Operations Research, Systems Engineering and Industrial Engineering Commons^™

Mapping Information Flows That Support Adaptive Capacity In The Sterile Processing Department (Spd), Jacob Hionis

All Theses

The Sterile Processing Department (SPD) is the part of the hospital that is responsible for decontaminating, assembling, and sterilizing surgical trays for use in the Operating Rooms (ORs). Errors in the SPD can lead to delayed surgeries or patient harm. The SPD is a complex system, with multiple interconnected subdepartments and roles. Complex systems require coordination between stakeholders. This study aims to discover how an organization can adapt to scale, and how information flows support these adaptations. In this study, observations, semi-structured interviews, and on-the-job interviews were conducted with members across the SPD and OR to elicit pressures, adaptations, and …

Network Effects Of Emergency Department Clinician Strain And Patient Congestion, Aisha Nelson

All Theses

We develop a discrete-event simulation model to study how staffing strain affects patient outcomes across a network of Emergency Departments (EDs). The aim is to observe how clinician staffing and transfers throughout the system affect the system’s behavior. We will study the network of the seven EDs in the Prisma Health-Upstate system. Patient acuity and resource need are stratified using the five-level Emergency Severity Index (ESI). Patient flow data within and between EDs are collected from EPIC, staffing data from ShiftAdmin, and environmental COVID-19 prevalence data from the Department of Health and Environmental Control. Time periods include the Omicron wave …

Generating Sex Trafficking Networks From Text Documents, Maria Diaz

All Theses

Qualitative coding is a long and strenuous process that requires a well-skilled investigator. Natural language processing techniques have made leaps and bounds as far as usability and application domain, although it does not work for every task. In this work, we have created a natural language processing framework to help qualitative coders automatically obtain the nodes and node arcs from federal case files, dockets, and indictments within a sex trafficking network. The produced nodes and arcs allows us to perform network modeling by providing us with the information needed to create network structures that can then be used for interdiction …

Park Equity Modeling: A Case Study Of Asheville, North Carolina, Anisa Young

All Theses

Parks and greenspaces are publicly available entities that serve the vital purpose of promoting multiple aspects of human welfare. Unfortunately, the existence of park disparities is commonplace within the park setting. Specifically, marginalized individuals encounter limited park access, insufficient amenity provision, and poor maintenance. To remedy these disparities, we propose a process in which we select candidate park facilities and utilize facility location models to determine the optimal primary parks from both existing and candidate sites.

We note that platforms currently exist to identify the geographical areas where residents lack sufficient access to parks. However, these platforms do not yet …

Interdiction Models To Disrupt The Operations Of Sex Trafficking And Other Forced Illicit Labor Networks, Michael T. Clark

All Theses

Sex traffickers often force their victims to work in both commercial sex markets and perform other illicit activities (e.g., drug dealing, theft, and fraud). Current literature has failed to address interdiction models that aim to disrupt all components of a sex traffickers’ operation, including these other illicit activities. In this thesis, we present a interdiction problem, and its single-level linear optimization reformulation, to reduce the profit of a human trafficking network concurrently operating in the commercial sex market and other illicit activity markets. Our novel formulation aims to investigate the practical implications of interdiction decisions made to disrupt a human …

Investigations Of External Resources And The Impact Of Imaging On Patient Flow In The Emergency Department, Marisa Shehan

All Theses

The problems associated with Emergency Department (ED) crowding are numerous, varied, and complex. Though overcrowded Emergency Departments are frequently attributed to overcrowded hospitals, crowding is also impacted by bottlenecks in patient flow. While discrete-event simulation (DES) is commonly used to model ED flow, external resources are typically excluded from these models due to their complexity and the limited amount of known information for these processes. Instead, external resources such as consults, labs, and imaging are modeled using estimation and/or educated guesswork. In this study, the impact of imaging on patient flow was assessed through data analysis of specific imaging factors, …

Covid Response: Iterative Model Development In The Deployment Of Hand Sanitation Stations At A Large Public University, Tyler Obrien

All Theses

This study illustrates the significance of iterative model development using the deployment of hand sanitizer stations in buildings at Clemson University as a case study. The COVID-19 problem affected Clemson University, a major institution, in several ways requiring adaptations to existing policies and procedures to take place. Following guidelines provided by the Centers for Disease and Control (CDC), the university implemented several new strategies including placing hand sanitizer stations in several buildings on campus in order to try and mitigate the transmission of the virus. This study focuses on learning how the initial decision-making took place to then design a …

