A Stochastic Programming Approach To Reduce Patient Wait Times And Overtime In An Outpatient Infusion Center


A Stochastic Programming Approach To Reduce Patient Wait Times And Overtime In An Outpatient Infusion Center
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A Stochastic Programming Approach To Reduce Patient Wait Times And Overtime In An Outpatient Infusion Center


A Stochastic Programming Approach To Reduce Patient Wait Times And Overtime In An Outpatient Infusion Center
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Author :
language : en
Publisher:
Release Date : 2016

A Stochastic Programming Approach To Reduce Patient Wait Times And Overtime In An Outpatient Infusion Center written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016 with categories.


ABSTRACT: Chemotherapy infusion treatments for cancer have significant and unpredictable variability in duration. This variability can have negative impact on operations – both patient wait time and staff overtime – if not managed well. From an appointment scheduling optimization perspective, this problem has a unique structure because a single server (a nurse) attends to multiple customers (patients) at one time. Based on our observations at the University of Michigan Comprehensive Cancer Center (UMCCC) and collaborations with clinicians there, we present a two-stage stochastic integer program for designing patient appointment schedules under uncertainty in treatment times. The objective is to minimize a trade-off between expected patient wait times and expected total time required to treat patients. We show that solving this optimization problem exactly requires a prohibitive computational time, so we develop a heuristic algorithm to find approximate solutions. We also present an approach to compute lower bounds on the optimal objective value that we use to analyze the performance of our algorithm. Computational experiments based on real-world data are presented and used to draw managerial insights.



Flexible Automation And Intelligent Manufacturing Establishing Bridges For More Sustainable Manufacturing Systems


Flexible Automation And Intelligent Manufacturing Establishing Bridges For More Sustainable Manufacturing Systems
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Author : Francisco J. G. Silva
language : en
Publisher: Springer Nature
Release Date : 2023-09-25

Flexible Automation And Intelligent Manufacturing Establishing Bridges For More Sustainable Manufacturing Systems written by Francisco J. G. Silva and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-09-25 with Technology & Engineering categories.


This book reports on cutting-edge research and developments in manufacturing, giving a special emphasis to solutions fostering automation, sustainability and health, safety and well-being at work. Topics cover manufacturing process analysis and optimization, supply chain management, quality control, as well as human factors and logistics. They highlight the role and advantages of intelligent systems and technologies, discussing current best-practices and challenges to cope with in the near future. Based on proceedings of the 32nd edition of the International Conference on Flexible Automation and Intelligent Manufacturing, FAIM 2023, held on June 18–22, 2023, in Porto, Portugal, this second volume of a 2-volume set provides academics and professionals with extensive information on innovative strategies for industrial management in the era of industry 5.0.



Optimization And Decision Science Methodologies And Applications


Optimization And Decision Science Methodologies And Applications
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Author : Antonio Sforza
language : en
Publisher: Springer
Release Date : 2017-11-03

Optimization And Decision Science Methodologies And Applications written by Antonio Sforza and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-11-03 with Mathematics categories.


This proceedings volume highlights the state-of-the-art knowledge related to optimization, decisions science and problem solving methods, as well as their application in industrial and territorial systems. It includes contributions tackling these themes using models and methods based on continuous and discrete optimization, network optimization, simulation and system dynamics, heuristics, metaheuristics, artificial intelligence, analytics, and also multiple-criteria decision making. The number and the increasing size of the problems arising in real life require mathematical models and solution methods adequate to their complexity. There has also been increasing research interest in Big Data and related challenges. These challenges can be recognized in many fields and systems which have a significant impact on our way of living: design, management and control of industrial production of goods and services; transportation planning and traffic management in urban and regional areas; energy production and exploitation; natural resources and environment protection; homeland security and critical infrastructure protection; development of advanced information and communication technologies. The chapters in this book examine how to deal with new and emerging practical problems arising in these different fields through the presented methodologies and their applications. The chapter topics are applicable for researchers and practitioners working in these areas, but also for the operations research community. The contributions were presented during the international conference “Optimization and Decision Science” (ODS2017), held at Hilton Sorrento Palace Conference Center, Sorrento, Italy, September 4 – 7, 2017. ODS 2017, was organized by AIRO, Italian Operations Research Society, in cooperation with DIETI (Department of Electrical Engineering and Information Technology) of University “Federico II” of Naples.



Handbook Of Healthcare Operations Management


Handbook Of Healthcare Operations Management
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Author : Brian T. Denton
language : en
Publisher: Springer Science & Business Media
Release Date : 2013-02-28

Handbook Of Healthcare Operations Management written by Brian T. Denton and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-02-28 with Business & Economics categories.


