With an under-estimate, the predicted ICU bed requirement would be inaccurate, with a tendency of under estimation.
Objectives: Estimate the bed requirement to cover 97.5%% of time, by resampling of admission/discharge entries in 2014, for the two busiest ICUs in Hong Kong (~1600 admissions/year each).
In 2003, a dialysis programme with 100 patients had an ICU bed requirement of 32 days; that is, about 1 month per year.
However, due to long balloon indwelling time (4 48 h), the indwelling balloon may be a nidus for complications such as increased risk of balloon rupture, access site complications, and infection, as well as logistical challenges for hospitals such as patient discomfort/inconvenience, intensive care unit or higher level monitored bed requirement, and additional staff.
Health services management should include: a) National/Provincial/District Steering Committees; b) the circulation of Hospital Dengue Preparedness and Contingency plans (which should include plans for mobilisation of doctors/nurses within the region and from other specialties, and plans for surge in bed requirement); c) health education messages for the community.
Applications of QM in healthcare range from using it to study flows in EDs [15], analysis of delays for medical appointments [16], and for determining hospital bed requirements and allocations [17].
Surgical schedules are simulated with reference to historical case records and the resulting bed requirements are predicted accordingly.
This model may underestimate the hospital bed requirements in developing countries, where a pandemic virus may cause more severe infections.
Discharge criteria, in real life, are dependent on time of day when the patient was operated, intensive care bed requirements and the availability of ward beds.
