Potential Applications of Discrete-event Simulation and Fuzzy Rule-based Systems to Structural Reliability and Availability

2010 ◽  
pp. 199-214
Author(s):  
Angel A. Juan ◽  
Albert Ferrer ◽  
Carles Serrat ◽  
Javier Faulin ◽  
Gleb Beliakov ◽  
...  
Keyword(s):  
Discrete Event Simulation ◽  
Structural Reliability ◽  
Discrete Event ◽  
Fuzzy Rule ◽  
Rule Based ◽  
Event Simulation ◽  
Potential Applications ◽  
Reliability And Availability ◽  
Rule Based Systems

scholarly journals Optimizing Emergency Medical Service Structures Using a Rule-Based Discrete Event Simulation—A Practitioner’s Point of View

2021 ◽  
Vol 18 (5) ◽  
pp. 2649
Author(s):  
Christoph Strauss ◽  
Günter Bildstein ◽  
Jana Efe ◽  
Theo Flacher ◽  
Karen Hofmann ◽  
...  
Keyword(s):  
Discrete Event Simulation ◽  
Emergency Services ◽  
Prehospital Care ◽  
Discrete Event ◽  
Point Of View ◽  
Public Healthcare ◽  
Healthcare Organizations ◽  
Rule Based ◽  
Event Simulation ◽  
Emergency Medical

Many studies in research deal with optimizing emergency medical services (EMS) on both the operational and the strategic level. It is the purpose of this method-oriented article to explain the major features of “rule-based discrete event simulation” (rule-based DES), which we developed independently in Germany and Switzerland. Our rule-based DES addresses questions concerning the location and relocation of ambulances, dispatching and routing policies, and EMS interplay with other players in prehospital care. We highlight three typical use cases from a practitioner’s perspective and go into different countries’ peculiarities. We show how research results are applied to EMS and healthcare organizations to simulate and optimize specific regions in Germany and Switzerland with their strong federal structures. The rule-based DES serves as basis for decision support to improve regional emergency services’ efficiency without increasing cost. Finally, all simulation-based methods suggest normative solutions and optimize EMS’ performance within given healthcare system structures. We argue that interactions between EMS, emergency departments, and public healthcare agencies are crucial to further improving effectiveness, efficiency, and quality.

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