question

Mike H5 avatar image
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Mike H5 asked Regan Blackett edited

Patients for second flow stall in waiting room

In the emergency department 65% of patients come in around the clock. There is a second flow where 35% of the patients go down a second flow at 9:00am. My first patient stalls in the WR.

FlexSim 20.1.1
flexsim 20.1.1patient stalled
acmh-7.jpg (200.1 KiB)
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Sam Stubbs avatar image Sam Stubbs ♦ commented ·

@Mike H5

Thank you for your question, but to answer you properly, please provide the following information:

  1. Attach your model
  2. Indicate the simulation time when the patient stalls in the WR.
  3. Indicate the name of the patient who stalls in the waiting room.

Thanks!

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Mike H5 avatar image Mike H5 commented ·

ACMH Lean Model rev 7_Cliff.fsm

Patient Flow 5 is the name, Entry time on the Quick Properties is 91.38 on the model time it is at 9:31:18

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1 Answer

Sam Stubbs avatar image
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Sam Stubbs answered Regan Blackett edited

The patient is waiting to acquire an ExamLeanBed and cannot because all 4 beds are currently acquired by other patients. It doesn't matter that the beds are unoccupied. What matters is that they are acquired!

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Regan Blackett avatar image Regan Blackett ♦ commented ·

@Mike H5

Just to supplement what Sam says, because he is correct, here's how you debug this issue.

First note the Shared Asset "ExamLeanBeds"

The Number with the red dot around it indicates that there is a request pending on these beds; 5 wants a bed from this group, but can't get one because of the number represented by the green dot. This number means that there are 4 patients using this resource and the green lines lead you to the tokens that represent these patients in the 3D.

If you look at the properties for these patients:

You will see in their Locations label that they each have two beds acquired, one from ExamLean and one from ExamGen. So like Sam said, it doesn't matter that they aren't in that Bed, they own it because they haven't released that location yet. In your flow you don't have them reaching a release for ExamLean until it's time to leave, so you need to change where the release activity is reached.

In my opinion you also need to change whether or not all patients need to acquire the ExamLean beds because patients that go down the "Yes" path on the Decide activity "Before 10am?" never go to those locations anyway.

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