Facilitating the analysis of a UK national blood service supply chain using distributed simulation

In an attempt to investigate blood unit ordering policies, researchers have created a discrete-event model of the UK National Blood Service (NBS) supply chain in the Southampton area of the UK. The model has been created using Simul8, a commercial-off-the-shelf discrete-event simulation package (CSP). However, as more hospitals were added to the model, it was discovered that the length of time needed to perform a single simulation severely increased. It has been claimed that distributed simulation, a technique that uses the resources of many computers to execute a simulation model, can reduce simulation runtime. Further, an emerging standardized approach exists that supports distributed simulation with CSPs. These CSP Interoperability (CSPI) standards are compatible with the IEEE 1516 standard The High Level Architecture, the defacto interoperability standard for distributed simulation. To investigate if distributed simulation can reduce the execution time of NBS supply chain simulation, this paper presents experiences of creating a distributed version of the CSP Simul8 according to the CSPI/HLA standards. It shows that the distributed version of the simulation does indeed run faster when the model reaches a certain size. Further, we argue that understanding the relationship of model features is key to performance. This is illustrated by experimentation with two different protocols implementations (using Time Advance Request (TAR) and Next Event Request (NER)). Our contribution is therefore the demonstration that distributed simulation is a useful technique in the timely execution of supply chains of this type and that careful analysis of model features can further increase performance

Commercial-off-the-shelf simulation package interoperability: Issues and futures

Commercial-Off-The-Shelf Simulation Packages (CSPs) are widely used in industry to simulate discrete-event models. Interoperability of CSPs requires the use of distributed simulation techniques. Literature presents us with many examples of achieving CSP interoperability using bespoke solutions. However, for the wider adoption of CSP-based distributed simulation it is essential that, first and foremost, a standard for CSP interoperability be created, and secondly, these standards are adhered to by the CSP vendors. This advanced tutorial is on an emerging standard relating to CSP interoperability. It gives an overview of this standard and presents case studies that implement some of the proposed standards. Furthermore, interoperability is discussed in relation to large and complex models developed using CSPs that require large amount of computing resources. It is hoped that this tutorial will inform the simulation community of the issues associated with CSP interoperability, the importance of these standards and its future

Semantic web services for simulation component reuse and interoperability: An ontology approach

Commercial-off-the-shelf (COTS) Simulation Packages (CSPs) are widely used in industry primarily due to economic factors associated with developing proprietary software platforms. Regardless of their widespread use, CSPs have yet to operate across organizational boundaries. The limited reuse and interoperability of CSPs are affected by the same semantic issues that restrict the inter-organizational use of software components and web services. The current representations of Web components are predominantly syntactic in nature lacking the fundamental semantic underpinning required to support discovery on the emerging Semantic Web. The authors present new research that partially alleviates the problem of limited semantic reuse and interoperability of simulation components in CSPs. Semantic models, in the form of ontologies, utilized by the authors’ Web service discovery and deployment architecture provide one approach to support simulation model reuse. Semantic interoperation is achieved through a simulation component ontology that is used to identify required components at varying levels of granularity (i.e. including both abstract and specialized components). Selected simulation components are loaded into a CSP, modified according to the requirements of the new model and executed. The research presented here is based on the development of an ontology, connector software, and a Web service discovery architecture. The ontology is extracted from simulation scenarios involving airport, restaurant and kitchen service suppliers. The ontology engineering framework and discovery architecture provide a novel approach to inter-organizational simulation, by adopting a less intrusive interface between participants Although specific to CSPs this work has wider implications for the simulation community. The reason being that the community as a whole stands to benefit through from an increased awareness of the state-of-the-art in Software Engineering (for example, ontology-supported component discovery and reuse, and service-oriented computing), and it is expected that this will eventually lead to the development of a unique Software Engineering-inspired methodology to build simulations in future

Supply chain management of blood products: a literature review.

This paper presents a review of the literature on inventory and supply chain management of blood products. First, we identify different perspectives on approaches to classifying the existing material. Each perspective is presented as a table in which the classification is displayed. The classification choices are exemplified through the citation of key references or by expounding the features of the perspective. The main contribution of this review is to facilitate the tracing of published work in relevant fields of interest, as well as identifying trends and indicating which areas should be subject to future research.OR in health services; Supply chain management; Inventory; Blood products; Literature review;