Design Of A Web Application To Improve The Efficiency Of Crnas., Venkatramanan Chanchapalli Madhavan

All Theses

Physical artifacts such as whiteboards have been successfully used in healthcare facilities to keep track of dynamic changes in information and to manage work schedules. Since these whiteboards are easy- to- use and do not require any technical expertise, they have been easy- to-adopt. Additionally, they act as memory aids for the users by capturing transient information. However, they have their own limitations, the primary ones being the lack of mobility and real-time updates, both of which are crucial in a high consequence environment such as a healthcare facility. These whiteboards are usually kept in a central location with the …

Characterizing Navigational Tools In A Virtual Search Task, Austin Riggs

All Theses

The goal of this thesis is to characterize and empirically compare navigational tools in the context of a virtual inspection task. The framework considers both directional-cue navigational tools (e.g., GPS navigation arrows) and trail navigational tools (e.g.,footprints) in comparison to a control condition. Characterizing the tools allows for documented relationships between specific navigational tool-performance combinations. It is intended that by characterizing and comparing the tools a more advantageous use of navigational tools will emerge to increase the benefit provided to both the users and implementers of virtual environments. The focus of the metrics in the paper were distance traveled, speed …

Design Of A Mobile Web-Based Dashboard To Improve Work Practices Of Crna Board Runners, Mahesh Sreedharan

All Theses

Traditional artifacts such as whiteboards serve as key tools in helping healthcare professionals keep track of frequently changing information and managing their work schedule. The simplicity of these tools has made them easy to adopt into the work culture and since these artifacts are not usually electronic, they need no external technical support or maintenance. However, these artifacts present unique challenges to their users, the primary one being lack of mobility offered. The whiteboards are usually stationary and the users will have to assemble near them to update or gather information. In a hospital, this adds significant overhead to the …

The Impact Of Block Scheduling And Release Time On Operating Room Efficiency, Rebecca Weiss

All Theses

Planning for sufficient surgical capacity at a hospital requires that many tactical and operational decisions be made before the day of surgery. Typically, blocks of time in operating rooms (ORs) are assigned and specific surgical cases are placed in rooms. The hospital monitors utilization to determine the schedule's effectiveness in balancing the risk of overtime with idle time. In this thesis, we will examine how adjusting schedule risk ratios and penalty values, and providing shared, open posting time affected the hospital's ability to identify an efficient but high quality and low cost block schedule. The proposed schedules were tested by …

Investigating The Non-Adoption Of Electronic Health Records In Primary Care, Saravanan Ramdoss

All Theses

The objective of this study was to investigate the underlying reasons behind primary care centers in the United States not implementing an Electronic Health Record system in spite of looming penalties under the Health Information Technology for Economic and Clinical Health (HITECH) Act. In order to do this, survey was developed and distributed among healthcare providers who have not yet implemented an EHR system at their practice. The questions for the survey were developed after conducting a literature review of the barriers to EHR implementation. In this review, six themes emerged: technical, cost, productivity, change process, privacy and time. These …

Pharmacists' And Patients' Perceptions Of Role Of Pharmacist In Discharge Process, Ravi Teja Vempati

All Theses

The objective of this study was to identify the perceptions of both patients and pharmacists about the pharmacist's role in the hospital discharge process. In order to do this, observations were conducted with the patients and interviews were conducted with both patients and pharmacists. During the interviews, both the patients and pharmacists were asked about the pharmacist's role in the hospital discharge process. The interviews were qualitatively analyzed using the in vivo technique. Four high-level themes emerged from this study: Current role of a pharmacist in the hospital, Ideal role of a pharmacist in the discharge process, Pharmacists' perceptions of …

Design Of A Sign-Out Process To Improve Surgical Safety, Sumonthip Chompoodang Gmitro

All Theses

According to the World Health Organization (WHO), the surgical safety checklist consists of three parts; sign-in, time-out and sign-out. It has been observed that the sign-out process is the least frequently completed. In this study, because of a concern for the risk of adverse events occurring in the OR, the sign-out process used in a local hospital was redesigned as a web-based application embedded on a desktop computer and on a mobile device. Both web-based platforms were tested along with the current sign-out process on a computer. Eighteen circulating nurses in the operating rooms of Greenville Memorial Hospital used each …

Monitoring Hospital Safety Climate Using Control Charts Of Non-Harm Events In Reporting Systems, Susan Robinson