From the Preface: Collectively, the chapters in this book address application domains including inpatient and outpatient services, public health networks, supply chain management, and resource constrained settings in developing countries. Many of the chapters provide specific examples or case studies illustrating the applications of operations research methods across the globe, including Africa, Australia, Belgium, Canada, the United Kingdom, and the United States. Chapters 1-4 review operations research methods that are most commonly applied to health care operations management including: queuing, simulation, and mathematical programming. Chapters 5-7 address challenges related to inpatient services in hospitals such as surgery, intensive care units, and hospital wards. Chapters 8-10 cover outpatient services, the fastest growing part of many health systems, and describe operations research models for primary and specialty care services, and how to plan for patient no-shows. Chapters 12 – 16 cover topics related to the broader integration of health services in the context of public health, including optimizing the location of emergency vehicles, planning for mass vaccination events, and the coordination among different parts of a health system. Chapters 17-18 address supply chain management within hospitals, with a focus on pharmaceutical supply management, and the challenges of managing inventory for nursing units. Finally, Chapters 19-20 provide examples of important and emerging research in the realm of humanitarian logistics.



Patient Flow


Patient Flow
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Author : Randolph Hall
language : en
Publisher: Springer
Release Date : 2016-08-27

Patient Flow written by Randolph Hall and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-08-27 with Business & Economics categories.


This book is dedicated to improving healthcare through reducing delays experienced by patients. With an interdisciplinary approach, this new edition, divided into five sections, begins by examining healthcare as an integrated system. Chapter 1 provides a hierarchical model of healthcare, rising from departments, to centers, regions and the “macro system.” A new chapter demonstrates how to use simulation to assess the interaction of system components to achieve performance goals, and Chapter 3 provides hands-on methods for developing process models to identify and remove bottlenecks, and for developing facility plans. Section 2 addresses crowding and the consequences of delay. Two new chapters (4 and 5) focus on delays in emergency departments, and Chapter 6 then examines medical outcomes that result from waits for surgeries. Section 3 concentrates on management of demand. Chapter 7 presents breakthrough strategies that use real-time monitoring systems for continuous improvement. Chapter 8 looks at the patient appointment system, particularly through the approach of advanced access. Chapter 9 concentrates on managing waiting lists for surgeries, and Chapter 10 examines triage outside of emergency departments, with a focus on allied health programs Section 4 offers analytical tools and models to support analysis of patient flows. Chapter 11 offers techniques for scheduling staff to match patterns in patient demand. Chapter 12 surveys the literature on simulation modeling, which is widely used for both healthcare design and process improvement. Chapter 13 is new and demonstrates the use of process mapping to represent a complex regional trauma system. Chapter 14 provides methods for forecasting demand for healthcare on a region-wide basis. Chapter 15 presents queueing theory as a method for modeling waits in healthcare, and Chapter 16 focuses on rapid delivery of medication in the event of a catastrophic event. Section 5 focuses on achieving change. Chapter 17 provides a diagnostic for assessing the state of a hospital and using the state assessment to select improvement strategies. Chapter 18 demonstrates the importance of optimizing care as patients transition from one care setting to the next. Chapter 19 is new and shows how to implement programs that improve patient satisfaction while also improving flow. Chapter 20 illustrates how to evaluate the overall portfolio of patient diagnostic groups to guide system changes, and Chapter 21 provides project management tools to guide the execution of patient flow projects.



Cancer Chemotherapy


Cancer Chemotherapy
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Author : Margaret Barton-Burke
language : en
Publisher: Jones & Bartlett Learning
Release Date : 2001

Cancer Chemotherapy written by Margaret Barton-Burke and has been published by Jones & Bartlett Learning this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001 with Medical categories.


An excellent resource for nurses caring for patients receiving chemotherapy, this Third Edition has been revised to include new chapters on the care of the pediatric oncology patient, chemotherapy in the elderly, and new frontiers in chemotherapy. Information essential to safe drug delivery is combined with the essentials of nursing diagnosis, which focuses on minimizing toxic effects and managing side effects.



Mathematical Models Of Cancer And Different Therapies


Mathematical Models Of Cancer And Different Therapies
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Author : Regina Padmanabhan
language : en
Publisher: Springer Nature
Release Date : 2020-10-31

Mathematical Models Of Cancer And Different Therapies written by Regina Padmanabhan and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-10-31 with Technology & Engineering categories.


This book provides a unified framework for various currently available mathematical models that are used to analyze progression and regression in cancer development, and to predict its dynamics with respect to therapeutic interventions. Accurate and reliable model representations of cancer dynamics are milestones in the field of cancer research. Mathematical modeling approaches are becoming increasingly common in cancer research, as these quantitative approaches can help to validate hypotheses concerning cancer dynamics and thus elucidate the complexly interlaced mechanisms involved. Even though the related conceptual and technical information is growing at an exponential rate, the application of said information and realization of useful healthcare devices are lagging behind. In order to remedy this discrepancy, more interdisciplinary research works and course curricula need to be introduced in academic, industrial, and clinical organizations alike. To that end, this book reformulates most of the existing mathematical models as special cases of a general model, allowing readers to easily get an overall idea of cancer dynamics and its modeling. Moreover, the book will help bridge the gap between biologists and engineers, as it brings together cancer dynamics, the main steps involved in mathematical modeling, and control strategies developed for cancer management. This also allows readers in both medical and engineering fields to compare and contrast all the therapy-based models developed to date using a single source, and to identify unexplored research directions.



