Industrial Engineering Commons^™

Barriers To Modernizing Aviation Maintenance Technician Education To Meet Emerging Industry Needs, Durwa Chavan

All Theses

Modernizing aviation maintenance education is essential to keep pace with emerging technologies, including electric propulsion systems and advanced avionics. As aircraft systems become more digitized and interconnected, there is a growing demand for qualified technicians who can conduct advanced diagnostics and maintenance. However, training programs have not kept pace with these technological shifts, creating a gap between workforce preparation and industry needs.

Using a qualitative research approach, this study conducted semi-structured interviews with industry professionals, educators, and regulatory personnel to identify gaps in existing training programs and Airman Certification Standards (ACS). This study addresses the disconnect between current aviation maintenance …

Optimizing Park Locations While Considering Resident Behavior, Lu Liu

All Theses

Urban parks and green-spaces significantly enhance community well-being by improving physical health, mental wellness, and environmental quality. Given these extensive benefits, ensuring fair and widespread access to urban parks represents a critical priority in urban planning. Despite the advantages of parks, optimizing their location poses unique and complex challenges distinct from traditional facility location problems, such as those involving emergency services or schools. The core distinction arises from the decentralized nature of residents’ park selection behaviors. Unlike centralized allocations typically managed by public administrators, park usage decisions are driven by individual preferences and behaviors. This decentralized decision-making introduces two additional …

Multistage Random Key Genetic Algortihm Optimization For Scheduling Flexible Flow Lines With Sequence Depenedent Setup Times, Aadithan Anbuvanan

All Theses

This thesis proposes a new variation to the Random Key Genetic Algorithm (RKGA) for scheduling optimization in flexible flow line manufacturing with sequence dependent setup times. The proposed RKGA representation decodes scheduling information independently at each stage, unlike the traditional RKGA, which is only sequenced based on the first stage, limiting flexibility. The proposed method's performance is compared to the traditional method with varying numbers of jobs and stages. It is compared regarding performance ratio and statistical significance of differences through the Wilcoxon Signed Rank Test. Results show that the proposed RKGA outperformed traditional RKGA in high complexity (8 Stage …

Exploring Healthcare Chatbot Information Presentation: Applying Hierarchical Bayesian Regression And Inductive Thematic Analysis In A Mixed Methods Study, Samuel Nelson Koscelny

All Theses

High blood pressure, also known as hypertension, significantly increases the risk of heart disease and stroke, which are leading causes of death in the United States. While contributing to over 691,000 deaths in 2021 alone in the United States (U.S.), it also imposes immense economic burden on the healthcare system, costing approximately $131 billion annually. One way to address this issue is for increased self-care behaviors and medication adherence, both of which require sufficient health literacy. Despite the importance of health literacy, 90% of U.S. adults struggle with health-related subjects. Overcoming the issues associated with health literacy requires addressing the …

Understanding The Challenges To Robotic-Assisted Surgery Adoption From The Perspectives Of The Human-Robot Interaction, Built Environment, And Training, Patrick A. Fuller

All Theses

Introduction: Robotic-assisted surgery (RAS) is a form of minimally invasive surgery that is increasing in both its adoption and development due to many perceived advantages such as tremor reduction and motion scaling. However, RAS is still relatively new and there are a variety of novel barriers and challenges to the adoption of these platforms. Objectives: This study aims to understand how the integration of RAS platforms impacts the interactions and outcomes of interactions between surgical team members to explore the barriers from three aspects critical to facilitating Robotic-assisted-surgery (RAS) adoption: the human-robotic interaction, built environment, and RAS training. Future …

Modeling Of Multi-Period Disaster Logistics Planning In The State Of South Carolina, Emma Simon

All Theses

South Carolina is one of the most vulnerable states in the United States to the impact of hurricanes. Currently, when threatened with a natural disaster such as a hurricane, the state government makes many vital decisions based on knowledge and experience. In this study, the distribution of disaster relief commodities to meet immediate needs is analyzed through two models for the case of South Carolina to generate an optimal logistics strategy that considers the social vulnerability of affected populations. The first model is a multi-objective pre-disaster logistics model that uses a four-index formulation for the multiple trip vehicle routing problem. …

Depression And Anxiety: Investigating The Impacts Of Scheduling On The Mental Health Of Healthcare Workers During The Covid-19 Pandemic, Christofer Gonzaga

All Theses

Depression is a growing problem in the United States and has ballooned into a globally recognized mental health issue that affects shift workers in various fields (Lee et al., 2017). Rates of depression and anxiety have been shown to be substantially increasing and the COVID-19 pandemic amplified this prevalence of depression and anxiety. In the United States, the prevalence of depression symptoms was more than 3- fold higher during COVID-19 compared to before the pandemic (Ettman et al., 2020). The delivery of healthcare services is an ongoing and dynamic process, requiring clinicians to work in various shifts to ensure the …

Application Of An Information Gain Model In A Motor Learning Task: An Application In A Laparoscopic Surgical Skills Task, Matthew Ball

All Theses

Psychomotor skills are comprised of physical movements and mental adaptations of movements to complete a task, generally using complex tools or components. Laparoscopic surgery training tasks are a prime example of tasks requiring psychomotor skills due to their demand for both fine hand movements and constant mental adaptation to the changing environment of the human body. A typical evaluation of these skills can be accomplished using learning curves, a graphical representation of skill growth in which a performance metric is plotted over a time experience metric. Previously, in the literature, several learning curves have been generated from the performance within …

