Papers

Decreased length of stay after addition of healthcare provider in emergency department triage


ABSTRACT

Objective (1) To determine the effects of adding a provider in triage on average length of stay (LOS) and proportion of patients with >6 h LOS. (2) To assess the accuracy of computer simulation in predicting the magnitude of such effects on these metrics.

Methods A group-level quasi-experimental trial comparing the St. Louis Veterans Affairs Medical Center emergency department (1) before intervention, (2) after institution of provider in triage, and discrete event...

A multi-paradigm, whole system view of health and social care for age-related macular degeneration


Abstract This paper presents a hybrid simulation model for the management of an eye condition called age-related macular degeneration, which particularly affects the elderly. The model represents not only the detailed clinical progression of disease in an individual, but also the organization of the hospital clinic in which patients with this condition are treated and the wider environment in which these patients live (and their social care needs, if any, are met). The model permits a...

Advancement simulation of tunnel boring machines


Abstract In mechanized tunneling a significant loss of performance resulting from weak spots in the supply chain or unforeseen geological conditions is a frequent and costly problem. Furthermore, disturbances of critical machine components can have such impact on the production that unforeseen modifications become necessary. Due to the sequential character the malfunction of one element might evoke cascading-effects which may result in a complete standstill of the tunneling progress...

Hybrid simulation of renewable energy generation and storage grids


Abstract The share of renewable energy sources in energy production is growing steadily. Domestic homes can be equipped with solar panels, micro combined heat and power systems, batteries, and they can become adaptive consumers. They can also deliver energy to the grid and react to the energy supply. This paper presents a hybrid simulation approach for the analysis of a grid of domestic homes equipped with different technological options with respect to efficiency and costs. For energy...

Agent-based simulation of the software development process: a case study at AVL


Abstract Software development projects are difficult to manage due to the high uncertainty in their various phases. Simulation is one of the tools that has been used to help software project managers produce project plans. Research into software process simulation modeling (SPSM) shows the dominance of discrete-event simulation and system dynamics. This paper supports the use of ABS in SPSM. We propose a practical effort function to estimate developers’ behavior. The other...

Using a scalable simulation model to evaluate the performance of production system segmentation in a combined MRP and Kanban system


Abstract   In this paper two different possible machine allocation policies are studied for a production system consisting of MRP and kanban controlled materials. Performance measures are inventory costs, backorder costs and service level. In policy one, the production system is segmented into one segment for MRP planned materials and one for kanban controlled materials. Policy two implements common machine groups for both kinds of materials. A scalable production planning simulation...

A simulation study of the effect of mosque design on egress times


Abstract The Mosque prayer hall is perhaps the only architectural space designed for a large number of floorseated occupants. A critical issue in the design of mosques is determining the number and configuration of exit locations. This paper describes a discrete-event simulation model developed to assess the effect of mosque prayer hall configuration on the egress times of the occupants. The simulation model takes into consideration the behavioral aspects of the mosque occupants such as...

Complex agent interactions in operational simulations for aerospace design


Abstract Product complexity in the aerospace industry has grown fast while design procedures and techniques did not keep pace. Product life cycle implications are largely neglected during the early design phase. Also, aerospace designers fail to optimize products for the intended operational environment. This study shows how a design, simulated within its anticipated operational environment, can inform about critical design parameters, thereby creating a more targeted design improving...

Hybrid simulation with loosely coupled system dynamics and agent-based models for prospective health technology assessments


Abstract   Due to the ageing of the world population, the demand for technology innovations in healthcare is growing rapidly. All stakeholders (e.g., patients, healthcare providers and health industry) can take profit of innovative products, but the development degenerates often into a time consuming and cost-intensive process. Prospective Health Technology Assessment (ProHTA) is a new approach that combines the knowledge of an interdisciplinary team and uses simulation techniques to...

The service productivity learning cockpit – a business-intelligence tool for service enterprises


Computer simulation is a way to imitate business processes based on reality. Due to the fact that the environment in hospitals is highly dynamic with local autonomy of stakeholders participating in the business processes, we found an agent–based modeling and simulation (ABMS) approach to be most suitable and it is therefore applied in this context. From an inception to a running simulation, followed by an analysis of the output, we need to keep in mind our user’s physical problem...