n Canada, many people have complained that the waiting time in hospital emergency is often very long. (Here, the waiting time is defined as the time from arrival to departure.) A typical service process in a hospital emergency has several stages: 1. When patients arrive, they register personal information (such as health card number, reasons to be there) in a computer. Then, patients wait in an open waiting area. 2. There is often one or two doctors whose offices are at the side of the open waiting area. The doctor(s) talks with the patients one by one to have preliminary diagnosis and provide some help.

Practical Management Science
6th Edition
ISBN:9781337406659
Author:WINSTON, Wayne L.
Publisher:WINSTON, Wayne L.
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n Canada, many people have complained that the waiting time in hospital emergency is often
very long. (Here, the waiting time is defined as the time from arrival to departure.)
A typical service process in a hospital emergency has several stages:
1. When patients arrive, they register personal information (such as health card number,
reasons to be there) in a computer. Then, patients wait in an open waiting area.
2. There is often one or two doctors whose offices are at the side of the open waiting area.
The doctor(s) talks with the patients one by one to have preliminary diagnosis and
provide some help.
3. Then, the patients wait in the same waiting area.
4. A nurse arranges (part of) the patients to a closed area to wait for doctors.
5. A nurse arranges the patients waiting in the closed area to individual rooms to wait for
doctors.
6. A doctor helps the patients individually. Then, patients leave individually.
According to your simulation, what is the bottleneck of reducing the waiting time? Your
recommendations to reduce the waiting time?

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