Simulation of the COVID-19 patient flow and investigation of the future patient arrival using a time-series prediction model: a real-case study

COVID-19 looks to be the worst pandemic disease in the last decades due to its number of infected people, deaths, and the staggering demand for healthcare services, especially hospitals. The first and most important step is to identify the patient flow through a certain process. For the second step, there is a crucial need for predicting the future patient arrivals for planning especially at the administrative level of a hospital. This study aims to first simulate the patient flow process and then predict the future entry of patients in a hospital as the case study. Also, according to the system status, this study suggests some policies based on different probable scenarios and assesses the outcome of each decision to improve the policies. The simulation model is conducted by Arena.15 software. The seasonal auto-regressive integrated moving average (SARIMA) model is used for patient’s arrival prediction within 30 days. Different scenarios are evaluated through a data envelopment analysis (DEA) method. The simulation model runs for predicted patient’s arrival for the least efficient scenario and the outputs compare the base run scenario. Results show that the system collapses after 14 days according to the predictions and simulation and the bottleneck of the ICU and CCU departments becomes problematic. Hospitals can use simulation and also prediction tools to avoid the crisis to plan for the future in the pandemic. GRAPHICAL ABSTRACT: [Image: see text]