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A Hybrid Approach to Model Hospitals and Evaluate Wards’ Performances
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Health Informatics and Logistics. Stockholm University, Department of Computer and Systems Sciences, Stockholm, Sweden.ORCID iD: 0000-0002-1985-3690
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Health Informatics and Logistics.ORCID iD: 0000-0002-3398-2296
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Health Informatics and Logistics.ORCID iD: 0000-0002-3416-4535
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Health Informatics and Logistics.ORCID iD: 0000-0001-8218-4306
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2025 (English)In: IEEE Access, E-ISSN 2169-3536, Vol. 13, p. 104538-104554Article in journal (Refereed) Published
Abstract [en]

The degree of connectivity among hospital wards and the dynamic nonlinear flow of patients cause bottlenecks to begin in non-priority wards, accumulate within the paths, distribute throughout the hospital, and emerge as overflow in crucial wards. This requires a network-based modeling approach to address the bottlenecks caused by second- and third-order wards and to significantly influence the overall and emergent performance of multiple wards. Understanding the relative merits of different network modeling and analysis approaches in this complex environment is often challenging and requires a holistic strategy to identify persistent bottlenecks and provide evidence-based scenarios. This article introduces a novel hybrid modeling approach that integrates network analysis algorithms and agent-based network simulation of patient flow over a complete hospital network. Through network analysis, such as structural hole and flow algorithms, the approach identifies common persistent bottlenecks from the flow and structural perspectives, while percolation and perturbation analyses measure the performance improvement of wards based on variations in patient flow, and the simulations enable the investigation of scenarios. The results indicate the wards and patient types that can contribute to improving the hospital’s performance. The proposed approach facilitates holistic, dynamic modeling of hospitals, irrespective of their network scale, and enables the identification of bottleneck sources and their associated paths, contributing to a comprehensive assessment of the system’s performance.

Place, publisher, year, edition, pages
Institute of Electrical and Electronics Engineers (IEEE) , 2025. Vol. 13, p. 104538-104554
Keywords [en]
Graph theory, healthcare, hybrid approach, network simulation
National Category
Computer Engineering
Identifiers
URN: urn:nbn:se:kth:diva-368770DOI: 10.1109/ACCESS.2025.3580174ISI: 001512534200003Scopus ID: 2-s2.0-105008679063OAI: oai:DiVA.org:kth-368770DiVA, id: diva2:1990706
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Not duplicate with diva 1930313

QC 20250821

Available from: 2025-08-21 Created: 2025-08-21 Last updated: 2025-09-26Bibliographically approved

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Boodaghian Asl, ArsinehMarzano, LucaRaghothama, JayanthDarwich, Adam S.Meijer, Sebastiaan

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