Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/21397
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dc.contributor.authorHuang, Shiwei-
dc.contributor.authorMaingard, Julian-
dc.contributor.authorKok, Hong Kuan-
dc.contributor.authorBarras, Christen D-
dc.contributor.authorThijs, Vincent N-
dc.contributor.authorChandra, Ronil V-
dc.contributor.authorBrooks, Duncan Mark-
dc.contributor.authorAsadi, Hamed-
dc.date2019-06-27-
dc.date.accessioned2019-08-12T05:00:09Z-
dc.date.available2019-08-12T05:00:09Z-
dc.date.issued2019-06-27-
dc.identifier.citationFrontiers in neurology 2019; 10: 653en_US
dc.identifier.issn1664-2295-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/21397-
dc.description.abstractObjective: Endovascular clot retrieval (ECR) is the standard of care for acute ischemic stroke due to large vessel occlusion. Performing ECR is a time critical and complex process involving many specialized care providers and resources. Maximizing patient benefit while minimizing service cost requires optimization of human and physical assets. The aim of this study is to develop a general computational model of an ECR service, which can be used to optimize resource allocation. Methods: Using a discrete event simulation approach, we examined ECR performance under a range of possible scenarios and resource use configurations. Results: The model demonstrated the impact of competing emergency interventional cases upon ECR treatment times and time impact of allocating more physical (more angiographic suites) or staff resources (extending work hours). Conclusion: Our DES model can be used to optimize resources for interventional treatment of acute ischemic stroke and large vessel occlusion. This proof-of-concept study of computational simulation of resource allocation for ECR can be easily extended. For example, center-specific cost data may be incorporated to optimize resource allocation and overall health care value.en_US
dc.language.isoeng-
dc.subjectECRen_US
dc.subjectdiscrete event simulation (DES)en_US
dc.subjectendovascular clot retrievalen_US
dc.subjectmechanical thrombectomyen_US
dc.subjectresource allocationen_US
dc.subjectresource optimizationen_US
dc.subjectworkflow simulationen_US
dc.titleOptimizing Resources for Endovascular Clot Retrieval for Acute Ischemic Stroke, a Discrete Event Simulation.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleFrontiers in neurologyen_US
dc.identifier.affiliationThe Canberra Hospital, Canberra, ACT, Australiaen_US
dc.identifier.affiliationSouth Australian Health and Medical Research Institute, The University of Adelaide, Adelaide, SA, Australiaen_US
dc.identifier.affiliationInterventional Radiology Service, Department of Radiology, Northern Health, Epping, Victoria, Australiaen_US
dc.identifier.affiliationStroke Division, Department of Neurology, Austin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Surgery and Department of Medicine, Monash University, Clayton, Victoria, Australiaen_US
dc.identifier.affiliationInterventional Neuroradiology, Monash Imaging, Monash Medical Centre, Clayton, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Radiology, Royal Adelaide Hospital, Adelaide, SA, Australiaen_US
dc.identifier.affiliationStroke Division, The Florey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australiaen_US
dc.identifier.affiliationFaculty of Health, School of Medicine, Deakin University, Waurn Ponds, Victoria, Australiaen_US
dc.identifier.affiliationInterventional Neuroradiology Service, Department of Radiology, Austin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.doi10.3389/fneur.2019.00653en_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0003-2475-9727en_US
dc.identifier.orcid0000-0001-8958-2411en_US
dc.identifier.orcid0000-0002-6614-8417en_US
dc.identifier.pubmedid31316449-
dc.type.austinJournal Article-
local.name.researcherAsadi, Hamed
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
item.languageiso639-1en-
crisitem.author.deptNeurology-
crisitem.author.deptThe Florey Institute of Neuroscience and Mental Health-
crisitem.author.deptRadiology-
crisitem.author.deptRadiology-
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