Modelling methods-Repurposing a discrete event simulation model to include covid 19 workflow changes in a computed tomography department

Abstract

The importance of infection control has taken centre stage with the arrival of Covid-19, and radiology staff must take precautions to limit contamination. This paper identified the changes required to an existing discrete event simulation model of a CT service to repurpose it for post COVID-19. Methods: Radiology workflow was mapped using Microsoft Visio to capture changes to roles, tasks and communications. Task and delay times were observed. Interviews with cleaning and clinical staff verified observational findings. Rich picture diagramming was used to include staff perceptions. In partnership with decision makers a culturally desirable and feasible scenario was identified and the increase in the consumed staff time post COVID-19 demonstrated. Conclusion: While CT throughput has decreased, the individual inpatient workload in terms of staff resource utilisation has increased. Separate inpatient and outpatient services are recommended to increase throughput and efficiency.