Using Discrete Event Simulation (DES) to manage theatre operations in healthcare: An audit-based case study

This paper discusses the application of Discrete Event Simulation (DES) in modelling the complex relationship between patient types, case-mix and operating theatre allocation in a large National Health Service (NHS) Trust in London. The simulation model that was constructed described the main features of nine theatres, focusing on operational processes and patient throughput times. The model was used to test three scenarios of case-mix and to demonstrate the potential of using simulation modelling as a cost effective method for understanding the issues of healthcare operations management and the role of simulation techniques in problem solving. The results indicated that removing all day cases will reduce patient throughput by 23.3% and the utilization of the orthopaedic theatre in particular by 6.5%. This represents a case example of how DES can be used by healthcare managers to inform decision making. © 2008 IEEE.

Mixing ventilation can reduce energy costs

The article provides information on a study on the potential of mixing ventilation in reducing energy costs in buildings such as theaters and schools. The study found that neither Manchester’s Contact Theatre and the Garrick Theatre in Lichfield in England is operating according to the displacement-ventilation principle upon which they were designed. Hybrid mixing ventilation has an important impact on both the ventilation rate and the thermal comfort of the theatres.

Pollutant flushing with natural displacement ventilation

We examine the time taken to flush pollutants from a naturally ventilated room. A simple theoretical model is developed to predict the time taken for neutrally-buoyant pollutants to be removed from a room by a flow driven by localised heat inputs; both line and point heat sources are considered. We show that the rate of flushing is a function of the room volume, vent areas ( A) and the distribution, number (n) and strength (B) of the heat sources. We also show that the entire problem can be reduced to a single parameter ( μ) that is a measure of the vent areas, and a dimensionless time ( τ) that is a function of B, V and μ. Small-scale salt-bath experiments were conducted to measure the flushing rates in order to validate our modelling assumptions and predictions. The predicted flushing times show good agreement with the experiments over a wide range of μ. We apply our model to a typical open plan office and lecture theatre and discuss some of the implications of our results. © 2005 Elsevier Ltd. All rights reserved.