A novel hybrid method for improving ambulance dispatching response time through a simulation study

2016 ◽  
Vol 60 ◽  
pp. 170-184 ◽  
Author(s):  
Mehdi Zarkeshzadeh ◽  
Hadi Zare ◽  
Zainabolhoda Heshmati ◽  
Mehdi Teimouri
2021 ◽  
Vol 12 ◽  
Author(s):  
Alexander Berger ◽  
Markus Kiefer

In response time (RT) research, RT outliers are typically excluded from statistical analysis to improve the signal-to-noise ratio. Nevertheless, there exist several methods for outlier exclusion. This poses the question, how these methods differ with respect to recovering the uncontaminated RT distribution. In the present simulation study, two RT distributions with a given population difference were simulated in each iteration. RTs were replaced by outliers following two different approaches. The first approach generated outliers at the tails of the distribution, the second one inserted outliers overlapping with the genuine RT distribution. We applied ten different outlier exclusion methods and tested, how many pairs of distributions significantly differed. Outlier exclusion methods were compared in terms of bias. Bias was defined as the deviation of the proportion of significant differences after outlier exclusion from the proportion of significant differences in the uncontaminated samples (before introducing outliers). Our results showed large differences in bias between the exclusion methods. Some methods showed a high rate of Type-I errors and should therefore clearly not be used. Overall, our results showed that applying an exclusion method based on z-scores / standard deviations introduced only small biases, while the absence of outlier exclusion showed the largest absolute bias.


2021 ◽  
pp. 1-13
Author(s):  
Eric Lucas dos Santos Cabral ◽  
Wilkson Ricardo Silva Castro ◽  
Davidson Rogério de Medeiros Florentino ◽  
João Florêncio da Costa Junior ◽  
Talita Dias Chagas Frazão ◽  
...  

BACKGROUND AND OBJECTIVE: The growth of the urban population exerts considerable pressure on municipalities’ public managers to focus their attention on providing emergency medical care that meets the growing demand for emergency pre-hospital medical care. Currently, there are a significant number of traffic accidents and other serious occurrences, such as heart attacks, drownings, epidemics, fires and disasters (floods, landslides, earthquakes) that demand a prompt and seamless response from pre-hospital medical care. As a result of such scenario, the present article endeavours to apply a dual-coverage mathematical model (DSM-Double Standard Model) to define the optimal location of the Emergency Medical Service (SAMU) decentralized dispatch bases in Natal/RN and conduct a simulation study to evaluate the displacement of ambulances between such bases. METHODS: The methodological course that was followed by this research constitutes of 12 steps. The location of decentralized bases for sending emergency ambulances was established using the DSM model and the simulation model was performed using the FlexSim© software version 2018 evaluating base coverage in relation to the total number of calls by demand points for different scenarios. RESULTS: The results obtained throughout the research demonstrated the feasibility of redefining the decentralized bases of SAMU/Natal ambulances as a strategy to reduce response time and guarantee compliance with performance parameters established by international organizations (the World Health Organization, for instance, establishes the time of 8 minutes for emergency medical service calls response). The simulation study showed a significant reduction in response time, by up to 60% in some cases. CONCLUSION: The proposition of new locations for the decentralized dispatch bases of the SAMU/Natal can provide an overall significant reduction on the ambulance response time, so as to contribute to expedite the initiation of treatment of patients, if necessary, sent to hospitals.


2020 ◽  
Author(s):  
Murat Kasli ◽  
Cengiz Zopluoglu ◽  
Sarah Linnea Toton

Response time (RT) information has recently attracted a significant amount of attention in the literature as it may provide meaningful information about item preknowledge. In this study, a Deterministic Gated Lognormal Response Time (DG-LNRT) model is proposed to identify examinees with potential item preknowledge using RT information. The proposed model is applied to a real experimental dataset provided by Toton and Maynes (2019) in which item preknowledge was manipulated, and its performance is demonstrated. Then, the performance of the DG-LNRT model is investigated through a simulation study. The model is estimated using the Bayesian framework via Stan. The results indicate that the proposed model is viable and has the potential to be useful in detecting cheating by using response time differences between compromised and uncompromised items.


