How to make different types of patients leave waiting room early

Question

question

fenia tseligka asked Jul 24 2016 at 6:21 PM Adrian Haws edited Aug 09 2016 at 10:26 PM

How to make different types of patients leave waiting room early

There are 3 types of patients tracks, that will leave the waiting room of the HC unit after some particular time (time differs for each type). More specifically, the patients will be leaving without being seen by a doctor after their waiting tolerance expires. How do i make that happen in Flexsim HC? Thank you in advance.

Software Version:

FlexSim HC 5.0.12

time lwbs evaluate patient condition leave early waiting tolerance

· 1

______

Cookie preferences

Your privacy is important to us and so is an optimal experience. To help us customize information and build applications, we collect data about your use of this site.

May we collect and use your data?

Learn more about the Third Party Services we use and our Privacy Statement.

Strictly necessary – required for our site to work and to provide services to you

These cookies allow us to record your preferences or login information, respond to your requests or fulfill items in your shopping cart.

YES

Improve your experience – allows us to show you what is relevant to you

These cookies enable us to provide enhanced functionality and personalization. They may be set by us or by third party providers whose services we use to deliver information and experiences tailored to you. If you do not allow these cookies, some or all of these services may not be available for you.

YES

NO

Customize your advertising – permits us to offer targeted advertising to you

These cookies collect data about you based on your activities and interests in order to show you relevant ads and to track effectiveness. By collecting this data, the ads you see will be more tailored to your interests. If you do not allow these cookies, you will experience less targeted advertising.

YES

NO

Are you sure you want a less customized experience?

We can access your data only if you select "yes" for the categories on the previous screen. This lets us tailor our marketing so that it's more relevant for you. You can change your settings at any time by visiting our privacy statement

Your experience. Your choice.

We care about your privacy. The data we collect helps us understand how you use our products, what information you might be interested in, and what we can improve to make your engagement with Autodesk more rewarding.

May we collect and use your data to tailor your experience?

Explore the benefits of a customized experience by managing your privacy settings for this site or visit our Privacy Statement to learn more about your options.

Answer 1 · 2016-07-25T17:32:47Z

Regan Blackett answered Jul 25 2016 at 5:32 PM Adrian Haws commented Aug 02 2016 at 4:59 PM

Handling this with the Patient Queuing objects built in features for "Patient Condition" would seem to be the best approach for this problem (located below in the object properties)

The Evaluate patient field asks for a time interval where you will check to see if the patient will execute a Leaving without being seen event and the Patient leaves Early field lets you set up conditions that will cause the patient to leave early and what they should do if flagged to leave early. One note on the Evaluate field, this creates an event every 'X' time that you put in so if your interval is very short it creates a lot of 'ticks' in your model that may make stepping through events take a longer than normal.

Here's an example of what the configuration of this field could look like along with a sample model with it in use.

In my model I created two PCI's (that follow the same track, but you could easily set up PCI's that have different tracks and use the same methods) and I want each of the PCI's to have a different time threshold for when they can leave early, such that PCI 1 leaves if they have been in the waiting room for longer than 5 minutes or if they are PCI 2 they leave if they have been in the waiting room for more than 10 minutes.

I write my condition in the Blue text above to first get the PCI of the patient and then check the time they have been in the waiting room by checking the total elapsed time in the model (time()) and subtract the time that they entered this object (getentrytime(patient)). This is actually two conditions separated by the OR operator ( || ) one for when PCI is 1 and the other for when PCI is 2 and could be read to say

"if the PCI label of the patient is 1 AND the patient has been in waiting room for longer than 5 minutes OR if the PCI label of the patient is 2 AND the patient has been in waiting room for longer than 10 minutes"

Another thing I did, just to verify that it is working is I saved the time spent in the waiting room to a Label on the patient called LWBS so that if a patient leaves early you can see how long they were in the waiting room before they decided to leave, and I set that up in the same field as the above picture.

Try sample model and let me know if you have any other questions.

waiting-room-lwbs.fsm

patient-condition.png (8.5 KiB)

condition-example.png (22.4 KiB)

waiting-room-lwbs.fsm (65.9 KiB)

· 6

fenia tseligka commented · Jul 26 2016 at 7:47 PM

@regan.blackett thank you very much for your answer. It was really helpful, however, this is my first project in Flexsim and i have some more questions about a malfunction in the simulation.

To be exact, i made all the changes you proposed and was fit to my problem, however when the simulation runs, there seems to be some problem at an exact simulation time (i attached the error log in .txt format). Things are getting even more weird when i attempt to change the "evaluate patients every" field, because the times the error occurs differ depending on the evaluation time. I have no clue about what is wrong with it, nor how to fix this. Thank you in advance.

flexsimhc.txt

0 ·

flexsimhc.txt (2.8 KiB)

Adrian Haws fenia tseligka commented · Jul 26 2016 at 10:14 PM

@fenia tseligka Did these exceptions only happen after you applied Regan's suggestions? Also, could you please send us your model? That's often very helpful in determining the cause of exceptions.

0 ·

fenia tseligka Adrian Haws commented · Aug 02 2016 at 3:47 PM

@Adrian Haws Unfortunately, i cannot publicly post my model for the time being, as long as it is part of my diploma thesis and the proffesor's permission is required.

Yes, exceptions happened after @regan.blackett 's proposed changes. Do you have any clue why that happened? Is there anything i can do to avoid those problems?

Furthermore, could you please describe what the "evaluate patients every" field actually does to the program, because when i set this field to 60 minutes for all waiting rooms (i have three of them), no problem occurs for the desired interval (i simulate the processes of 1 week)

0 ·

Show more comments

Answer 2 · 2016-07-25T17:01:16Z

Adrian Haws answered Jul 25 2016 at 5:01 PM fenia tseligka commented Jul 26 2016 at 7:30 PM

You can accomplish this through patient activities and PCIs. For each of your patient tracks, simply make a "Process" activity after the patients arrive to the waiting room. You can then manually enter the processing time for each patient track, and omit any staff requirements.

You can then set up different Patient Classification Index (PCI) numbers for the three types of patients, and specify which patient track each will go to. Finally, make sure that the patient arrival pattern is set up for each PCI.

Let us know if anything is unclear.

· 1

question