Cooking For Geeks


Cooking For Geeks
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Author : Jeff Potter
language : en
Publisher: "O'Reilly Media, Inc."
Release Date : 2010-07-20

Cooking For Geeks written by Jeff Potter and has been published by "O'Reilly Media, Inc." this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-07-20 with Cooking categories.


Are you the innovative type, the cook who marches to a different drummer -- used to expressing your creativity instead of just following recipes? Are you interested in the science behind what happens to food while it's cooking? Do you want to learn what makes a recipe work so you can improvise and create your own unique dish? More than just a cookbook, Cooking for Geeks applies your curiosity to discovery, inspiration, and invention in the kitchen. Why is medium-rare steak so popular? Why do we bake some things at 350° F/175° C and others at 375° F/190° C? And how quickly does a pizza cook if we overclock an oven to 1,000° F/540° C? Author and cooking geek Jeff Potter provides the answers and offers a unique take on recipes -- from the sweet (a "mean" chocolate chip cookie) to the savory (duck confit sugo). This book is an excellent and intriguing resource for anyone who wants to experiment with cooking, even if you don't consider yourself a geek. Initialize your kitchen and calibrate your tools Learn about the important reactions in cooking, such as protein denaturation, Maillard reactions, and caramelization, and how they impact the foods we cook Play with your food using hydrocolloids and sous vide cooking Gain firsthand insights from interviews with researchers, food scientists, knife experts, chefs, writers, and more, including author Harold McGee, TV personality Adam Savage, chemist Hervé This, and xkcd "My own session with the book made me feel a lot more confident in my cooking." --Monica Racic,The New Yorker "I LOVE this book. It's inspiring, invigorating, and damned fun to spend time inside the mind of 'big picture' cooking. I'm Hungry!" --Adam Savage, co-host of Discovery Channel's MythBusters "In his enchanting, funny, and informative book, Cooking for Geeks (O'Reilly), Jeff Potter tells us why things work in the kitchen and why they don't." -- Barbara Hanson, NewYork Daily News



Proceeding Of International Conference On Intelligent Communication Control And Devices


Proceeding Of International Conference On Intelligent Communication Control And Devices
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Author : Rajesh Singh
language : en
Publisher: Springer
Release Date : 2016-09-17

Proceeding Of International Conference On Intelligent Communication Control And Devices written by Rajesh Singh and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-09-17 with Technology & Engineering categories.


The book presents high-quality research papers presented at the first international conference, ICICCD 2016, organised by the Department of Electronics, Instrumentation and Control Engineering of University of Petroleum and Energy Studies, Dehradun on 2nd and 3rd April, 2016. The book is broadly divided into three sections: Intelligent Communication, Intelligent Control and Intelligent Devices. The areas covered under these sections are wireless communication and radio technologies, optical communication, communication hardware evolution, machine-to-machine communication networks, routing techniques, network analytics, network applications and services, satellite and space communications, technologies for e-communication, wireless Ad-Hoc and sensor networks, communications and information security, signal processing for communications, communication software, microwave informatics, robotics and automation, optimization techniques and algorithms, intelligent transport, mechatronics system, guidance and navigation, algorithms, linear/non-linear control, home automation, sensors, smart cities, control systems, high performance computing, cognition control, adaptive control, distributed control, prediction models, hybrid control system, control applications, power system, manufacturing, agriculture cyber physical system, network control system, genetic control based, wearable devices, nano devices, MEMS, bio-inspired computing, embedded and real-time software, VLSI and embedded systems, FPGA, digital system and logic design, image and video processing, machine vision, medical imaging, and reconfigurable computing systems.



Maintenance Excellence


Maintenance Excellence
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Author : John D. Campbell
language : en
Publisher: CRC Press
Release Date : 2001-02-13

Maintenance Excellence written by John D. Campbell and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001-02-13 with Technology & Engineering categories.


Considering maintenance from a proactive, rather than reactive, perspective, Maintenance Excellence details the strategies, tools, and solutions for maximizing the productivity of physical assets—focusing on profitability potential. The editors address contemporary concerns, key terms, data requirements, critical methodologies, and essential mathematical needs. They present maintenance in a business context, review planning, measurement, feedback, and techniques related to cost, efficiency, and results, and summarize applications of tools and software from statistics and neural networks to cost-optimized models.