All Theses

The primary aim of this thesis is to design an approach and demonstrate a methodology to supplement safety culture assessment efforts. The framework affords an enhanced understanding of hospital safety climate, specifically reporting culture, through the use of control charts to monitor non-harm patient safety events documented in reporting systems. Assessing safety culture and climate remains difficult. One of the most common methods to assess safety culture is a self-report survey administered annually. Surveys assess safety climate, because they are a snapshot of the management's and front-line staff's perceptions of safety within their settings. One component of safety culture is …

Organization Of Information For Reversible Causes Of Pulseless In-Hospital Cardiac Arrest: A Randomized Control Trial Using A Cognitive Aid, Meera Ramachandran

All Theses

More than 200,000 in-hospital cardiac arrests are treated each year in the US with 21% survival rate. According to American Heart Association (AHA) guidelines, many causes for these arrests could be successfully treated if identified early. Such causes can be generalized as 'reversible causes'. Medical doctors identify the reversible causes associated with an arrest by recalling them from memory, using a mnemonic. In this study, using a cognitive aid such as an iPad application, the mnemonic was modified and causes were displayed alphabetically, and tested along with a new method that rank-ordered the reversible causes based on the patient context, …

An Optimization Model For Class Scheduling At A Dance Studio, Chirag Ojha

All Theses

Scheduling has been a large area of research for decades. A substantial amount of work has been done to express, classify, and solve scheduling problems. Most of these problems are computationally difficult to solve and require complex algorithms. In this thesis, we develop a mixed-integer linear program for a real world optimization problem at a dance studio. Similar to a university, the students in this studio request a particular class and instructors teach the classes under constrained resources such as a limited number of classrooms. The priorities of instructors as well as dancers are included to further mimic reality. Experimental …

A New Metaheuristic Algorithm Motivated By The Rooting Phenomena In Plants, Behzad Nemati

All Theses

In this thesis, we present a new metaheuristic algorithm for analyzing challenging optimization problems. Initial testing reveals the potential for the algorithm, which is based on the rooting phenomena found in plants in nature, to quickly produce effective solutions to challenging combinatorial optimization problems in the class NP. We present computational results describing the proposed metaheuristic's efficacy for an important class of scheduling problems and discuss areas of future work and application.

A System-Generated Password And Mnemonic Approach To Optimize The Security And Usability Of Text-Based Passwords, Sanjaykumar Ranganayakulu

All Theses

In this study a novel password generation policy called the system-generated password and mnemonic was designed and implemented. The intent of this policy was to optimize both the security and usability of text-based passwords. After implementing the policy we evaluated its usability and compared it with three other existing policies: user-generated password, system-generated password and user-generated mnemonic for a system-generated password. In order to have a fair comparison among the policies we maintained a constant level of security of 30±2 entropy as dictated by NIST level 2 standards.
The study involved 64 participants, equally divided into four groups, 16 in …

Remote Usability Testing - A New Approach Facilitated By Virtual Worlds, Kapil Chalil Madathil

All Theses

Synchronous remote usability testing, involves a facilitator conducting a usability test in real time, interacting with a participant who is remote. This study proposes a new methodology for conducting these studies using a three-dimensional virtual world, Wonderland, and compares it with two other commonly used synchronous usability test methods: the traditional lab approach and WebEx, a web-based conferencing and screen sharing approach.
The study involved 48 participants in total, 36 test subjects and 12 test facilitators. These 36 were equally divided among the three environments with the 12 test facilitators being paired with one participant in each of the environments. …

Maximizing Throughput Using Dynamic Resource Allocation And Discrete Event Simulation, Gregory Gunn

All Theses

This research studies a serial two stage production system with two flexible servers which can be dynamically assigned to either station. This is modeled using discrete event simulation and more specifically the Arena software package by Rockwell. The goal is to determine dynamic allocation policies based upon the inventory level at each station to maximize the throughput of finished goods out of the system. This model adds to previous work by including actual switching time. The effect of the pre-emptive resume assumption is gauged, and the effectiveness of the OptQuest optimization package is also tested. Studies are conducted to determine …

'Transfer Effect Study Of A Virtual Borescope In Training Aircraft Maintenance Technicians', Melissa Dorlette Paul

All Theses

The Federal Aviation Administration (FAA) has acknowledged training as an important tactic to improve the trustworthiness of inspection. This study was conducted to test the transfer of the skills learned with a simulator into the real world. For this purpose, data from seventeen students in the AMT program of Greenville Technical College was analyzed. Objective data was taken to assess the group's performance on the simulator after each session of training. The comparison between two groups was made using objective data, collected while the subjects went through a test on a real engine and using the real borescope, and subjective …

