IMA Journal of Management Mathematics Advance Access originally published online on January 25, 2006
IMA Journal of Management Mathematics 2006 17(3):277-288; doi:10.1093/imaman/dpi042
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A queueing model of activities in an intensive care unit
1 School of Mathematics, Cardiff University, UK, 2 Critical Care Unit, University of Wales Hospital, Cardiff, UK, 3 School of Mathematics, Cardiff University, UK
** Email: griffiths{at}cardiff.ac.uk
Activities in an intensive care unit (ICU) at a major teaching hospital are modelled by means of a queue-theoretic approach. Using data supplied by the ICU relating to the admissions process, the bed availability and the length of stay of patients, it was possible to fit theoretical distributions to the observed arrival and service distributions. Queueing equations relevant to a multi-channel system having random arrivals and hyper-exponential service times for each channel are set up, and solved iteratively. Results obtained match well with observations, and the model is then utilised to investigate several what if? scenarios. Reference is made to a simulation model developed in conjunction with the queueing model.
Keywords: queues; intensive care unit; bed-management
Received on 13 December 2004. accepted on 22 September 2005.