Williams College of Business, Xavier University, Cincinnati, OH.
College of Business, James Madison University, Harrisonburg, VA.
Acad Emerg Med. 2018 Feb;25(2):116-127. doi: 10.1111/acem.13272. Epub 2017 Sep 21.
In 2017, Academic Emergency Medicine convened a consensus conference entitled, "Catalyzing System Change through Health Care Simulation: Systems, Competency, and Outcomes." This article, a product of the breakout session on "understanding complex interactions through systems modeling," explores the role that computer simulation modeling can and should play in research and development of emergency care delivery systems. This article discusses areas central to the use of computer simulation modeling in emergency care research. The four central approaches to computer simulation modeling are described (Monte Carlo simulation, system dynamics modeling, discrete-event simulation, and agent-based simulation), along with problems amenable to their use and relevant examples to emergency care. Also discussed is an introduction to available software modeling platforms and how to explore their use for research, along with a research agenda for computer simulation modeling. Through this article, our goal is to enhance adoption of computer simulation, a set of methods that hold great promise in addressing emergency care organization and design challenges.
2017 年，《学术急诊医学》召开了一次共识会议，题为“通过医疗保健模拟推动系统变革：系统、能力和结果”。本文是“通过系统建模理解复杂相互作用”分组会议的成果，探讨了计算机模拟建模在急诊护理输送系统的研究和开发中可以发挥的作用。本文讨论了在急诊护理研究中使用计算机模拟建模的核心领域。本文描述了计算机模拟建模的四种核心方法（蒙特卡罗模拟、系统动力学建模、离散事件模拟和基于代理的模拟），以及它们适用于解决的问题和与急诊护理相关的示例。还介绍了可用的软件建模平台及其如何探索用于研究的方法，以及计算机模拟建模的研究议程。通过本文，我们的目标是增强对计算机模拟的采用，这组方法在解决急诊护理组织和设计挑战方面具有巨大的潜力。
