Abstract
It is globally accepted to act against global warming through the reduction of carbon dioxide. Carbon footprint is historically defined as the total emissions caused by an individual, event, organization, or product, expressed as carbon dioxide equivalent. Healthcare system consumes large amount of energy in order to provide health services to patients who have to pass a series of treatment processes at each care unit. These treatments require different medical equipment that consume electrical power, and the more electrical power consumption is, the more greenhouse gases specifically CO2 emissions are. The discrete-event simulation has been applied to develop the model of the treatment process and the estimation of carbon dioxide in the treatment process. By the knowledge that the simulation is not an optimization method in itself, the OptQuest optimization method has been applied to reduce greenhouse gases and carbon footprint in the patients′ flow in the emergency department by considering leveling off the waiting time and length of stay as constraints to leveling up patient′s satisfaction. The numerical results provided by simulation and OptQuest show the efficiency of OptQuest as a technique for patient flow optimization.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
K. Fang, R. Heijungs, The role of impact characterization in carbon footprinting, Frontiers in Ecology and the Environment 13(3), 130 (2015)
M. Younger, H.R. Morrow-Almeida, S.M. Vindigni, A.L. Dannenberg, The built environment, climate change, and health: opportunities for co-benefits, American journal of preventive medicine 35(5), 517 (2008)
W.H. Organization, et al. Quantitative risk assessment of the effects of climate change on selected causes of death, 2030s and 2050s, (2014)
A.S. Pollard, T.J. Taylor, L.E. Fleming, W. Stahl-Timmins, M.H. Depledge, N.J. Osborne, Mainstreaming carbon management in healthcare systems: A bottom-up modeling approach, Environmental science & technology 47(2), 678 (2013)
I. of Medicine Committee on the Future of Emergency Care in the US Health System, et al. Hospital-based emergency care: at the breaking point, Hospital-based emergency care: at the breaking point (2006)
S.G. Lynn, A.L. Kellermann, Critical decision making: managing the emergency department in an overcrowded hospital, Annals of emergency medicine 20(3), 287 (1991)
E. Cabrera, M. Taboada, M.L. Iglesias, F. Epelde, E. Luque, Optimization of healthcare emergency departments by agent-based simulation, Procedia computer science 4, 1880 (2011)
L. Zhao, B. Lie, Modeling and simulation of patient flow in hospitals for resource utilization, in Proceedings of the 49th Scandinavian Conference on Simulation and Modeling (2008)
P. Bhattacharjee, P.K. Ray, Patient flow modelling and performance analysis of healthcare delivery processes in hospitals: A review and reflections, Computers & Industrial Engineering 78, 299 (2014)
Z. Zhecheng, An online short-term bed occupancy rate prediction procedure based on discrete event simulation, Journal of Hospital Administration 3(4), 37 (2014)
Z. Zhu, B. Hoon Hen, K. Liang Teow, Estimating ICU bed capacity using discrete event simulation, International journal of health care quality assurance 25(2), 134 (2012)
M. Marimuthu, H. Paulose, Emergence of sustainability based approaches in healthcare: Expanding research and practice, Procedia-Social and Behavioral Sciences 224, 554 (2016)
A. Gilliam, B. Davidson, J. Guest, The carbon footprint of laparoscopic surgery: should we offset? Surgical endoscopy 22(2), 573 (2008)
S.M. Ryan, C.J. Nielsen, Global warming potential of inhaled anesthetics: application to clinical use, Anesthesia & Analgesia 111(1), 92 (2010)
J. Hartter, L.C. Hamilton, A.E. Boag, F.R. Stevens, M.J. Ducey, n.d. Christoffersen, P.T. Oester, M.W. Palace, Does it matter if people think climate change is human caused? Climate Services 10, 53 (2018)
A.J. MacNeill, R. Lillywhite, C.J. Brown, The impact of surgery on global climate: a carbon footprinting study of operating theatres in three health systems, The Lancet Planetary Health 1(9), e381 (2017)
L.H. Brown, P.G. Buettner, D.V. Canyon, The energy burden and environmental impact of health services, American journal of public health 102(12), e76 (2012)
M. Pinzone, E. Lettieri, C. Masella, Sustainability in healthcare: Combining organizational and architectural levers, International Journal of Engineering Business Management 4, 38 (2012)
A. Pollard, J. Paddle, T. Taylor, A. Tillyard, The carbon footprint of acute care: how energy intensive is critical care? Public health 128(9), 771 (2014)
S. Saghafian, W.J. Hopp, M.P. Van Oyen, J.S. Desmond, S.L. Kronick, Patient streaming as a mechanism for improving responsiveness in emergency departments, Operations Research 60(5), 1080 (2012)
A.G. Uriarte, E.R. Zúñiga, M.U. Moris, A.H. Ng, How can decision makers be supported in the improvement of an emergency department? A simulation, optimization and data mining approach, Operations Research for Health Care 15, 102 (2017)
J.P. Kleijnen, J. Wan, Optimization of simulated systems: OptQuest and alternatives, Simulation Modelling Practice and Theory 15(3), 354 (2007)
J. April, F. Glover, J. Kelly, M. Laguna, Simulation/optimization using “real-world” applications, in Proceeding of the 2001 Winter Simulation Conference (Cat. No. 01CH37304), vol. 1 (IEEE, 2001), vol. 1, pp. 134–138
M.C. Fu, F.W. Glover, J. April, Simulation optimization: a review, new developments, and applications, in Proceedings of the Winter Simulation Conference, 2005. (IEEE, 2005), pp. 13–pp
F. Glover, J.P. Kelly, M. Laguna, The OptQuest approach to Crystal Ball simulation optimization, Graduate School of Business. University of Colorado (1998)
Y.H. YV, L.S. Lasdon, D. DA WISMER, On a bicriterion formation of the problems of integrated system identification and system optimization, IEEE Transactions on Systems, Man and Cybernetics (3), 296 (1971)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Vali, M., Salimifard, K., Chaussalet, T. (2021). Carbon Footprints in Emergency Departments: A Simulation-Optimization Analysis. In: Masmoudi, M., Jarboui, B., Siarry, P. (eds) Operations Research and Simulation in Healthcare. Springer, Cham. https://doi.org/10.1007/978-3-030-45223-0_9
Download citation
DOI: https://doi.org/10.1007/978-3-030-45223-0_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-45222-3
Online ISBN: 978-3-030-45223-0
eBook Packages: Computer ScienceComputer Science (R0)