Operations Research, Systems Engineering and Industrial Engineering Commons^™

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 …

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 …

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 …

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 …

Fathom In Color: Expansion Of Reproduceable Color In Interference Pattern-Based Printed Motion And Depth Effects, Dovie Jeffcoat

All Theses

Value-added printed embellishments are increasingly sought after as brands compete for consumer attention. Fathom Optics’ method for printing motion and depth effects provides a cost-efficient, reduced waste embellishment option. One of Fathom’s current limitations is producing effects with vibrant color. The current standard practice for producing color Fathom Effects tends to darken and desaturate the final embellishment’s color. This study endeavors to determine how an ink color's components (hue, value and chroma) may determine a Fathom Effect’s contrast or intensity. To achieve this, fifteen color inks were selected to flexographically print the effect patterns. Samples were taken from each color …

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, …

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 …

Development And Application Of A Digital Twin For Chiller Plant Performance Assessment, Mihir Kale

All Theses

As the complexity of industrial equipment continues to increase, the management of the individual machines and integrated operations becomes difficult without computer tools. The availability of streaming data from manufacturing floors, plant operations, and deployed fleets can be overwhelming to analyze, although it provides opportunities to improve performance. The use of dedicated monitoring systems in the plant and field to troubleshoot machinery can be integrated within a product lifecycle management (PLM) architecture to offer greater features. PLM offers virtual processes and software tools for the design, analysis, monitoring, and support of engineering systems and products. Within this paradigm, a digital …

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 …

Engineering Hospital Discharge Instructions: An Eye-Tracking Based Study, Haley Marie Vaigneur

All Theses

With new healthcare reform initiatives, (e.g., the Patient Protection and Affordable Care Act) hospitals have additional requirements to reduce avoidable readmissions. This results in identifying the needs for improving the hospital discharge process, improving care transitions and discharge instructions, and increasing overall patient health literacy. In terms of discharge instructions, one of the most influential factors to patients' understanding and compliance with their prescribed health regimen is the document's readability. The study goal is to examine how adjusting the discharge instructions' reading level and using human factors design guidelines can influence a novice user's ability to read, comprehend, and recall …

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 …

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 …

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 …

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 …

Design Of A Custom Software Application To Monitor And Communicate Cnc Machining Process Information To Aid In Chatter Identification, Valerie Pezzullo

All Theses

In any manufacturing environment, it is important to be able to monitor the Computer Numerical Control (CNC) machining process so that high quality parts can be produced in the least amount of time in order to be profitable. This involves acquiring the proper parameters needed from the machine's controller, which can prove to be difficult with proprietary machine tools that tend to limit access to the internal data collected by the controller. This closed approach to controller design also means that many technological advances that have recently become prevalent in society are not being adopted in the manufacturing industry, preventing …

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 …

Improved Mixed-Integer Models Of A Two-Dimensional Cutting Stock Problem, William Lassiter

All Theses

This paper is concerned with a family of two-dimensional cutting stock problems that seeks to cut rectangular regions from a finite collection of sheets in such a manner that the minimum number of sheets is used. A fixed number of rectangles are to be cut, with each rectangle having a known length and width. All sheets are rectangular, and have the same dimension. We review two known mixed-integer mathematical formulations, and then provide new representations that both economize on the number of discrete variables and tighten the continuous relaxations. A key consideration that arises repeatedly in all models is the …

Lateral Dynamics Of Multiple Trailer Trucks In Windy Environments, David Wafer

All Theses

The lateral response of three-trailer commercial vehicles has been assessed using the simulation package TruckSim^TM. Aerodynamic and mechanical characterizations for the vehicle were developed for this investigation. Simulations were carried out with various aerodynamic and load configurations with several different arbitrarily defined crosswinds. The aerodynamic configurations were tested in constant and random crosswinds. The load configurations were tested only in random crosswinds. Each aerodynamic configuration differed by the aerodynamic side-force coefficient for the trailers. Each load configuration consisted of reducing the payload in a single trailer. The tractor was identically defined for each load and aerodynamic configuration. Increasing …

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 …

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, …

Improved Photolithography Scheduling In Semiconductor Manufacturing, Sreenath Chalil Madathil

All Theses

Photolithography is typically the bottleneck process in semiconductor manufacturing. In this thesis, we present a model for optimizing photolithography job scheduling in the presence of both individual and cluster tools. The combination of individual and cluster tools that process various layers or stages of the semiconductor manufacturing process flow is a special type of flexible flowshop. We seek separately to minimize total weighted completion time and maximize on-time delivery performance. Experimental results suggest that our mathematical- and heuristic-based solution approaches show promise for real world implementation as they can help to improve resource utilization, reduce job completion times, and decrease …

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 …

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.

Impact Of High-Speed Inkjet On Digital Printing And Traditional Offset Lithography, Caroline Sellars

All Theses

This thesis was prepared in order to examine the impact of high-speed inkjet printing on the offset lithography market within the commercial printing and publishing segments. Digital printing has become more widespread in recent years, but high-speed inkjet is making advances in its capabilities and technologies. With the printing industry evolving and print consumers preferring shorter print runs and in a shorter amount of time, print technologies are evolving to meet these needs. Print-on-demand is growing tremendously in the publishing industry, and personalization and 1-to-1 marketing is growing in the commercial printing segment as well. Market demand is changing in …

Analysis Of Part Consolidation Techniques For Automotive Body In White Panels Based On Advanced Sheet Metal Forming Technologies, Harish Thiruvengadam

All Theses

The automotive industry is looking to move from mass production to mass customization in order to manufacture and sell a variety of products in different markets on a global scale. This requires a robust and cost effective manufacturing system which would help design new products in the shortest possible lead time. This thesis tries to investigate the current sheet metal forming process for body in white, identify the limitations and propose an alternative which would help the industry cut down product lead time and costs. Decision making tools are used to identify the technical requirements of a BIW manufacturing system …

Sensor Based Nitrogen Management For Cotton Production In Coastal Plain Soils, Wesley Porter

All Theses

The main objective of this four year study was to develop, refine, and employ sensor-based algorithims to determine the mid season nitrogen requirements for production of irrigated and dryland cotton (Gossypium hirsutum L.) in Coastal Plains soils. The secondary objective of the project was to develop and test equipment for variable rate application of nitrogen to commerical cotton fields utilizing the developed algorithim. Two different production fields at Clemson's Edisto Research and Education Center near Blackville, SC were used. One field, equiped with an overhead irrigation system, was used during the 2007 and 2010 production seasons to develop the algorithm …

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. …