Other Operations Research, Systems Engineering and Industrial Engineering Commons^™

Towards Operations Excellence: Optimising Staff Scheduling For New Emergency Department, Amr Arisha, Waleed Abo Hamad

Conference papers

This paper presents a case study of an Emergency Department of a public hospital in Dublin, and uses an integrated approach to determine optimal staffing levels to meet the challenges of its dynamic patient demand levels. A comprehensive stochastic model is developed to incorporate patients care pathways and the resources required along their treatment journeys. Analytical Hierarchical Process is utilised to enable decision makers to set their preferences for the facility’s strategic objectives. Evolutionary algorithms are applied to optimise staff schedules. The resulted optimized schedules maintains continuity of care delivery for patients while ensuring a balanced equilibrium among available staff.

Using Modelling And Simulation To Improve Elderly Care In Ireland: A Case Study, Amr Arisha, Mohamed Ragab, Wael Rashwan, Waleed Abo-Hamad

Articles

Health care services both globally and domestically - are encountering critical issues due to the increasing demand for services at the time of economic recession. Hospital performance is subject to many constraints, and planning is made more difficult by the complexity and uncertainty of demand. Population ageing is creating immense pressures on healthcare facilities across the world, leaving them struggling to cope with the growing demand for elderly healthcare services. Current demand-supply gaps result in prolonged waiting times for patients and substantial cost burdens for healthcare systems due to delayed discharges. This paper reports on a project that uses modelling …

A Survey Based Analysis Of It Adoption And 3pls’ Performance, Pietro Evangelista, Riccardo Mogre, Alessandro Perego, Antonino Raspagliesi, Edward Sweeney

Articles

Purpose – In today’s competitive scenario, effective supply chain management is increasingly dependant on third party logistics (3PL) companies’ capabilities and performance. The dissemination of information technology (IT) has contributed to change the supply chain role of 3PL companies and IT is considered an important element influencing performance of modern logistics companies. Therefore, the purpose of this paper is to explore the relationship between IT and 3PLs’ performance, assuming that logistics capabilities play a mediating role in this relationship.

Design/methodology/approach – Empirical evidence based on a questionnaire survey conducted on a sample of logistics service companies operating in the Italian …

Supply Chain Management: Scm Key To Competitiveness, Edward Sweeney

Practitioner Journals

Any meaningful attempt to eliminate waste and improve cost competitiveness in the Irish packaging sector must have a strong focus on how the supply chain is designed and managed.

Towards A Unified Definition Of Supply Chain Management, Edward Sweeney

Articles

A wide range of definitions of supply chain management (SCM) have been developed over the last three decades. The philosophy of SCM is based firmly on a recognition that it is only by working in a more integrated manner that competitive advantage can be maximised. However, for this to become a reality the development of common definitions and understandings between supply chain partners is a critical success factor. The corollary of this is that a lack of definitional consistency and a common understanding is an inhibitor to the successful adoption of SCM thinking in practice. This paper reviews a number …

Virtual Ed: Utilisation Of A Discrete Event Simulation-Based Framework In Identifying "Real-Time’ Strategies To Improve Patient Experience Times In An Emergency Department, Waleed Abo Hamad, John Mcinerney, Amr Arisha

Articles

Objectives and Backgrounds Emergency Department (ED) overcrowding and associated excessive Patient Experience Times (PETs) have proven deleterious impacts on patient mortality, morbidity and overall length of hospital stay. Health systems constantly seek cost-effective organisational strategies to reduce ED crowding and improve patient outcomes, but complex change implementation is constrained by the necessity of maintaining concurrent safe patient-care. Computer modelling in a “virtual reality” has been successfully utilised in industries outside medicine, in providing innovative “real-time” solutions to outdated practices. Therefore a bespoke “Virtual ED” computer model, based on a Discrete Event Simulation (DES) -Based Framework was constructed to determine the …

The Impact Of 3pl’S Green Initiatives On The Purchasing Of Transport And Logistics Services: An Exploratory Study, Pietro Evangelista, Maria Huge-Brodin, Karin Isaksson, Edward Sweeney

Conference papers

There is a lack of research investigating the interaction and reciprocal influences between the buyer perspective and the supplier of transport and logistics services. Studies on the buyer perspective analyse the selection criteria to buy 3PL services, while research focused on green 3PL services examine initiatives undertaken by these companies to provide more environmentally sustainable services. The objective of this paper is to fill this void through an explorative case study analysis on the environmental attitude of 3PL companies in order to derive relevant implications for buyer’s behaviour. The results provide useful guidelines to buyers for understanding awareness, initiatives as …

Integrating Balanced Scorecard And Simulation Modelling To Improve Emergency Department Performance In Irish Hospitals, Amr Arisha, Waleed Abo-Hamad, Khaled Ismail

Conference papers

In the healthcare sector, there is a requirement for innovative solutions in managing the high levels of complexity and uncertainty within Emergency Departments (EDs). Simulation modeling is currently seen as a competent means of analyzing EDs, which allows changes effects to be understood and predicted more easily. The Balanced Scorecard (BSC), well-known performance management concept, has become a steering method in approaching new improvement cycles. This paper presents a methodology that integrates BSC and simulation modeling to improve the performance of ED in a University Hospital in North Dublin. BSC design began with understanding patient's needs, ED activities, as well …

Customer Management Analysis Of Irish Plumbing & Heating Distribution System: A Simulation Study, Amr Arisha, Amr Mahfouz, John Crowe, Finbarr Bennett

