IDEAS home Printed from https://ideas.repec.org/a/eee/ejores/v198y2009i3p936-942.html
   My bibliography  Save this article

Simulation optimization for an emergency department healthcare unit in Kuwait

Author

Listed:
  • Ahmed, Mohamed A.
  • Alkhamis, Talal M.

Abstract

This paper integrates simulation with optimization to design a decision support tool for the operation of an emergency department unit at a governmental hospital in Kuwait. The hospital provides a set of services for different categories of patients. We present a methodology that uses system simulation combined with optimization to determine the optimal number of doctors, lab technicians and nurses required to maximize patient throughput and to reduce patient time in the system subject to budget restrictions. The major objective of this decision supporting tool is to evaluate the impact of various staffing levels on service efficiency. Experimental results show that by using current hospital resources, the optimization simulation model generates optimal staffing allocation that would allow 28% increase in patient throughput and an average of 40% reduction in patients' waiting time.

Suggested Citation

  • Ahmed, Mohamed A. & Alkhamis, Talal M., 2009. "Simulation optimization for an emergency department healthcare unit in Kuwait," European Journal of Operational Research, Elsevier, vol. 198(3), pages 936-942, November.
  • Handle: RePEc:eee:ejores:v:198:y:2009:i:3:p:936-942
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0377-2217(08)00960-0
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Sigrún Andradóttir, 1995. "A Method for Discrete Stochastic Optimization," Management Science, INFORMS, vol. 41(12), pages 1946-1961, December.
    2. Mahmoud H. Alrefaei & Sigrún Andradóttir, 1999. "A Simulated Annealing Algorithm with Constant Temperature for Discrete Stochastic Optimization," Management Science, INFORMS, vol. 45(5), pages 748-764, May.
    3. John Butler & Douglas J. Morrice & Peter W. Mullarkey, 2001. "A Multiple Attribute Utility Theory Approach to Ranking and Selection," Management Science, INFORMS, vol. 47(6), pages 800-816, June.
    4. M. J. Ferreira De Oliveira, 1999. "3d Visual Simulation Platform For The Project Of A New Hospital Facility," World Scientific Book Chapters, in: V De Angelis & N Ricciardi & G Storchi (ed.), Monitoring, Evaluating, Planning Health Services, chapter 4, pages 39-52, World Scientific Publishing Co. Pte. Ltd..
    5. De Angelis, Vanda & Felici, Giovanni & Impelluso, Paolo, 2003. "Integrating simulation and optimisation in health care centre management," European Journal of Operational Research, Elsevier, vol. 150(1), pages 101-114, October.
    6. Steffen Flessa, 2000. "Where efficiency saves lives: A linear programme for the optimal allocation of health care resources in developing countries," Health Care Management Science, Springer, vol. 3(3), pages 249-267, June.
    7. Justin Boesel & Barry L. Nelson & Seong-Hee Kim, 2003. "Using Ranking and Selection to “Clean Up” after Simulation Optimization," Operations Research, INFORMS, vol. 51(5), pages 814-825, October.
    8. Huguette Beaulieu & Jacques Ferland & Bernard Gendron & Philippe Michelon, 2000. "A mathematical programming approach for scheduling physicians in the emergency room," Health Care Management Science, Springer, vol. 3(3), pages 193-200, June.
    9. Alkhamis, Talal M. & Ahmed, Mohamed A. & Tuan, Vu Kim, 1999. "Simulated annealing for discrete optimization with estimation," European Journal of Operational Research, Elsevier, vol. 116(3), pages 530-544, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Rosen, Scott L. & Harmonosky, Catherine M. & Traband, Mark T., 2007. "A simulation optimization method that considers uncertainty and multiple performance measures," European Journal of Operational Research, Elsevier, vol. 181(1), pages 315-330, August.
    2. De Angelis, Vanda & Felici, Giovanni & Impelluso, Paolo, 2003. "Integrating simulation and optimisation in health care centre management," European Journal of Operational Research, Elsevier, vol. 150(1), pages 101-114, October.
    3. Satyajith Amaran & Nikolaos V. Sahinidis & Bikram Sharda & Scott J. Bury, 2016. "Simulation optimization: a review of algorithms and applications," Annals of Operations Research, Springer, vol. 240(1), pages 351-380, May.
