Booked inpatient admissions systems require reserve capacity

Considerable reserve capacity (20-40%) is required if the cancellation rates for operations is to be kept below 5%. Gallivan and colleagues (p 280) used a simple mathematical model to estimate the day to day variations in intensive care beds required for a hypothetical booked admissions system. The authors warn that as limited reserve capacity and a high degree of variability are common in the NHS, difficulties with operations schedules will continue.


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Relevant Article

Booked inpatient admissions and hospital capacity: mathematical modelling study
Steve Gallivan, Martin Utley, Tom Treasure, and Oswaldo Valencia
BMJ 2002 324: 280-282. [Abstract] [Full Text] [PDF]




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