A Monte Carlo Simulation Approach to Optimizing Capacity in a High-Volume Congenital Heart Pediatric Surgical Center.

ABSTRACT:

Importance

Elective surgeries are primarily scheduled according to surgeon availability with less consideration of patients' postoperative cardiac intensive care unit (CICU) length of stay. Furthermore, the CICU census can exhibit a high rate of variation in which the CICU is operating at over-capacity, resulting in admission delays and cancellations; or under-capacity, resulting in underutilized labor and overhead expenditures.

Objective

To identify strategies to reduce variation in CICU occupancy levels and avoid late patient surgery cancellation.

Design

Monte Carlo simulation study of the daily and weekly CICU census at Boston Children's Hospital Heart Center. Data on all surgical admissions to and discharges from the CICU at Boston Children's Hospital between Sept

SUBMITTER: Elia EG 

PROVIDER: S-EPMC10012657 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature