ABSTRACT With the growth of the demand flow and its variability at an emergency department, the complexity to deal with the prioritization of assistance also increases, seeking to offer a quality service. In this sense, several systematized risk triage protocols were created to organize the queues at the emergency, establishing an order of service to ensure that patients do not wait more than a safe time to receive their first medical care. Therefore, the objective of this work is to analyze and evaluate the behavior of an emergency department using a discrete event simulation model. For the results, it was possible to better understand the patient flow, identify problems and difficulties in the system, propose alternatives to deal with patient prioritization, and evaluate the performance of these alternatives through the Goal Question Metric methodology. increases sense care Therefore model results system methodology

ABSTRACT This research evaluates the quality of life of the ninety-two cities in the state of Rio de Janeiro using a non-compensatory composite aggregator index. It was a multimethodological research, which combines a qualitative conceptual map with a quantitative multicriteria model to assess variables of difficult definition. The criteria are based on Maslow’s concepts, which also define the weights between them, bringing more coherence to the index. We conclude that our measurement model with non-compensatory rationality offers an alternative for calculating the quality of life. The cities of Niteroi, Rio de Janeiro and Volta Redonda scored best in our proposed index. Silva Jardim, Sumidouro and São Francisco de Itabapoana scored worst. Niteroi scored best in Physiological and Esteem needs. Nova Friburgo scored best in Safety needs. Mesquita scored best in Love and belonging needs. A sensitivity analysis shows that our method’s structure makes results distortion difficult. ninetytwo ninety two noncompensatory non compensatory index definition Maslows Maslow s concepts them Jardim worst needs methods method