    4. Jürgen Branke & Stephen E. Chick & Christian Schmidt, 2007. "Selecting a Selection Procedure," Management Science, INFORMS, vol. 53(12), pages 1916-1932, December.
    5. L. Jeff Hong & Barry L. Nelson, 2006. "Discrete Optimization via Simulation Using COMPASS," Operations Research, INFORMS, vol. 54(1), pages 115-129, February.
    6. Tsai, Shing Chih & Chen, Sin Ting, 2017. "A simulation-based multi-objective optimization framework: A case study on inventory management," Omega, Elsevier, vol. 70(C), pages 148-159.
    7. Alrefaei, Mahmoud H. & Alawneh, Ameen J., 2005. "Solution quality of random search methods for discrete stochastic optimization," Mathematics and Computers in Simulation (MATCOM), Elsevier, vol. 68(2), pages 115-125.
    8. Elvan Gökalp & Nalan Gülpınar & Xuan Vinh Doan, 2020. "Capacity Planning for Networks of Stem‐Cell Donation Centers under Uncertainty," Production and Operations Management, Production and Operations Management Society, vol. 29(2), pages 281-297, February.
    9. Angun, M.E., 2004. "Black box simulation optimization : Generalized response surface methodology," Other publications TiSEM 2548e953-54ce-44e2-8c5b-7, Tilburg University, School of Economics and Management.
    10. Lee, Loo Hay & Chew, Ek Peng & Teng, Suyan & Chen, Yankai, 2008. "Multi-objective simulation-based evolutionary algorithm for an aircraft spare parts allocation problem," European Journal of Operational Research, Elsevier, vol. 189(2), pages 476-491, September.
    11. David Rea & Craig Froehle & Suzanne Masterson & Brian Stettler & Gregory Fermann & Arthur Pancioli, 2021. "Unequal but Fair: Incorporating Distributive Justice in Operational Allocation Models," Production and Operations Management, Production and Operations Management Society, vol. 30(7), pages 2304-2320, July.
    12. Weihong Cai & Fengxi Duan, 2023. "Task Scheduling for Federated Learning in Edge Cloud Computing Environments by Using Adaptive-Greedy Dingo Optimization Algorithm and Binary Salp Swarm Algorithm," Future Internet, MDPI, vol. 15(11), pages 1-23, October.
    13. Niyirora, Jerome & Zhuang, Jun, 2017. "Fluid approximations and control of queues in emergency departments," European Journal of Operational Research, Elsevier, vol. 261(3), pages 1110-1124.
    14. Vadim Lesnevski & Barry L. Nelson & Jeremy Staum, 2007. "Simulation of Coherent Risk Measures Based on Generalized Scenarios," Management Science, INFORMS, vol. 53(11), pages 1756-1769, November.
    15. Young-Chae Hong & Amy Cohn & Stephen Gorga & Edmond O’Brien & William Pozehl & Jennifer Zank, 2019. "Using Optimization Techniques and Multidisciplinary Collaboration to Solve a Challenging Real-World Residency Scheduling Problem," Interfaces, INFORMS, vol. 49(3), pages 201-212, May.
    16. Kaya, Onur & Teymourifar, Aydin & Ozturk, Gurkan, 2020. "Analysis of different public policies through simulation to increase total social utility in a healthcare system," Socio-Economic Planning Sciences, Elsevier, vol. 70(C).
    17. Shamsuddin Ahmed, 2013. "Performance of derivative free search ANN training algorithm with time series and classification problems," Computational Statistics, Springer, vol. 28(5), pages 1881-1914, October.
    18. Wang, Honggang, 2012. "Retrospective optimization of mixed-integer stochastic systems using dynamic simplex linear interpolation," European Journal of Operational Research, Elsevier, vol. 217(1), pages 141-148.
    19. Sigrún Andradóttir & Andrei A. Prudius, 2009. "Balanced Explorative and Exploitative Search with Estimation for Simulation Optimization," INFORMS Journal on Computing, INFORMS, vol. 21(2), pages 193-208, May.
    20. Sanjay Mehrotra & Hamed Rahimian & Masoud Barah & Fengqiao Luo & Karolina Schantz, 2020. "A model of supply‐chain decisions for resource sharing with an application to ventilator allocation to combat COVID‐19," Naval Research Logistics (NRL), John Wiley & Sons, vol. 67(5), pages 303-320, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:ejores:v:198:y:2009:i:3:p:936-942. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/eor .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.