Simulation based analysis of ectopic pregnancy treatment process to support process redesign

Jānis Grabis, Zane Grabe

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review


Many healthcare delivery processes are managed according to deep-rooted rules and process redesign is challenging. Simulation can provide evidence to support redesign decisions. However, introducing simulation in organizations having limited previous experience with the method requires a lot of effort. In the case study reported, it is proposed to use business process based simulation. A business process is constructed jointly with domain experts and a simulation model is created directly from the business process model, where simulation specific features are represented in sub-processes. That streamlines model validation and communication of modeling results with stakeholders. Business process simulation is used to compare ambulatory treatment and hospitalization in the case of ectopic pregnancy treatment. Simulation results show that the ambulatory treatment should be adopted according to the cost minimization criterion. However, appropriate measures should be taken to mitigate potential negative effects exhibiting in the simulation results as an increase of waiting time.

Original languageEnglish
Title of host publication32nd Annual Conference of the European Conference on Modelling and Simulation, ECMS 2018
Subtitle of host publicationProceedings
EditorsLars Nolle, Alexandra Burger, Christoph Tholen, Jens Werner, Jens Wellhausen
PublisherEuropean Council for Modelling and Simulation
Number of pages7
ISBN (Electronic)9780993244063
Publication statusPublished - 2018
Externally publishedYes
Event32nd European Conference on Modelling and Simulation (ECMS) - Wilhelmshaven, Germany
Duration: 22 May 201825 May 2018
Conference number: 32

Publication series

NameECMS Proceedings
ISSN (Print)2522-2414


Conference32nd European Conference on Modelling and Simulation (ECMS)
Abbreviated titleECMS 2018
Internet address


  • Business process simulation
  • Healthcare simulation

Field of Science*

  • 3.2 Clinical medicine

Publication Type*

  • 3.1. Articles or chapters in proceedings/scientific books indexed in Web of Science and/or Scopus database


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