Multi-Agent Systems in Emergency Departments: Validation Study on a ED Digital Twin

Fuente: arXiv
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Autores principales: Wenzel, Markus, Strapatsas, Tobias, Kress, Jessika, Sauer, Dorothea, Gessler, Nele, Hahn, Horst K.
Formato: Preprint
Publicado: 2026
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author Wenzel, Markus
Strapatsas, Tobias
Kress, Jessika
Sauer, Dorothea
Gessler, Nele
Hahn, Horst K.
author_facet Wenzel, Markus
Strapatsas, Tobias
Kress, Jessika
Sauer, Dorothea
Gessler, Nele
Hahn, Horst K.
contents Emergency departments (ED) face challenges in patient care and resource management. We propose to explore optimization strategies in a realistic and flexible model and develop a hybrid Discrete Event Simulation (DES) and Agent-Based Model (ABM) simulating highly configurable ED environments. We specifically focus on the validation of the modeling approach. We derive configurations for ED sizes, patient load, and staffing from real-world studies. We then validate the model expressivity by matching its key performance indicators and metrics with their values known from literature. We proceed by implementing scientifically established and practice-proven resource optimization strategies. Comparing the documented real-world outcomes with our model's results demonstrates that the DES-ABM based simulation can effectively replicate real-world ER dynamics under interventions. We lastly integrate a Proof-of-Concept multi-agent system (MAS) that can autonomously explore resource allocation strategies within the simulated ER environment based on a temporal ledger of ED event records. This modular DES-ABM-MAS framework offers a powerful tool to explore resource optimization strategies in emergency departments.
format Preprint
id arxiv_https___arxiv_org_abs_2605_13345
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Multi-Agent Systems in Emergency Departments: Validation Study on a ED Digital Twin
Wenzel, Markus
Strapatsas, Tobias
Kress, Jessika
Sauer, Dorothea
Gessler, Nele
Hahn, Horst K.
Artificial Intelligence
Multiagent Systems
37
Emergency departments (ED) face challenges in patient care and resource management. We propose to explore optimization strategies in a realistic and flexible model and develop a hybrid Discrete Event Simulation (DES) and Agent-Based Model (ABM) simulating highly configurable ED environments. We specifically focus on the validation of the modeling approach. We derive configurations for ED sizes, patient load, and staffing from real-world studies. We then validate the model expressivity by matching its key performance indicators and metrics with their values known from literature. We proceed by implementing scientifically established and practice-proven resource optimization strategies. Comparing the documented real-world outcomes with our model's results demonstrates that the DES-ABM based simulation can effectively replicate real-world ER dynamics under interventions. We lastly integrate a Proof-of-Concept multi-agent system (MAS) that can autonomously explore resource allocation strategies within the simulated ER environment based on a temporal ledger of ED event records. This modular DES-ABM-MAS framework offers a powerful tool to explore resource optimization strategies in emergency departments.
title Multi-Agent Systems in Emergency Departments: Validation Study on a ED Digital Twin
topic Artificial Intelligence
Multiagent Systems
37
url https://arxiv.org/abs/2605.13345