Business 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.

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 …

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 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 …