Discrete-Event Simulation Modeling in Healthcare: A Comprehensive Review

Discrete-event simulation (DES) is a stochastic modeling approach widely used to address dynamic and complex systems, such as healthcare. In this review, academic databases were systematically searched to identify 231 papers focused on DES modeling in healthcare. These studies were sorted by year, a...

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Autores principales: Jesús Isaac Vázquez-Serrano, Rodrigo E. Peimbert-García, Leopoldo Eduardo Cárdenas-Barrón
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/9e4a68f3425047cc82b1a226edd2400d
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spelling oai:doaj.org-article:9e4a68f3425047cc82b1a226edd2400d2021-11-25T17:52:34ZDiscrete-Event Simulation Modeling in Healthcare: A Comprehensive Review10.3390/ijerph1822122621660-46011661-7827https://doaj.org/article/9e4a68f3425047cc82b1a226edd2400d2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12262https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Discrete-event simulation (DES) is a stochastic modeling approach widely used to address dynamic and complex systems, such as healthcare. In this review, academic databases were systematically searched to identify 231 papers focused on DES modeling in healthcare. These studies were sorted by year, approach, healthcare setting, outcome, provenance, and software use. Among the surveys, conceptual/theoretical studies, reviews, and case studies, it was found that almost two-thirds of the theoretical articles discuss models that include DES along with other analytical techniques, such as optimization and lean/six sigma, and one-third of the applications were carried out in more than one healthcare setting, with emergency departments being the most popular. Moreover, half of the applications seek to improve time- and efficiency-related metrics, and one-third of all papers use hybrid models. Finally, the most popular DES software is Arena and Simul8. Overall, there is an increasing trend towards using DES in healthcare to address issues at an operational level, yet less than 10% of DES applications present actual implementations following the modeling stage. Thus, future research should focus on the implementation of the models to assess their impact on healthcare processes, patients, and, possibly, their clinical value. Other areas are DES studies that emphasize their methodological formulation, as well as the development of frameworks for hybrid models.Jesús Isaac Vázquez-SerranoRodrigo E. Peimbert-GarcíaLeopoldo Eduardo Cárdenas-BarrónMDPI AGarticlediscrete-eventsimulationmodelinghealthcarehospitalreviewMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12262, p 12262 (2021)
institution DOAJ
collection DOAJ
language EN
topic discrete-event
simulation
modeling
healthcare
hospital
review
Medicine
R
spellingShingle discrete-event
simulation
modeling
healthcare
hospital
review
Medicine
R
Jesús Isaac Vázquez-Serrano
Rodrigo E. Peimbert-García
Leopoldo Eduardo Cárdenas-Barrón
Discrete-Event Simulation Modeling in Healthcare: A Comprehensive Review
description Discrete-event simulation (DES) is a stochastic modeling approach widely used to address dynamic and complex systems, such as healthcare. In this review, academic databases were systematically searched to identify 231 papers focused on DES modeling in healthcare. These studies were sorted by year, approach, healthcare setting, outcome, provenance, and software use. Among the surveys, conceptual/theoretical studies, reviews, and case studies, it was found that almost two-thirds of the theoretical articles discuss models that include DES along with other analytical techniques, such as optimization and lean/six sigma, and one-third of the applications were carried out in more than one healthcare setting, with emergency departments being the most popular. Moreover, half of the applications seek to improve time- and efficiency-related metrics, and one-third of all papers use hybrid models. Finally, the most popular DES software is Arena and Simul8. Overall, there is an increasing trend towards using DES in healthcare to address issues at an operational level, yet less than 10% of DES applications present actual implementations following the modeling stage. Thus, future research should focus on the implementation of the models to assess their impact on healthcare processes, patients, and, possibly, their clinical value. Other areas are DES studies that emphasize their methodological formulation, as well as the development of frameworks for hybrid models.
format article
author Jesús Isaac Vázquez-Serrano
Rodrigo E. Peimbert-García
Leopoldo Eduardo Cárdenas-Barrón
author_facet Jesús Isaac Vázquez-Serrano
Rodrigo E. Peimbert-García
Leopoldo Eduardo Cárdenas-Barrón
author_sort Jesús Isaac Vázquez-Serrano
title Discrete-Event Simulation Modeling in Healthcare: A Comprehensive Review
title_short Discrete-Event Simulation Modeling in Healthcare: A Comprehensive Review
title_full Discrete-Event Simulation Modeling in Healthcare: A Comprehensive Review
title_fullStr Discrete-Event Simulation Modeling in Healthcare: A Comprehensive Review
title_full_unstemmed Discrete-Event Simulation Modeling in Healthcare: A Comprehensive Review
title_sort discrete-event simulation modeling in healthcare: a comprehensive review
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/9e4a68f3425047cc82b1a226edd2400d
work_keys_str_mv AT jesusisaacvazquezserrano discreteeventsimulationmodelinginhealthcareacomprehensivereview
AT rodrigoepeimbertgarcia discreteeventsimulationmodelinginhealthcareacomprehensivereview
AT leopoldoeduardocardenasbarron discreteeventsimulationmodelinginhealthcareacomprehensivereview
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