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

Essays On Perioperative Services Problems In Healthcare, Amogh S. Bhosekar Dec 2022

Essays On Perioperative Services Problems In Healthcare, Amogh S. Bhosekar

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One of the critical challenges in healthcare operations management is to efficiently utilize the expensive resources needed while maintaining the quality of care provided. Simulation and optimization methods can be effectively used to provide better healthcare services. This can be achieved by developing models to minimize patient waiting times, minimize healthcare supply chain and logistics costs, and maximize access. In this proposal, we study some of the important problems in healthcare operations management. More specifically, we focus on perioperative services and study scheduling of operating rooms (ORs) and management of necessary resources such as staff, equipment, and surgical instruments. We …


Strategies To Improve The Efficiency Of Emergency Medical Service (Ems) Systems Under More Realistic Conditions, Kanchala Sudtachat May 2014

Strategies To Improve The Efficiency Of Emergency Medical Service (Ems) Systems Under More Realistic Conditions, Kanchala Sudtachat

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Emergency medical service (EMS) systems provide medical care to pre-hospital patients who need rapid response and transportation. This dissertation proposes a new realistic approach for EMS systems in two major focuses: multiple unit dispatching and relocation strategies. This work makes recommendations for multiple-unit dispatch to multiple call priorities based on simulation optimization and heuristics. The objective is to maximize the expected survival rate. Simulation models are proposed to determine the optimization. A heuristic algorithm is developed for large-scale problems. Numerical results show that dispatching while considering call priorities, rather than always dispatching the closest medical units, could improve the effectiveness …


Districting And Dispatching Policies To Improve The Efficiency Of Emergency Medical Service (Ems) Systems, Damitha Bandara Aug 2012

Districting And Dispatching Policies To Improve The Efficiency Of Emergency Medical Service (Ems) Systems, Damitha Bandara

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The major focus of Emergency Medical Service (EMS) systems is to save lives and to minimize the
effects of emergency health incidents. The efficiency of the EMS systems is a major public concern. Thus,
over the past three decades a significant amount of research studies have been conducted to improve the performance
of EMS systems. The purpose of this study is also to improve the performance of EMS system.
The contribution of this research towards improving the performance of EMS systems is twofold. One area
is to implement optimal or near optimal dispatching strategies for EMS systems and the other …


Anticipating U.S. Population-Level Health And Economic Impacts Using Discrete-Event Simulation To Guide Health Policy Decisions, Odette Reifsnider Aug 2011

Anticipating U.S. Population-Level Health And Economic Impacts Using Discrete-Event Simulation To Guide Health Policy Decisions, Odette Reifsnider

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This dissertation presents two applications of discrete-event simulation (DES) to represent clinical processes: (1) a model to quantify the risk of the maternal obese and diabetic intrauterine environment influence on progression to adult obesity and diabetes, and (2) a model to evaluate health and economic outcomes of different smoking cessation strategies. The first application considers the public health impact of the diabetic and obese intrauterine environment's effect on the prevalence of diabetes and obesity across subsequent generations. We first develop a preliminary DES model to investigate and characterize the epidemiology of diabetes during pregnancy and birth outcomes related to maternal …


Modeling Systems For Optimal Resource Allocation, Scheduling, And Decision Making, Esengul Tayfur Aug 2008

Modeling Systems For Optimal Resource Allocation, Scheduling, And Decision Making, Esengul Tayfur

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This dissertation focuses on the resource requirements and scheduling problem for logistic systems. We investigate solutions to this problem in two different logistic systems: logistic system of the health care facilities during emergency evacuations and delivery and distribution system of production industries. All hospitals must have an evacuation plan to ensure the safety of patients and prevent the loss of life. However, hospital operators have not been able to quantify how resource availability, the cost of acquiring those resources, and evacuation completion time are related. This research addresses this problem and contributes two methodologies to solve this problem. In the …