Rebar Fabrication Plan to Enhance Production Efficiency for Simultaneous Multiple Projects

Modeling and analyzing a physician clinic environment using discrete-event (visual) simulation

Although Thrombolysis has been licensed in the UK since 2003, it is still administered only to a small percentage of eligible patients. We consider the impact of investing the impact of thrombolysis on important acute stroke services, and the effect on quality of life. The concept is illustrated using data from the Northern Ireland Stroke Service. Retrospective study. We first present results of survival analysis utilizing length of stay (LOS) for discharge destinations, based on data from the Belfast City Hospital (BCH). None of these patients actually received thrombolysis but from those who would have been eligible, we created two initial groups, the first representing a scenario where they received thrombolysis and the second comprising those who do not receive thrombolysis. On the basis of the survival analysis, we created several subgroups based on discharge destination. We then developed a discrete event simulation (DES) model, where each group is a patient pathway within the simulation. Coxian phase type distributions were used to model the group LOS. Various scenarios were explored focusing on cost-effectiveness across hospital, community and social services had thrombolysis been administered to these patients, and the possible improvement in quality of life, should the proportion of patients who are administered thrombolysis be increased. Our aim in simulating various scenarios for this historical group of patients is to assess what the cost-effectiveness of thrombolysis would have been under different scenarios; from this we can infer the likely cost-effectiveness of future policies. The cost of thrombolysis is offset by reduction in hospital, community rehabilitation and institutional care costs, with a corresponding improvement in quality of life. Our model suggests that provision of thrombolysis would produce moderate overall improvement to the service assuming current levels of funding.

In manufacturing plants, part of assembly is often performed by human workers and therefore its performance largely depends on humans (or human performances) rather than machines. However, most studies on human centred assembly systems using the modelling simulation methods do not consider or incorporate the effects of human performance that may also impact the overall system performance of such as an assembly line. The prediction of human performance or behaviour in a manufacturing system evaluation is often overlooked by researchers or system designers partially due to a lack of proper versions of existing simulation tools that can incorporate human attributes into an established simulation model. This paper presents a study by incorporating human attributes of learning and ageing into a discrete event simulation (DES) model based on a human centred assembly system. The effects of worker performance due to aging and learning were investigated and identified through a literature review [1]. The simulation result demonstrates that the worker performance may approach his/her full capacity at the age of 38 years old and this may decrease by an average of 1% from 38 to 40 years old, and 6% at the age of 45 years old. After the age of 45 years old, the decline rate of worker performance may slow down as it can be offset by accumulating worker experience through learning.

MO3 COMPARING METHODS OF DATA SYNTHESIS: UPDATING PARAMETERS OF AN EXISTING PROBABILISTIC COST-EFFECTIVENESS MODEL

MO1 ADVANTAGES AND DISADVANTAGES OF MARKOV MODELS VERSUS DISCRETE EVENT MODELS FOR SIMULATING PATIENT FLOWS

Geographic Service Delivery for Endovascular Clot Retrieval: Using Discrete Event Simulation to Optimize Resources

One of the basic components of Industry 4.0 is the design of a flexible manufacturing system (FMS), which involves the choice of parameters to optimize its performance. Discrete event simulation (DES) models allow the user to understand the operation of dynamic and stochastic system performance and to support FMS diagnostics and design. In combination with DES models, optimization methods are often used to search for the optimal designs, which, above all, involve more than one objective function to be optimized simultaneously. These methods are called the multi-objective simulation–optimization (MOSO) method. Numerous MOSO methods have been developed in the literature, which spawned many proposed MOSO methods classifications. However, the performance of these methods is not guaranteed because there is an absence of comparative studies. Moreover, previous classifications have been focused on general MOSO methods and rarely related to the specific area of manufacturing design. For this reason, a new conceptual classification of MOSO used in FMS design is proposed. After that, four MOSO methods are selected, according to this classification, and compared through a detailed case study related to the FMS design problem. All of these methods studied are based on Design of Experiments (DoE). Two of them are metamodel-based approaches that integrate Goal Programming (GP) and Desirability Function (DF), respectively. The other two methods are not metamodel-based approaches, which integrate Gray Relational Analysis (GRA) and the VIKOR method, respectively. The comparative results show that the GP and VIKOR methods can result in better optimization than DF and GRA methods. Thus, the use of the simulation metamodel cannot prove its superiority in all situations.

Improvement in patient waiting time in dispensing pharmacies is an important element for patient and pharmacists. The One-Dose Package (ODP) of medicines was implemented in Japan to support medicine adherence among elderly patients; however, it also contributed to increase in patient waiting times. Given the projected increase in ODP patients in the near future owing to rapid population aging, development of improved strategies is a key imperative. We conducted a cross-sectional survey at a single dispensing pharmacy to clarify the impact of ODP on patient waiting time. Further, we propose an improvement strategy developed with use of a discrete event simulation (DES) model. A total of 673 patients received pharmacy services during the study period. A two-fold difference in mean waiting time was observed between ODP and non-ODP patients (22.6 and 11.2 min, respectively). The DES model was constructed with input parameters estimated from observed data. Introduction of fully automated ODP (A-ODP) system was projected to reduce the waiting time for ODP patient by 0.5 times (from 23.1 to 11.5 min). Furthermore, assuming that 40% of non-ODP patients would transfer to ODP, the waiting time was predicted to increase to 56.8 min; however, introduction of the A-ODP system decreased the waiting time to 20.4 min. Our findings indicate that ODP is one of the elements that increases the waiting time and that it might become longer in the future. Introduction of the A-ODP system may be an effective strategy to improve waiting time.