A Particle Swarm Optimization Using Random Keys For Flexible Flow Shop Scheduling Problem With Sequence Dependent Setup Times, Vinodh Sankaran

All Theses

In this research, a particle swarm optimization algorithm (PSO) using random keys is developed to schedule flexible flow lines with sequence dependent setup times to minimize makespan. The flexible flow line scheduling problem is a branch of production scheduling and is found in industries such as printed circuit board and automobile manufacturing. It is well known that this problem is NP-hard. For this reason, we approach the problem by implementing a particle swarm optimization (PSO), a metaheuristic which is inspired by the motion of a flock of birds or a school of fish searching for food. The proposed PSO has …

A Logistic Regression Model To Predict Incident Severity Using The Human Factors Analysis And Classification System, Hrishikesh Kavade

All Theses

The Human Factors Analysis and Classification System (HFACS) is used to help identify causal factors that lead to human error. The framework has been used in a variety of industries to identify leading contributing factors of unsafe events, such as accidents, incidents and near misses. While traditional application of the HFACS framework to safety outcomes has allowed evaluators to identify leading causal issues based on frequency, little has been done to gain a more comprehensive view of the system's total risk. This work utilizes the concept of event severity along with the HFACS framework to help better identify target areas …

Effectiveness Of Team-Building And Teamwork In Real And Virtual Worlds, Rachana Ranade

All Theses

Given the increasing importance of globalization and collaboration, this research investigates the possibility of performing team-building training for globally dispersed teams using the capabilities of the virtual world Second Life. Three meeting conditions, the 3D virtual world Second Life, a combination of face-to-face and Second Life and face-to-face were evaluated. Thirty randomly assigned 3 person teams performed an ice-breaker session and then a team-building activity in each meeting condition. Four dependent variables were measured: task completion time; quality of task performance; the subjective satisfaction with the process based on group cohesiveness, perception of the process and satisfaction with the outcome; …

Thermoelastic Behavior Of A Small Bearing Cage, Eric Planting

All Theses

The full field non contact measurement of objects undergoing testing is one of interest for manufacturers of parts which are graded on their longevity. Unfortunately, for homogenous small parts with irregular geometries, such as bearing cages, the solution for testing is typically to use only a FEA model and compliment the testing of the model with simply cyclically loading the sample until failure. To better understand the stresses and behavior of a small object Thermoelasticity can be employed in order to see in a full field technique what stress patterns exist and their correlation to a FEA model.
The FEA …

Effects Of Meeting Spaces On The Performance Of A Concept Selection Task By Engineering Design Teams, Necmettin Ozkan

All Theses

Given the increasing importance of collaboration and the resulting use of virtual tools, this research investigates the performance of engineering design teams using a concept selection task in three meeting spaces, face-to-face, 2D online and 3D virtual. Cisco's WebEx and Sun Microsystems' Wonderland were used as the 2D online meeting space and the 3D virtual environment, respectively. Twenty-four two-person design teams were formed and randomly assigned to the meeting spaces. Eight teams performed a cell-phone concept selection task in each meeting space. Four dependent variables were measured: task completion time, team satisfaction, self-evaluated quality and expert-evaluated quality. Following data collection, …

Design Of A Multi-Echelon Global Supply Chain Network With Microsoftå¨ Excel Premium Solver Plataform, Wilder Ferreira

All Theses

I designed a global supply chain distribution model of one single product, with the objective of minimizing the costs of transportation, handling materials, duties and tariffs, production, and fixed infrastructure. The distribution network has a combination of manufacturing facilities (fixed and to-be-determined), warehouses (to-be-determined), distribution centers (to-be-determined), and customer zones at fixed locations. This network design is similar to the mathematical mixed-integer linear model from Tsiakis, Shah and Pantelides (2001). This model has been implemented in Microsoft Excel, using the Standard Simplex method from Frontline, Inc. This model optimizes the number of facilities worldwide (multi-echelon) along with the flow of …

Optimal And Heuristic Resource Allocation Policies In Serial Production Systems, Ramesh Arumugam

All Theses

We have studied the optimal server allocation policies for a tandem queueing system under different system settings. Motivated by an industry project, we have studied a two stage tandem queueing system with arrival to the system and having two flexible servers capable of working at either of the stations. In our research, we studied the system under two different circumstances: modeling the system to maximize throughput without cost considerations, modeling the system to include switching and holding costs along with revenue for finished goods. In the maximizing throughput scenario, we considered two different types of server allocations: collaborative and non-collaborative. …