A hierarchical coloured Petri net model of fleet maintenance with cannibalisation

Cannibalisation refers to a maintenance action where an unserviceable part in an inoperative platform is replaced by a serviceable part of the same type from another platform. It helps a fleet meet operational requirements when spares are in short supply but leads to more maintenance tasks to be carried out. In practice, cannibalisation may be performed in an unrestricted manner, or through the use of cannibalisation birds. A cannibalisation bird is a platform which is selected as the primary source of cannibalisation, while any inoperative platform can be a cannibalisation source under the unrestricted policy. In order to aid fleet managers in making cannibalisation-related decisions, this paper presents a hierarchical coloured Petri net (HCPN) model of a fleet operation and maintenance process which considers mission-oriented operation, multiple level maintenance, multiple cannibalisation policies (no cannibalisation, unrestricted cannibalisation and cannibalisation bird), maintenance scheduling and spare inventory management. The model is applied to an example fleet to compare the effects of different cannibalisation policies on fleet performance using a number of performance measures related to reliability and maintenance and to optimise the number of cannibalisation birds used and the length of time that a platform is taken as a cannibalisation bird for the fleet

Methodological approaches to support process improvement in emergency departments: a systematic review

The most commonly used techniques for addressing each Emergency Department (ED) problem (overcrowding, prolonged waiting time, extended length of stay, excessive patient flow time, and high left-without-being-seen (LWBS) rates) were specified to provide healthcare managers and researchers with a useful framework for effectively solving these operational deficiencies. Finally, we identified the existing research tendencies and highlighted opportunities for future work. We implemented the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology to undertake a review including scholarly articles published between April 1993 and October 2019. The selected papers were categorized considering the leading ED problems and publication year. Two hundred and three (203) papers distributed in 120 journals were found to meet the inclusion criteria. Furthermore, computer simulation and lean manufacturing were concluded to be the most prominent approaches for addressing the leading operational problems in EDs. In future interventions, ED administrators and researchers are widely advised to combine Operations Research (OR) methods, quality-based techniques, and data-driven approaches for upgrading the performance of EDs. On a different tack, more interventions are required for tackling overcrowding and high left-without-being-seen rate

SIMULATING EXOGENOUS SHOCKS IN COMPLEX SUPPLY NETWORKS USING MODULAR STOCHASTIC PETRI NETS

Almost all major companies are embedded in complex, global supply networks, consisting of multiple nested supply chains, and building up a high level of complexity. Exogenous shocks on these networks (e.g. natural disasters) can directly and indirectly impact companies and even cause their entire supply network to fail. However, today it is extremely difficult for a company to predict the actual impact of an exogenous shock on its supply network. Hence, companies are not able to identify adequate counteractive measures. Therefore safeguarding measures are oftentimes insufficient or even counterproductive. This paper deals with modelling, analyzing and quantifying impacts of exogenous shocks on supply networks using Petri Nets. It provides means to simulate the vulnerability of different network constellations regarding exogenous influences. In order to evaluate the proposed method, we simulate different intensities of an exogenous shock delaying the delivery for an exemplary supply network. We thereby illustrate which results could be yielded from a real-world application. For our exemplary network we find that the marginal effect of a disruption declines with an increasing intensity of shock. Moreover, the impact of shocks can be mitigated by appropriate counteractive measures like in this example by an increased safety margin of stock

Decision systems : the relation between problem specification and mathematical analysis

In this paper it is demonstrated that automated support for decision making of a tactical or strategic nature requires a solver-independent medium for describing decision situations. Such a medium may be specific for one environment, but it is also possible to develop media for certain types of environments. By using such a medium one obtains a decoupling of problem formulation and method of analysis. This makes it possible to use (parts of) the problem formulation as input for different types of models. Such problem formulations may provide mathematical models themselves, although they might also contain some less formal features. The decoupling makes it possible to choose problem formulations which are much closer to the original decision situation than would otherwise be possible with formulations in terms of a preselected solver. The argumentation is illustrated by treating a language for specifying goods flow problems in some detail. This language is based on timed coloured Petri-nets

Modelling and simulation of blood collection systems: improvement of human resources allocation for better cost-effectiveness and reduction of candidate donor abandonment

