Modeling the patient journey in a maternity unit of the UHC in Tunisia: an approach to overcrowding analysis

We propose here to explore a process-centered management approach which is illustrated in particular in the case of care processes passing through the maternity service of the University Hospital Center of Sousse (UHC) Farhat Hached. This approach is intended to be followed by the patient in order to minimize his time in hospital and the costs of his care, while respecting the quality of care. Our goal in this article is to identify the stress situation activities and bottlenecks that contribute to overcrowding and the long queue. The biggest source of delay in patient flow is the wait time for health care demand. This modeling step was mainly a preparation for the simulation as well as the creation of a diagram enriched with information and summarizing the essentials of the functioning of the service to which we will be able to refer throughout our work. The development of this model was based on specific visits made to the Maternity Service (MS) of the Farhat Hached University Hospital Center (UHC) in Sousse. This modeling is necessary to represent the reality of the MS as faithfully as possible. It must be sufficiently detailed to produce an analysis making it possible to identify dysfunctions of the MS and also to identify situations of temptations.