Statistical investigation of procedure in hospital clinics

Abstract

This thesis is a study of the daily working routine of a hospital X-Ray department, and it describes the empirical variation observed in a real department by the use of mathematical models| these models may be used to predict the effects of changes in departmental operating policy, thereby leading to a more effective use of the available resources* An outline is made of the working procedures of a typical X-Ray department, and there is also a survey of the literature. The various types of variability to be observed are described, together with some efficiency measures which may be adopted* In Chapter k the results of survey work in the Royal Infirmary, Edinburgh are presented in the form of an analysis of the work-load on the X-Ray department, with respect to its constitution, origin and distribution over the X-Ray facilities* An investigation is made into the relationship between the time to perform a given examination, and the age, sex and mobility of the patient* It was found that considerable differences exist between the service time distributions of patients with different characteristics, and these were later used to consider if improvements in efficiency might result by dealing with patients in homogeneous groups* A number of comments are made on particular problem areas in the Royal Infirmary

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