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Each hospital is different, with different presenting acuities, infrastructure, diversion policies, availability of specialists and admitting times. What may improve the safety, outcomes, patient satisfaction and revenue in one hospital may have no effect on a second hospital.
Example 1: Hospital A is a medium acuity hospital with about 22% of patients being admitted. Hospital B is a low acuity hospital with about 4% of patients being admitted. With all other factors identical, including the number of patients arriving at each hospital and the physician schedules, simulation predicts that the results of adding beds in Hospital A are radically different than adding beds in Hospital B
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