Elise Miller-Hooks

Publications: Journal 79

“Strategies for Improved Hospital Response to Mass Casualty Incidents"

Disaster Medicine and Public Health Preparedness 12 (6), 778-790

TariVerdi, M., E. Miller-Hooks and T. Kirsch (2017)


pub 79

Mass Casualty Incidents (MCIs) are a concern in many urban areas. A community’s ability to cope with such events depends on the capacities and capabilities of its hospitals for handling a sudden surge in demand of patients with resource-intensive and specialized medical needs. This paper uses a whole-hospital simulation model to replicate medical staff, resources, and space for the purpose of investigating hospital responsiveness to MCIs. It provides details of probable demand patterns for different MCI types in terms of patient categories and arrival patterns, and accounts for related transient system behavior over the response period. Using the layout of a typical urban hospital, it investigates a hospital’s capacity and capability to handle MCI’s of various sizes with various characteristics, and assesses the effectiveness of designed demand management and capacity expansion strategies. Average performance improvements gained through capacity expansion strategies are quantified and best response actions are identified. Capacity expansion strategies were found to have superadditive benefits when combined. In fact, an acceptable service level could be achieved by implementing only two to three of the nine studied enhancement strategies.

Elise Miller-Hooks, Ph.D.
Bill & Eleanor Hazel Chair in Infrastructure Engineering

Phone: 703.993.1685
Email: miller@gmu.edu

Office: 4614 Nguyen Engineering Building

Sid and Reva Dewberry Department of Civil, Environmental and Infrastructure Engineering
George Mason University
4400 University Drive, MS 6C1
Fairfax, VA 22030


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