Data-driven Decisions in Service Systems

This thesis makes contributions to help provide data-driven (or evidence-based) decision support to service systems, especially hospitals. Three selected topics are presented. First, we discuss how Little's Law, which relates average limits and expected values of stationary distributions, can be applied to service systems data that are collected over a finite time interval. To make inferences based on the indirect estimator of average waiting times, we propose methods for estimating confidence intervals and for adjusting estimates to reduce bias. We show our new methods are effective using simulations and data from a US bank call center. Second, we address important issues that need to be taken into account when testing whether real arrival data can be modeled by nonhomogeneous Poisson processes (NHPPs). We apply our method to data from a US bank call center and a hospital emergency department and demonstrate that their arrivals come from NHPPs. Lastly, we discuss an approach to standardize the Intensive Care Unit admission process, which currently lacks a well-defined criteria. Using data from nearly 200,000 hospitalizations, we discuss how we can quantify the impact of Intensive Care Unit admission on individual patient's clinical outcomes. We then use this quantified impact and a stylized model to discuss optimal admission policies. We use simulation to compare the performance of our proposed optimal policies to the current admission policy, and show that the gain can be significant

Operational Research: Methods and Applications

Throughout its history, Operational Research has evolved to include a variety of methods, models and algorithms that have been applied to a diverse and wide range of contexts. This encyclopedic article consists of two main sections: methods and applications. The first aims to summarise the up-to-date knowledge and provide an overview of the state-of-the-art methods and key developments in the various subdomains of the field. The second offers a wide-ranging list of areas where Operational Research has been applied. The article is meant to be read in a nonlinear fashion. It should be used as a point of reference or first-port-of-call for a diverse pool of readers: academics, researchers, students, and practitioners. The entries within the methods and applications sections are presented in alphabetical order. The authors dedicate this paper to the 2023 Turkey/Syria earthquake victims. We sincerely hope that advances in OR will play a role towards minimising the pain and suffering caused by this and future catastrophes

Operational research:methods and applications

Throughout its history, Operational Research has evolved to include a variety of methods, models and algorithms that have been applied to a diverse and wide range of contexts. This encyclopedic article consists of two main sections: methods and applications. The first aims to summarise the up-to-date knowledge and provide an overview of the state-of-the-art methods and key developments in the various subdomains of the field. The second offers a wide-ranging list of areas where Operational Research has been applied. The article is meant to be read in a nonlinear fashion. It should be used as a point of reference or first-port-of-call for a diverse pool of readers: academics, researchers, students, and practitioners. The entries within the methods and applications sections are presented in alphabetical order

Proceedings of Sinn und Bedeutung 21

TesisSe realizó un análisis clínico-electrocardiográfico integral de los hemibloqueos comprendiendo incidencia, edad, etiología, evaluación cuantitativa de los criterios diagnósticos, relación con los trastornos de conducción aurículo-ventricular, y pronóstico. Con tal motivo se estudiaron 221hemibloqueos encontrados en 7,130 pacientes adultos de sexo masculino en un servicio de cardiología y medicina. Los hemibloqueos fueron diagnosticados mediante los criterios señalados por Rosenbaum, Castellanos, y Prior y Blount