A simulation-based decision support tool to analyze clinical pathways in hospital

Author(s):  
Elena Tánfani ◽  
Angela Testi

2021 ◽  
Vol 13 (5) ◽  
pp. 2947
Author(s):  
Vítor Silva ◽  
Luís Pinto Ferreira ◽  
Francisco J. G. Silva ◽  
Benny Tjahjono ◽  
Paulo Ávila

To remain competitive, companies must continuously improve the processes at hand, be they administrative, production, or logistics. The objective of the study described in this paper was to develop a decision-making tool based on a simulation model to support the production of knits and damask fabrics. The tool was used to test different control strategies for material flow, from the raw material warehouse to the finished product warehouse, and thus can also be used to evaluate the impacts of these strategies on the productivity. The data upon which the decision support tool was built were collected from five sectors of the plant: the raw material warehouse, knit production, damask production, finishing work, and the finished product warehouse. The decision support tool met the objectives of the project, with all five strategies developed showing positive results. Knit and damask production rates increased by up to 8% and 44%, respectively, and a reduction of 75% was observed in the waiting time on the point of entry to the finishing work area, compared to the company’s existing system.



2019 ◽  
Vol 52 (13) ◽  
pp. 2402-2407
Author(s):  
S. Belil ◽  
N. Tchernev ◽  
S. Kemmoé-Tchomté


2012 ◽  
Vol 49 ◽  
pp. 2-15 ◽  
Author(s):  
Shady Attia ◽  
Elisabeth Gratia ◽  
André De Herde ◽  
Jan L.M. Hensen


Author(s):  
Mohamed Nezar Abourraja ◽  
Abdelaziz Benantar ◽  
Naoufal Rouky ◽  
Dalila Boudebous ◽  
Jaouad Boukachour ◽  
...  

Recently, seaports have paid much attention to container transportation by rail to evacuate huge container flow received by sea. In this line, Le Havre seaport, as the first French port in terms of containers’ traffic, plans to put into service a rail-road terminal near the Paris region. The main purpose of this new inland terminal is to restrict the intensive use of roads on the Le Havre-Paris corridor and achieve a better massification share of hinterland transportation. Containers are routed by train between Le Havre and this terminal and the last/first mile remains done by trucks. This paper aims to propose a decision support tool based on simulation for the layout design problem of this new terminal. This tool is tested using a set of scenarios and the obtained results are then discussed.



Author(s):  
Konstantinos Vavliakis ◽  
Anthony Chrysopoulos ◽  
Kyriakos Chatzidimitriou ◽  
Andreas Symeonidis ◽  
Pericles Mitkas


2021 ◽  
Author(s):  
Clarissa Judith Gardner ◽  
Jack Halligan ◽  
Gianluca Fontana ◽  
Roberto Fernandez Crespo ◽  
Matthew Stewart Prime ◽  
...  

Simulation-based research (SBR) methods have been proposed as an alternative methodology for evaluating digital health solutions; however, applicability remains to be established. This study used SBR to evaluate a clinical decision support (CDS) tool used for matching cancer patients to clinical trials. 25 clinicians and research staff were recruited to match 10 synthetic patient cases to clinical trials using both the CDS tool and publicly available online trial databases. Participants were significantly more likely to report having sufficient time (p = 0.020) and to require less mental effort (p = 0.001) to complete trial matching with the CDS tool. Participants required less time for trial matching using the CDS tool, but the difference was not significant (p = 0.093). Most participants reported that they had sufficient guidance to participate in the simulations (96%). This study demonstrates the use of SBR methods is a feasible approach to evaluating digital health solutions.





Logistics ◽  
2021 ◽  
Vol 5 (4) ◽  
pp. 65
Author(s):  
SeyedReza RazaviAlavi ◽  
Simaan AbouRizk

Background: A site layout plan is one of the important decisions to be made in the planning phase of each construction project as it can significantly impact on-site transportation, construction logistics, and safety. This decision could be complicated owing to the uncertainties inherent in construction projects and the complex relationships between the influencing factors and decision variables. Methods: To improve site layout planning, this study aims to develop a simulation-based decision support tool (DST) that enables planners to consider the following: (1) construction uncertainties, (2) construction resources (i.e., material, equipment, and workers), (3) site layout constraints, and (4) mutual impacts between site layout and construction plan variables, for site layout planning of construction projects. Results: The developed DST visualizes the site layout plan within a simulation environment and provides seamless interactions between the site layout model and the simulation model. These capabilities facilitate planning construction site layout using simulation by establishing two-way information flows between the site layout and simulation components, which can further promote application of simulation in construction site layout planning. Usefulness and practicality of the proposed DST is demonstrated in site layout planning of a steel erection project. Conclusions: Using this DST can reduce some common wastes in construction projects and the cost associated with them, including on-site transportation, material handling and storage, and waiting time for the material arrival.



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