Other Operations Research, Systems Engineering and Industrial Engineering Commons^™

Understanding The Elements Of Sterile Processing Workflow: Or, Sterilization And Personnel, Sayed Rezwanul Islam

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The Sterile Processing Department (SPD), also known as the Central Sterile Services Department (CSSD), is an essential part of hospitals and healthcare facilities and is responsible for ensuring the cleanliness, sterility, and proper functioning of medical instruments. Sterile processing departments (SPDs) are key drivers of productivity, effectiveness, safety, and infection control in hospitals. A well-designed SPD workflow can enhance patient safety, reduce operating room (OR) delays, and improve productivity. To understand the flow of sterile processing and interactions between the OR and SPD, process maps and task analyses were developed through direct observations of the basic SPD functions: decontamination, assembly, …

Computational Representation, Analysis And Verification Of Requirements In Engineering Design And Systems Engineering, Chandan Kumar Sahu

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Systems are developed to satisfy a set of requirements derived from stakeholders’ needs, defining the problem space for which the system is created as a feasible solution. The system design process begins with eliciting these requirements and concludes with validating whether the created system meets them. Requirements engineering (RE) encompasses elicitation, representation, analysis, documentation, verification, and validation. However, challenges in RE, such as imprecision in natural language (NL), proprietary restrictions, and a lack of standardized quality metrics, hinder the creation of well-formed and comprehensive requirements. These challenges complicate formalization and analysis of requirements.

This dissertation addresses these challenges by proposing …

Variability In Anesthesia And Its Implications For Improving Patient Safety, Joshua Michael Biro

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Improving patient safety in anesthesia has proven to be an arduous and challenging task. Despite the many strategies and interventions to improve patient safety that have been employed, patient harm in anesthesia remains a problem. The struggle to reduce patient harm in anesthesia is both attributable to and representative of the complexity of the anesthesia system. In navigating this complex system, anesthesia providers have different approaches to how they accomplish their work, which results in variability in anesthesia practice. This variability provides an immense challenge to designing and implementing efforts to improve patient safety, as rigid interventions are often met …

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 …

Improving Patient Safety, Patient Flow And Physician Well-Being In Emergency Departments, Vishnunarayan Girishan Prabhu

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Over 151 million people visit US Emergency Departments (EDs) annually. The diverse nature and overwhelming volume of patient visits make the ED one of the most complicated settings in healthcare to study. ED overcrowding is a recognized worldwide public health problem, and its negative impacts include patient safety concerns, increased patient length of stay, medical errors, patients left without being seen, ambulance diversions, and increased health system expenditure. Additionally, ED crowding has been identified as a leading contributor to patient morbidity and mortality. Furthermore, this chaotic working environment affects the well-being of all ED staff through increased frustration, workload, stress, …