Table 16 Examples of publications applying discrete event simulation

Zhou et al. [100]

Kovalchuk et al. [101]

DES of derived care pathways focussing on different models of resource allocation to optimise patient waiting times

Augusto et al. [102]

Preliminary DES model assessing cost-effectiveness

Johnson et al. [11]

Portfolio of three case studies using models from a fully developed process mining framework (ClearPath method) to implement the NETIMIS health economics discrete event simulation tool [103], illustrating both the difficulties and the potential of this type of application. One fully successful case study is considered a regional exemplar of data driven care pathway improvement; in another, the process mining fails but successful simulation using an expert consensus model provides costed pathway improvements; and in the third case, failure of process mining to identify a clearly defined pathways identifies an urgent need for service improvement, presented to the relevant professional association