Industrial Engineering Commons^™

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 …

Selected Interdiction Games With Uncertain, Risk-Averse, And Simultaneous Play Considerations, Di H. Nguyen

All Dissertations

This dissertation examines two network interdiction problems: a shortest-path interdiction problem under uncertainty and a network interdiction problem in a simultaneous game. Both problems happen in two stages over a directed network, and involve a leader and a follower who have opposing interests.

In the first problem, the leader acts first to lengthen a subset of arcs, and a follower acts second to select a shortest path across the network. The cost for a follower’s arc consists of a base cost if the arc is not interdicted, plus an additional cost that is incurred if the arc is interdicted. The …

Design And Analysis Of Efficient Freight Transportation Networks In A Collaborative Logistics Environment, Vishal Badyal

All Dissertations

The increase in total freight volumes, reducing volume per freight unit, and delivery deadlines have increased the burden on freight transportation systems of today. With the evolution of freight demand trends, there also needs to be an evolution in the freight distribution processes. Today's freight transportation processes have a lot of inefficiencies that could be streamlined, thus preventing concerns like increased operational costs, road congestion, and environmental degradation. Collaborative logistics is one of the approaches where supply chain partners collaborate horizontally or/and vertically to create a centralized network that is more efficient and serves towards a common goal or objective. …

Examining The Impact Of Design Features Of Electronic Health Records Patient Portals On The Usability And Information Communication For Shared Decision Making, Rong Yin

All Dissertations

The use of the Electronic Health Records (EHR) patient portal has been shown to be effective in generating positive outcomes in patients’ healthcare, improving patient engagement and patient-provider communication. Government legislation also required proof of its meaningful use among patients by healthcare providers. Typical patient portals also include features such as health information and patient education materials. However, little research has examined the specific use of patient portals related to individuals with specific diseases such as inflammatory bowel diseases (IBDs). IBDs are life-long, not curable, chronic diseases that can impact the whole population. Individuals with IBDs may have higher needs …

A Study Of Scheduling Problems With Sequence Dependent Restrictions And Preferences, Nitin Srinath

All Dissertations

In some applications like fabric dying, semiconductor wafer processing, and flexible manufacturing, the machines being used to process jobs must be set up and serviced frequently. These setup processes and associated setup times between jobs often depend on the jobs and the sequence in which jobs are placed onto machines. That is, the scheduling of jobs on machines must account for the sequence-dependent setup times as well. These setup times can be a major factor in operational costs. In fabric dyeing processes, the sequence in which jobs are processed is also important for quality, i.e., there is a strong preference …

Double Tolerance Design In Stochastic Production Environments, Di Liu

All Dissertations

In a production process, it is impossible to produce parts with exact specifications. Thus, specific ranges, i.e., tolerances, are commonly employed to define intervals for the quality characteristics of conforming products (Wu & Tang (1998)). Usually, a product is deemed conforming when the measurement of the quality characteristic falls within the tolerance. If the measurement falls outside the tolerance, the product is nonconforming and it can be reworked or scrapped. One of the important engineering problems commonly faced by practitioners is to determine optimal engineering tolerances to be used in production. As a result, tolerance design techniques are widely used …

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 …

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, …

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 …

Multistage Stochastic Programming: Algorithms, Modelling And Applications, Murwan Siddig

All Dissertations

This dissertation comprises four di˙erent topics related to multistage stochastic program-ming (MSP) algorithms, modeling, and applications.

First, we extend the adaptive partition-based approach for solving two-stage stochastic programs with a fixed recourse matrix and a fixed cost vector to the MSP setting, where the stochastic process is assumed to be stage-wise independent. The proposed algorithms integrate the adaptive partition-based strategy with a popular approach for solving multistage stochastic programs, the stochastic dual dynamic programming (SDDP) algorithm, according to two main strategies. These two strategies are distinct from each other in the manner by which they refine the partitions during the …

Control Of Infectious Diseases In A Metapopulation, Ceyda Best

All Dissertations

With the motivation of the complex infectious disease control problem, we provide two different approaches to model the resource allocation problem to control an epidemic in a metapopulation. All of our models utilize a detailed stochastic simulation model that is validated with the data from the 2014 Ebola epidemic. This simulation model provides a tool for comparing the performance of different policies.

The first model defines a dynamic allocation problem, which is modeled by a Markov Decision Process, and aims to find feasible and effective quarantine policies to control an epidemic with limited resources. We assume that the populations share …

Nursing Interruption Dynamics: The Impact Of Work System Factors, Yushi Yang

All Dissertations

Interruptions occur frequently in healthcare work systems. Hands-free Communication Devices (HCDs) were implemented in healthcare work systems to support the interruption process. However, from a sociotechnical systems perspective, HCDs may introduce new complications and unintended consequences to the work system. Research gaps exist in investigating the complexity of HCD interruptions in the real-world context. This dissertation aims to understand HCD interruption dynamics in the nursing work systems, using qualitative research methods. The first study examined the major differences between face-to-face and HCD-mediated interruptions, based on 30 hours of field observations in the acute care setting. Three major differences included: (1) …

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 …

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 …

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 …

Integrating Visual Mnemonics And Input Feedback With Passphrases To Improve The Usability And Security Of Digital Authentication, Kevin Juang

All Dissertations

The need for both usable and secure authentication is more pronounced than ever before. Security researchers and professionals will need to have a deep understanding of human factors to address these issues. Due to their ubiquity, recoverability, and low barrier of entry, passwords remain the most common means of digital authentication. However, fundamental human nature dictates that it is exceedingly difficult for people to generate secure passwords on their own. System-generated random passwords can be secure but are often unusable, which is why most passwords are still created by humans. We developed a simple system for automatically generating mnemonic phrases …

Two-Stage Methodology For Managing And Controlling Material Flow Between Multiple Construction Projects, Fatmah Almazkoor

All Dissertations

There is a strong connection between managing and controlling material flow in a supply chain and its performance. While this is true in all supply chains, it is particularly true in the construction supply chain (CSC) where the total demand for parts is finite, the storage space available can be small, and the variability in consumption is high. On the other hand, effectively controlling the CSC can have a significant impact on controlling risk and buffering their impact so that projects stay on schedule and within budget. Currently, a common control of the CSC is with a push-based material ordering …

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 …

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 …

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 …

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

All Dissertations

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 …

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 …

Characteristics And Contributing Factors Of Emergency Vehicle Crashes, Naji Abdelwanis

All Dissertations

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 …

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

All Dissertations

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 …

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, …

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

All Dissertations

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

All Dissertations

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

All Dissertations

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, …