A simulation optimization approach to investigate resource planning and coordination mechanisms in emergency systems

This study employs a discrete event simulation (DES) model to understand the dynamic workload of remote truck operators managing partially-automated trucks. The DES model uses operator queues and event generators simulating automated truck events and leverages data from the California DMV’s disengagement database and driving simulation experiments. Disengagement data were partitioned into three groups by disengagement frequency: low, moderate, and high and separate arrival time distributions were developed for each group. Simulations from the model suggest that for companies with low disengagement rates, operator utilization will likely remain below minimal thresholds to prevent boredom. In contrast, companies with moderate or high disengagement rates both exceed operator utilization capacity and generate prolonged wait times as more trucks are controlled. These findings suggest that calibrating remote truck control to human capabilities will be challenging. A sensitivity analysis suggests that accurately estimating disengagement rates will be crucial for model accuracy and predictive performance.

Background. Different strategies toward implementing competing risks in discrete-event simulation (DES) models are available. This study aims to provide recommendations regarding modeling approaches that can be defined based on these strategies by performing a quantitative comparison of alternative modeling approaches. Methods. Four modeling approaches were defined: 1) event-specific distribution (ESD), 2) event-specific probability and distribution (ESPD), 3) unimodal joint distribution and regression model (UDR), and 4) multimodal joint distribution and regression model (MDR). Each modeling approach was applied to uncensored individual patient data in a simulation study and a case study in colorectal cancer. Their performance was assessed in terms of relative event incidence difference, relative absolute event incidence difference, and relative entropy of time-to-event distributions. Differences in health economic outcomes were also illustrated for the case study. Results. In the simulation study, the ESPD and MDR approaches outperformed the ESD and UDR approaches, in terms of both event incidence differences and relative entropy. Disease pathway and data characteristics, such as the number of competing risks and overlap between competing time-to-event distributions, substantially affected the approaches’ performance. Although no considerable differences in health economic outcomes were observed, the case study showed that the ESPD approach was most sensitive to low event rates, which negatively affected performance. Conclusions. Based on overall performance, the recommended modeling approach for implementing competing risks in DES models is the MDR approach, which is defined according to the general strategy of selecting the time-to-event first and the corresponding event second. The ESPD approach is a less complex and equally performing alternative if sufficient observations are available for each competing event (i.e., the internal validity shows appropriate data representation).

The stochastic nature of wireless communication suggests a Markov Decision Process (MDP) as a formalism for identifying and evaluating spectrum control policies. However, in practice numerous factors influence the success or failure of a transmission, so that the applicability of particular MDP models to real spectrum management problems must itself be examined. This paper presents a series of model validation studies in which correspondence between an MDP model and a discrete-event simulation (DES) model is evaluated. We test several hypotheses that together provide a foundation and an exemplar for the idea of using MDPs to guide management of shared spectrum. We conclude that there is sufficient similarity between the performance predictions made by the MDP model and the DES model that MDPs can be used effectively to determine spectrum control policies.

This paper provides an empirical study on the comparison of model building in Discrete-Event Simulation (DES) and System Dynamics (SD). Verbal Protocol Analysis (VPA) is used to study the model building process of ten expert modellers (5 SD and 5 DES). Participants are asked to build a simulation model based on a prison population case study and to think aloud while modelling. The generated verbal protocols are divided into 7 modelling topics: problem structuring, conceptual modelling, data inputs, model coding, validation & verification, results & experimentation and implementation and then analyzed. Our results suggest that all modellers switch between modelling topics, however DES modellers follow a more linear progression compared to SD modellers. DES modellers focus significantly more on model coding and verification & validation, whereas SD modellers on conceptual modelling. This quantitative analysis of the processes followed by expert modellers contributes towards the comparison of DES and SD modelling.

Delays beyond recommended wait times, especially for specialist services, are associated with adverse health outcomes. The Alberta Surgical Initiative aims to improve the referral wait time-the time between a referral is received at the central intake to the time a specialist sees the patient. Using the discrete event simulation modelling approach, we evaluated and compared the impact of four referral distribution policies in a central intake system on three system performance measures (number of consultations, referral wait time and surgeon utilization). The model was co-designed with clinicians and clinic staff to represent the flow of patients through the system. We used data from the Facilitated Access to Surgical Treatment (FAST) centralized intake referral program for General Surgery to parameterize the model. Four distribution policies were evaluated - next-available-surgeon, sequential, "blackjack," and "kanban." A sequential distribution of referrals for surgical consultation among the surgeons resulted in the worst performance in terms of the number of consultations, referral wait time and surgeon utilization. The three other distribution policies are comparable in performance. The "next available surgeon" model provided the most efficient and robust model, with approximately 1,000 more consultations, 100days shorter referral time and a 14% increase in surgeon utilization. Discrete event simulation (DES) modelling can be an effective tool to illustrate and communicate the impact of the referral distribution policy on system performance in terms of the number of consultations, referral wait time and surgeon utilization.

CHAPTER X - DISCRETE EVENT SIMULATION PROGRAMMING