Bridging the gap: a standards-based approach to OR/MS distributed simulation

Pre-print version. Final version published in ACM Transactions on Modeling and Computer Simulation (TOMACS); available online at http://tomacs.acm.org/In Operations Research and Management Science (OR/MS), Discrete Event Simulation (DES) models are typically created using commercial simulation packages such as Simul8™ and SLX™. A DES model represents the processes associated with a system of interest; but, in cases where the underlying system is large and/or logically divided, the system may be conceptualized as several sub-systems. These sub-systems may belong to multiple stakeholders, and creating an all-encompassing DES model may be difficult for reasons such as, concerns among the intra- and inter-organizational stakeholders with regard to data/information sharing (e.g., security and privacy). Furthermore, issues such as model composability, data transfer/access problems and execution speed may also make a single model approach problematic. A potential solution could be to create/reuse well-defined DES models, each modeling the processes associated with one sub-system, and using distributed simulation technique to execute the models as a unified whole. Although this approach holds great promise, there are technical barriers. One such barrier is the lack of common ground between distributed simulation developers and simulation practitioners. In an attempt to bridge this gap, this paper reports on the outcome of an international standardization effort, the SISO-STD-006-2010 Standard for Commercial-Off-The-Shelf Simulation Package Interoperability References Models (IRMs). This facilitates the capture of interoperability requirements at a modeling level rather than a technical level and enables simulation practitioners and vendors to properly specify the interoperability requirements of a distributed simulation in their terms. Two distributed simulation examples are given to illustrate the use of IRMs

A game-based approach towards facilitating decision making for perishable products: an example of blood supply chain

NOTICE: this is the author’s version of a work that was accepted for publication in Expert Systems with Applications. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Expert Systems with Applications, Volume 41, Issue 9, July 2014, Pages 4043–4059 doi:10.1016/j.eswa.2013.12.038Supply chains for perishable items consist of products with a fixed shelf life and limited production/collection; managing them requires competent decision-making. With the objective of placing the learners in the position of decision-makers, we propose the Blood Supply Chain Game which simulates the supply chain of blood units from donors to patients based on a real case study modeling the UK blood supply chain. The Excel-based game is an abstraction of the technical complex simulation model providing a more appropriate learning environment. This paper presents the game’s background, its mathematical formulations, example teaching scenarios and the learners’ evaluation. The game aims to translate qualitative aspects of a sensitive supply chain into quantitative economic consequences by presenting a process analysis and suggesting solutions for the patient’s benefit in a cost effective manner, trying to synchronize blood demand and supply and maximize the value of the whole supply chain. This innovative approach will be instructive for students and healthcare service professionals

Understanding the UK hospital supply chain in an era of patient choice

Author Posting © Westburn Publishers Ltd, 2011. This is a post-peer-review, pre-copy-edit version of an article which has been published in its definitive form in the Journal of Marketing Management, and has been posted by permission of Westburn Publishers Ltd for personal use, not for redistribution. The article was published in Journal of Marketing Management, 27(3-4), 401 - 423, doi:10.1080/0267257X.2011.547084 http://dx.doi.org/10.1080/0267257X.2011.547084The purpose of this paper is to investigate the UK hospital supply chain in light of recent government policy reform where patients will have, inter alia, greater choice of hospital for elective surgery. Subsequently, the hospital system should become far more competitive with supply chains having to react to these changes as patient demand becomes less predictable. Using a qualitative case study methodology, hospital managers are interviewed on a range of issues. Views on the development of the hospital supply chain in different phases are derived, and are used to develop a map of the current hospital chain. The findings show hospital managers anticipating some significant changes to the hospital supply chain and its workings as Patient Choice expands. The research also maps the various aspects of the hospital supply chain as it moves through different operational phases and highlights underlying challenges and complexities. The hospital supply chain, as discussed and mapped in this research, is original work given there are no examples in the literature that provide holistic representations of hospital activity. At the end, specific recommendations are provided that will be of interest to service to managers, researchers, and policymakers

A Survey on Blood Storage and Distribution Systems

This paper presents a review of the literature on inventory and supply chain management of blood distribution system. First, we identify different perspectives on approaches to classifying theexisting material. Each perspective is presented as a table in which the classification is displayed. The classification choices are exemplified through the citation of key references or by expounding the features of the perspective. The main contribution of this review is to facilitate the tracing of published work in relevant fields of interest, as well as identifying trends and indicating which areas should be subject to future research

Development of a discrete event simulation model for evaluating strategies of red blood cell provision following mass casualty events

Timely and adequate provision of blood following mass casualty events (MCEs) is critical to reducing mortality rates amongst casualties transported to hospital following an event. Developing planning strategies to ensure the blood transfusion demands of casualties are met is challenging. Discrete event simulation (DES) offers a novel solution to this problem which is financially efficient, less disruptive to services and allows for rich experimentation compared to the current industry standards of live exercises, round-table discussion or tabletop planning. There are currently no published models of this type for investigating blood provision in MCEs. The objective of this study was to develop a working model which could be used to target the in-hospital 'levers' and 'supply levels' of the transfusion system and improve outcomes during the response to future events. This was achieved through the robust design of a DES model using exclusive access to qualitative and quantitative data as well as a panel of experts from the field of transfusion and MCE management. The completed model was extensively and formally evaluated with secondary data from the 7th of July 2005 London bombings, the largest UK based civilian MCE in over 50 years. A subsequent sensitivity analysis revealed the five factors displaying the greatest influence on casualty outcomes. Experimental themes based on these findings have generated new solutions for managing future events which have since been presented to MCE stakeholders and policy makers