Purpose – The purpose of this paper is to report on the development of a qualitative systems model developed to understand why average emergency department (ED) length of stay (LOS) was rapidly increasing while the number of ED visits was relatively constant. The paper's focus was to identify...

The new Accreditation Council for Graduate Medical Education (ACGME) duty-hour standards for residents and fellows went into effect in 2011. These regulations were designed to reduce fatigue-related medical errors and improve patient safety. The new shift restrictions, however, have led to more...

Recovery beds for cardiovascular surgical patients in the intensive care unit (ICU) and progressive care unit (PCU) are costly hospital resources that require effective management. This case study reports on the development and use of a discrete-event simulation model used to predict minimum bed...

Purpose – Whereas previously the objectives of the corporation are seen by many as antithetical to the aims of the not‐for‐profit sector, we are now in fact seeing far greater interaction between the two. The purpose of this paper is to examine this trend and the motivation of both to form...

Purpose – The article seeks to show that companies should and can build winning cultures. Design/methodology/approach – A total of 365 companies in Europe, Asia and North America were surveyed for links between financial out‐performance and winning culture. Three dozen high performers were...

There are a number of studies in the literature where replenishment systems have been compared on the basis of mean performance. However, little attention has focused on comparing systems on the basis of sensitivity to changes in the supply chain environment. This study compares the performance...