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Background The process of ongoing centralization of acute hospitals in Denmark enforces a number of challenges to be addressed. Staff levels must be adjusted not only in order to fulfil the new rules for specialists’ presence at the Emergency Department (ED), but also to meet the imposed time requirements regarding the first patient contact with a specialist along with the requirement of making an action diagnosis within 4 hours after arrival. Patient arrivals and pathways are grouped in accordance with the so called Standardized Time-based Patient Pathways (STPs) under development. The main goal of the project is the development of an analytical tool designed to facilitate qualified decisionmaking with respect to the dimensioning of the ED with respect to e.g. staffing in view of the imposed time requirements.

Discrete event simulation modelling for an improved patient flow at the Emergency Department, Sygehus Lillebælt, Kolding