Conference papers

The sudden burst of the property bubble, coupled with current global economic conditions has resulted in a huge decrease in demand for plumbing and heating fixtures in the Irish construction industry. Moreover, inefficient supply chain management policies have imposed further pressures on companies resulting in more system bottlenecks and unnecessary costs. Inventory management is seen as a functional area that can ease such bottlenecks and in turn increase supply chain efficiency, decrease costs and increase customer satisfaction. The challenge is to predict the balance of on-hand inventory and order quantity to optimise customer satisfaction and minimise inventory cost. It is …

Practical Simulation Application: Evaluation Of Process Control Parameters In Twisted-Pair Cables Manufacturing System, Amr Mahfouz, Said Hassan, Amr Arisha

Articles

Intensive competition and rapid technology development of Twisted-Pair Cables (TPC) industry have left no room for competing manufacturers to harbour system inefficiencies. TPC are used in various communication and networks hardware applications; their manufacturing facilities face many challenges including various product configurations with different equipment settings, different product flows and Work in Process (WIP) space limitations. The quest for internal efficiency and external effectiveness forces companies to align their internal settings and resources with external requirements/orders, or in different words, significant factors must be set appropriately and identified prior to manufacturing processes. Integrated definition models (IDEF0, IDEF3) in conjunction with …

The Analysis Of Rush Orders Risk In Supply Chain: A Simulation Approach, Amr Arisha, Amr Mahfouz

Conference papers

Satisfying customers by delivering demands at agreed time, with competitive prices, and in satisfactory quality level are crucial requirements for supply chain survival. Incident of risks in supply chain often causes sudden disruptions in the processes and consequently leads to customers losing their trust in a company’s competence. Rush orders are considered to be one of the main types of supply chain risks due to their negative impact on the overall performance. Using integrated definition modeling approaches (i.e. IDEF0 & IDEF3) and simulation modeling technique , a comprehensive integrated model has been developed to assess rush order risks and examine …

Simulation Optimisation Methods In Supply Chain Applications: A Review, Amr Arisha, Waleed Abo-Hamad

Articles

The competitiveness and dynamic nature of today’s marketplace is due to rapid advances in information technology, short product life cycles and the continuing trend in global outsourcing. Managing the resulting supply chain networks effectively is challenged by high levels of uncertainty in supply and demand, confl ict objectives, vagueness of information, numerous decision variables and constraints. With such levels of complexity, supply chain optimisation has the potential to make a signifi cant contribution in resolving these challenges. In this paper, a literature review – based on more than 100 peer-reviewed articles – of state-of-the-art simulation-based optimisation techniques in the context …

Simulation Model To Investigate Flexible Workload Management For Healthcare And Servicescape Environment, Michael Thorwarth, Paul Harper, Amr Arisha

Conference papers

High demand and poor staffing conditions cause avoidable pressure and stress among healthcare personnel which results in burnout symptoms and unplanned absenteeism which are hidden cost drivers. The work environment within an emergency department is commonly arranged in a flexible workload which is highly dynamic and complex for the outside observer. Using detailed simulation modeling within structured modeling methods, a comprehensive model to characterize the nurses' time utilization in such flexible dynamic workload environment was investigated. The results have been used to derive a generalized analytic expression that describes certain settings that lead to an instable queuing system with serious …

Enabling Rfid Technology In Irish Hospitals, Khaled Ismail, Amr Arisha

Conference papers

Hospitals represent a significant part of healthcare systems and account for no less than 60% of the entire healthcare service in most of developed countries. Therefore, improving service in hospitals is an important element to the process of healthcare reform. Better use of resources, more consistent quality, and a higher service level are the keys to rationalise the huge expenditure in healthcare systems due to higher growth in demand. Even though massive spending has been directed towards hospital improvement in Ireland, services provided in Irish hospitals are ranked relatively low comparing to the other European countries. Growth of population, aging, …

Risk Assessment Model For Emergency Departments In Dublin Hospitals, Michael Thorwarth, Amr Arisha

Conference papers

The internal dynamics of emergency departments (ED) in Irish hospitals represent complex non-linear stochastic systems with an environment of uncertainty, variability and limited resources. Planning and managing such systems pose overwhelming demands. To improve operations, patient service, resource planning, and real-time reaction to unexpected events, sophisticated tools to efficiently achieve these goals must be applied.

Advanced solution techniques (e.g. simulation and optimisation) have been successfully applied in manufacturing operations to improve the delivery, cost-effectiveness and service quality. Yet, random arrival of patients, limited resources and multitasking are challenges in EDs that add more complexity to this critical area. This study …

Optimisation Methods In Supply Chain Applications: A Review, Amr Arisha, Waleed Abo Hamad

Conference papers

The competitiveness and dynamic nature of today’s marketplace is due to rapid advances in information technology, short product life cycles and the continuing trend in global outsourcing. Managing the resulting supply chain networks effectively is a complex and challenging task which is imputable to high level of uncertainty in supply-demand, conflict objectives, vagueness of information, numerous decision variables and constraints. With such level of complexity in the environment, supply chain optimisation has a potential to make a significant contribution to resolve the challenges. In this paper, a literature review – based on more than one hundred peer-reviewed articles – of …

B2b E-Marketplaces In The Airline Industry: A Study On Process Drivers And Performance Indicators, Claudia-Maria Wagner, Bernd Huber, Edward Sweeney

Practitioner Journals

No abstract provided.