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Full-Text Articles in Operations Research, Systems Engineering and Industrial Engineering

Predicting Surgical Flow Disruption Recovery In Cardiothoracic Operating Rooms, Gary Palmer Ii Dec 2013

Predicting Surgical Flow Disruption Recovery In Cardiothoracic Operating Rooms, Gary Palmer Ii

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Disruptions are common occurrences in a variety of healthcare settings and early research has shown that they are likely contributors to medical errors. For this reason, healthcare researchers have focused on studying and understanding the nature of Surgical Flow Disruptions (SFDs) to increase patient safety and quality of care within the operating room (OR). Many researchers have used simplistic taxonomies to collect and categorize the types of SFD that occur within the OR. Others have gone further to study SFD recovery and have link unrecovered and recovered SFD to minor and major adverse events experienced by patients. This dissertation, focused …


Characteristics And Contributing Factors Of Emergency Vehicle Crashes, Naji Abdelwanis Dec 2013

Characteristics And Contributing Factors Of Emergency Vehicle Crashes, Naji Abdelwanis

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The purpose of this study is to determine the contributing factors and characteristics associated with emergency vehicle(EV) crashes in order to generate insights about the emergency crashes. This dissertation consists of three approaches to address the purpose. In the first analysis a binary logistic regression model was used to identify the critical factors associated with EV crashes that resulted in fatality compared to those that did not. In the second analysis, an ordered regression model was used to identify critical factors that contributed to the severity of injuries that EV occupants experience in crashes as well as the effect of …


Joint Location And Dispatching Decisions For Emergency Medical Service Systems, Hector Toro-Diaz Aug 2013

Joint Location And Dispatching Decisions For Emergency Medical Service Systems, Hector Toro-Diaz

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Emergency Medical Service (EMS) systems are a service that provides acute care and transportation to a place for definitive care, to people experiencing a medical emergency. The ultimate goal of EMS systems is to save lives. The ability of EMS systems to do this effectively is impacted by several resource allocation decisions including location of servers (ambulances), districting of demand zones and dispatching rules for the servers. The location decision is strategic while the dispatching decision is operational. Those two decisions are usually made separately although both affect typical EMS performance measures. The service from an ambulance is usually time …


Evolution Of Medication Administration Workflow In Implementing Electronic Health Record System, Yuan-Han Huang May 2013

Evolution Of Medication Administration Workflow In Implementing Electronic Health Record System, Yuan-Han Huang

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This study focused on the clinical workflow evolutions when implementing the health information technology (HIT). The study especially emphasized on administrating medication when the electronic health record (EHR) systems were adopted at rural healthcare facilities. Mixed-mode research methods, such as survey, observation, and focus group, were used to investigate insightful interventions to compensate potential errors during the medication administration process. Research data were collected from three South Carolina small-scale rural hospitals over several clinical departments.
The major purposes of this study were two folds: (1) to assess medical staff's computer competency for the new IT system, and (2) to investigate …


Robust Parameter Design In Complex Engineering Systems:, Gregory Boylan May 2013

Robust Parameter Design In Complex Engineering Systems:, Gregory Boylan

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Many industrial firms seek the systematic reduction of variability as a primary means for reducing production cost and material waste without sacrificing product quality or process efficiency. Despite notable advancements in quality-based estimation and optimization approaches aimed at achieving this goal, various gaps remain between current methodologies and observed in modern industrial environments. In many cases, models rely on assumptions that either limit their usefulness or diminish the reliability of the estimated results. This includes instances where models are generalized to a specific set of assumed process conditions, which constrains their applicability against a wider array of industrial problems. However, …