated partway when data problems surfaced. The primary contribution of this work is its novelty in considering, alongside quantitative modelling, evidence-based interventions to overcrowding and qualitative assessment of a hospital’s aptitude and capability to adopt different interventions. A secondary contribution is to further the debate on model reuse, particularly by introducing more complex, modelling-centred approaches that acknowledge how models must relate to tangible interventions with reasonable prospects of being adopted locally.
| Type: | Article |
|---|---|
| Title: | Here’s something we prepared earlier: development, use and reuse of a configurable, inter-disciplinary approach for tackling overcrowding in NHS hospitals |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1080/01605682.2023.2199094 |
| Publisher version: | https://doi.org/10.1080/01605682.2023.2199094 |
| Language: | English |
| Additional information: | © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent. |
| Keywords: | Practice of OR, health services, queuing |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > UCL BEAMS UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences > Dept of Mathematics UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences > Dept of Mathematics > Clinical Operational Research Unit |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10168263 |
Archive Staff Only
 |
View Item |
