A simulation approach for agile production logic implementation in a hospital emergency unit

The hospitals offer sweeping views of management ideas, as focus internally complex organizational structures, which can be improved in order to reduce waste and increase the effectiveness of the services provided. An analysis of the hospital system there are two characteristics: the demand variability and the variability of lead time. As a policy of innovative management of the health system is referred to Lean even though the characteristics identified do not allow you to get the continuous flow that is the strategic goal of Lean obtainable only with demand leveling and production lead time certain and repeatable. A management system that seems to contemplate these characteristics is the Agile Manufacturing applied to service sector, even though it has never been declined in health. Thus arises the need to simulate both policies so as to determine which best represents the health facilities