Table 2

Summary of simulation methods

Study name Simulation type Rationale for simulation type Model type Simulation duration Warm-up period Simulation run Simulation software
Anagnostou et al 21 DES* YesSpecificNot reportedNot reportedNot reportedRepast Simphony
Au-Yeung et al 22 DES YesSpecificNot reportedNot reported10Written in Java
Baboolal et al 23 DESYesSpecificNot reportedNot reportedNot reportedSimul8
Bowers et al 24 DESYesSpecificNot reportedNot reportedNot reportedNot reported
Brailsford et al 10 DES YesSpecificNot reportedNot reportedNot reportedSimul8
Coats and Michalis25 DESNoSpecificNot reportedNot reportedNot reportedSimul8
Codrington-Virtue et al 26 DESYesSpecific52 weeksNot reportedNot reportedSimul8
Codrington-Virtue et al 27 DESYesSpecific24 hours24 hours50Simul8
Coughlan et al 28 DESYesSpecific3 weeksNot reportedNot reportedSimul8
Davies29 DESYesSpecificNot reportedNot reportedNot reportedSimul8
Eatock et al 11 DESYesSpecific3 weeksNot reported20Simul8
Fletcher et al 12 DESYesGenericNot reportedNot reportedNot reportedSimul8
Günal and Pidd13 DES§ YesGenericNot reportedNot reportedNot reportedMicro Saint Sharp
Günal and Pidd30 DES YesGeneric52 weeks050Micro Saint Sharp
Hay et al 31 DESYesSpecificNot reportedNot reportedNot reportedArena
Komashie and Mousavi32 DESYesSpecificNot reportedNot reportedNot reportedArena
Lane et al 33 SD** YesSpecific24 hoursNot reported6iThink
Lattimer et al 14 SD†† YesSpecific52 weeksNot reportedNot reportedStella
Maull et al 34 DESYesSpecificNot reportedNot reportedNot reportedNot reported
Meng and Spedding35 DESYesSpecificNot reportedNot reportedNot reportedMedModel
Mould et al 36 DES‡‡ YesSpecific3 months24 hoursNot reportedSimul8
  • *The authors used an agent-based simulation approach to model the ambulance service, but modelled the ED through a DES. These two individual models were then linked together to form a hybrid emergency services model.

  • †The authors used a Markovian queuing network, but computed the moments and densities of patient treatment time through a DES.

  • ‡The authors used an SD model as part of a bigger picture, but modelled the ED through a DES.

  • §The authors used their ED model elsewhere37 to form a whole hospital DES model consisting of two other departments: inpatient and outpatient clinics.

  • ¶The authors used their ED model elsewhere38 to form a whole hospital DES model consisting of three other components: inpatient bed management, waiting list management and outpatient clinics.

  • **The authors used their ED model elsewhere39 to explore the issues that arise when involving healthcare professionals in the process of model building.

  • †† The authors constructed the ED as a separate submodel which was not detailed in the paper. However, we believe this ED submodel14 is identical to the ED model reported in another included study.10

  • ‡‡ The authors used their ED model elsewhere40 to illustrate the role of care pathways to the redesign of healthcare systems.

  • DES, discrete event simulation; ED, emergency department; SD, system dyamics.