Barriers To Integrating Magnetic Resonance Imaging Systems In Emergency Medical Service Ambulances For Stroke Care, Arvind Kolangarakath

All Theses

Stroke is a life-threatening condition that can cause permanent damage by stopping blood flow in the brain. Quick and precise intervention is imperative, as every second lost increases tissue deterioration and impacts patient outcomes. Several technological advancements such as Magnetic Resonance Imaging (MRI), have revolutionized stroke care by enabling more accurate and quicker diagnoses in hospitals. Portable head MRI scanners with lower magnetic fields are a recent innovation capable of providing neuroimaging at the point of care within hospital settings. Integrating such a device into ambulances could potentially enhance stroke care during transit, facilitating prompt diagnosis and prognosis. However, few …

Examining Individuals' Use Of The Internet For Healthcare Activities Over Time: Statistical Analysis Of Nhis Data, Zachary Junkins

All Theses

Telehealth is an increasingly important component of healthcare services. Telehealth services may present an opportunity to increase the equity, accessibility, and effectiveness of healthcare. As such, it is critical that telehealth design focus on reducing the barriers to access and usability that may impair some telehealth users. I utilized data from the National Health Interview Survey (NHIS) and multiple logit regression models focused on different aspects of telehealth in order to determine demographic characteristics, behaviors, or opinions which may predict groups that are likely to face a barrier to using telehealth services. This analysis provides an exploratory look at the …

Network Effects Of Emergency Department Clinician Strain And Patient Congestion, Aisha Nelson

All Theses

We develop a discrete-event simulation model to study how staffing strain affects patient outcomes across a network of Emergency Departments (EDs). The aim is to observe how clinician staffing and transfers throughout the system affect the system’s behavior. We will study the network of the seven EDs in the Prisma Health-Upstate system. Patient acuity and resource need are stratified using the five-level Emergency Severity Index (ESI). Patient flow data within and between EDs are collected from EPIC, staffing data from ShiftAdmin, and environmental COVID-19 prevalence data from the Department of Health and Environmental Control. Time periods include the Omicron wave …

Mapping Information Flows That Support Adaptive Capacity In The Sterile Processing Department (Spd), Jacob Hionis

All Theses

The Sterile Processing Department (SPD) is the part of the hospital that is responsible for decontaminating, assembling, and sterilizing surgical trays for use in the Operating Rooms (ORs). Errors in the SPD can lead to delayed surgeries or patient harm. The SPD is a complex system, with multiple interconnected subdepartments and roles. Complex systems require coordination between stakeholders. This study aims to discover how an organization can adapt to scale, and how information flows support these adaptations. In this study, observations, semi-structured interviews, and on-the-job interviews were conducted with members across the SPD and OR to elicit pressures, adaptations, and …

Generating Sex Trafficking Networks From Text Documents, Maria Diaz

All Theses

Qualitative coding is a long and strenuous process that requires a well-skilled investigator. Natural language processing techniques have made leaps and bounds as far as usability and application domain, although it does not work for every task. In this work, we have created a natural language processing framework to help qualitative coders automatically obtain the nodes and node arcs from federal case files, dockets, and indictments within a sex trafficking network. The produced nodes and arcs allows us to perform network modeling by providing us with the information needed to create network structures that can then be used for interdiction …

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 …

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 …

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 …

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 …

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 …

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, …

A New Metaheuristic Algorithm Motivated By The Rooting Phenomena In Plants, Behzad Nemati

All Theses

In this thesis, we present a new metaheuristic algorithm for analyzing challenging optimization problems. Initial testing reveals the potential for the algorithm, which is based on the rooting phenomena found in plants in nature, to quickly produce effective solutions to challenging combinatorial optimization problems in the class NP. We present computational results describing the proposed metaheuristic's efficacy for an important class of scheduling problems and discuss areas of future work and application.

A System-Generated Password And Mnemonic Approach To Optimize The Security And Usability Of Text-Based Passwords, Sanjaykumar Ranganayakulu

All Theses

In this study a novel password generation policy called the system-generated password and mnemonic was designed and implemented. The intent of this policy was to optimize both the security and usability of text-based passwords. After implementing the policy we evaluated its usability and compared it with three other existing policies: user-generated password, system-generated password and user-generated mnemonic for a system-generated password. In order to have a fair comparison among the policies we maintained a constant level of security of 30±2 entropy as dictated by NIST level 2 standards.
The study involved 64 participants, equally divided into four groups, 16 in …

Remote Usability Testing - A New Approach Facilitated By Virtual Worlds, Kapil Chalil Madathil

All Theses

Synchronous remote usability testing, involves a facilitator conducting a usability test in real time, interacting with a participant who is remote. This study proposes a new methodology for conducting these studies using a three-dimensional virtual world, Wonderland, and compares it with two other commonly used synchronous usability test methods: the traditional lab approach and WebEx, a web-based conferencing and screen sharing approach.
The study involved 48 participants in total, 36 test subjects and 12 test facilitators. These 36 were equally divided among the three environments with the 12 test facilitators being paired with one participant in each of the environments. …