查看文章

The French Emergency Medical Service of the Val-de-Marne department, known as SAMU 94, is a public safety system responsible for the coordination of pre-hospital care under emergency conditions. Pre-hospital care is requested through emergency calls and includes the stabilization of patient’s condition and transportation, when needed, to an appropriate care facility. The current research aims at improving the organizational processes of SAMU 94 in order to meet the population’s needs under limited resources. Hence, we develop a discrete event simulation (DES) model in order to model and assess the current performance of this complex system, as well as to investigate the effects of potential process changes that would lead to enhanced operational efficiency, in terms of response time performance (i.e. the period between the receipt of a call and the first arrival of a rescue team at the scene), which is a …