2020 ◽  
Author(s):  
Eric Lucas dos Santos Cabral ◽  
Wilkson Ricardo Silva Castro ◽  
Davidson Rogério de Medeiros Florentino ◽  
João Florêncio da Costa Junior ◽  
Talita Dias Chagas Frazão ◽  
...  

Abstract BackgroundThe growth of the urban population exerts considerable pressure on municipalities’ public managers to focus their attention on providing emergency medical care that meets the growing demand for emergency pre-hospital medical care. Currently, there are a significant number of traffic accidents and other serious occurrences, such as heart attacks, drownings, epidemics, fires and disasters (floods, landslides, earthquakes) that demand a prompt and seamless response from pre-hospital medical care. As a result of such scenario, the present article endeavours to apply a dual-coverage mathematical model (DSM-Double Standard Model) to define the optimal location of the Emergency Medical Service (SAMU) decentralized dispatch bases in Natal / RN and conduct a simulation study to evaluate the displacement of ambulances between such bases. Patients and methodsThe methodological course that was followed by this research constitute for 12 steps, so as to the location of decentralized bases for sending emergency ambulances was established using the DSM model and the simulation model was performed using the FlexSim software© version 2018 evaluating base coverage in relation to the total number of calls by demand points for different scenarios.ResultsThe results obtained throughout the research demonstrated the feasibility of redefining the decentralized bases of SAMU / Natal ambulances as a strategy to reduce response time and guarantee compliance with performance parameters established by international organizations (the World Health Organization, for instance, establishes the time of 8 minutes for emergency medical service calls response). The simulation study showed a significant reduction in response time, by up to 60% in some cases.ConclusionThe proposition of new locations for the decentralized dispatch bases of the SAMU/Natal can provide an overall significant reduction on the ambulance response time, so as to contributes to expedite the initiation of treatment of patients, if necessary, sent to hospitals.


2020 ◽  
Vol 45 (5) ◽  
pp. 534-568
Author(s):  
Sandip Sinharay ◽  
Peter W. van Rijn

Response time models (RTMs) are of increasing interest in educational and psychological testing. This article focuses on the lognormal model for response times, which is one of the most popular RTMs. Several existing statistics for testing normality and the fit of factor analysis models are repurposed for testing the fit of the lognormal model. A simulation study and two real data examples demonstrate the usefulness of the statistics. The Shapiro–Wilk test of normality and a z-test for factor analysis models were the most powerful in assessing the misfit of the lognormal model.


2006 ◽  
Vol 11 (1) ◽  
pp. 12-24 ◽  
Author(s):  
Alexander von Eye

At the level of manifest categorical variables, a large number of coefficients and models for the examination of rater agreement has been proposed and used. The most popular of these is Cohen's κ. In this article, a new coefficient, κ s , is proposed as an alternative measure of rater agreement. Both κ and κ s allow researchers to determine whether agreement in groups of two or more raters is significantly beyond chance. Stouffer's z is used to test the null hypothesis that κ s = 0. The coefficient κ s allows one, in addition to evaluating rater agreement in a fashion parallel to κ, to (1) examine subsets of cells in agreement tables, (2) examine cells that indicate disagreement, (3) consider alternative chance models, (4) take covariates into account, and (5) compare independent samples. Results from a simulation study are reported, which suggest that (a) the four measures of rater agreement, Cohen's κ, Brennan and Prediger's κ n , raw agreement, and κ s are sensitive to the same data characteristics when evaluating rater agreement and (b) both the z-statistic for Cohen's κ and Stouffer's z for κ s are unimodally and symmetrically distributed, but slightly heavy-tailed. Examples use data from verbal processing and applicant selection.


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