International audienceFormal Petri net models were used to describe all relevant donor flows of the various blood collection systems; the Petri net models were converted onto discrete-event simulation models, allowing the evaluation of a large number of scenarios and configurations of blood collection systems. Quantitative models were proposed that encompassed all components of the blood collection systems, such as the donor arrival process, resource capacities and performance indicators. Appropriate experimental designs and cost-effectiveness analyses were used to determine the best configurations of human resources and donor appointment strategies

Redesigning the Barranquilla's public emergency care network to improve the patient waiting time

Tesis por compendio[ES] La oportunidad en la atención es uno de los críticos de mayor relevancia en la satisfacción de los pacientes que acuden a los servicios de Urgencias. Por tal motivo, las instituciones prestadoras de servicio y las organizaciones gubernamentales deben propender conjuntamente por una atención cada vez más oportuna a costos operacionales razonables. En el caso de la Red Pública en Servicios de Urgencias de Barrannquilla, compuesta por 8 puntos de atención y 2 hospitales, la tendencia marca un continuo crecimiento de la oportunidad en la atención con una tasa de 3,08 minutos/semestre y una probabilidad del 93,13% de atender a los pacientes después de una espera mayor a 30 minutos. Lo anterior se constituye en un síntoma inequívoco de la incapacidad de la Red para satisfacer los estándares de oportunidad establecidos por el Ministerio de Salud, hecho que podría desencadenar el desarrollo de sintomatologías de mayor complejidad, el incremento de la probabilidad de mortalidad, el requerimiento de servicios clínicos más complejos (hospitalización y cuidados intensivos) y el aumento de los costos asociados al servicio. En consecuencia, la presente tesis doctoral presenta el rediseño de la Red Pública en Servicios de Urgencias anteriormente mencionada a fin de otorgar a la población diana un servicio eficiente y altamente oportuno donde tanto las instituciones prestadoras del servicio como los organismos gubernamentales converjan efectivamente. Para ello, fue necesaria la ejecución de 4 grandes fases a través de las cuales se consolidó una propuesta orientada al desarrollo efectivo y sostenible de las operaciones de la Red. Primero, se caracterizó la Red Pública de Servicios de Urgencias en Salud considerando su comportamiento actual en términos de demanda y oportunidad de la atención. Luego, a través de una revisión sistemática de la literatura, se identificaron los enfoques metodológicos que se han implementado para la mejora de la oportunidad y otros indicadores de rendimiento asociados al servicio de Urgencias. Posteriormente, se diseñó una metodología para la creación de redes de Urgencias eficientes y sostenibles la cual luego se validó en la Red Pública sudamericana a fin de disminuir la oportunidad de atención promedio en Urgencias y garantizar la distribución equitativa de los beneficios financieros derivados de la colaboración. Finalmente, se construyó un modelo multicriterio que permitió evaluar el rendimiento de los departamentos de Urgencia e impulsó la creación de estrategias de mejora focalizadas en incrementar su respuesta ante la demanda cambiante, los críticos de satisfacción y las condiciones de operación estipuladas en la ley. Los resultados de esta aplicación evidenciaron que los pacientes que acceden a la Red tienden a esperar en promedio 201,6 min con desviación de estándar de 81,6 min antes de ser atendidos por urgencia. Por otro lado, de acuerdo con la revisión de literatura, la combinación de técnicas de investigación de operaciones, ingeniería de la calidad y analítica de datos es ampliamente recomendada para abordar este problema. En ese sentido, una metodología basada en modelos colaterales de pago, simulación de procesos y lean seis sigma fue propuesta y validada generando un rediseño de Red cuya oportunidad de atención promedio podría disminuir entre 6,71 min y 9,08 min con beneficios financieros promedio de US$29,980/nodo. En último lugar, un modelo compuesto por 8 criterios y 35 sub-criterios fue diseñado para evaluar el rendimiento general de los departamentos de Urgencias. Los resultados del modelo evidenciaron el rol crítico de la infraestructura (Peso global = 21,5i garantir la distribució equitativa dels beneficis financers derivats de la col´laboració. Finalment, es va construir un model multicriteri que va permetre avaluar el rendiment dels departaments d'Urgència i va impulsar la creació d'estratègies de millora focalitzades en incrementar la seva resposta davant la demanda canviant, els crítics de satisfacció i les condicions d'operació estipulades en la llei. Els resultats d'aquesta aplicació van evidenciar que els pacients que accedeixen a la Xarxa tendeixen a esperar de mitjana 201,6 min amb desviació d'estàndard de 81,6 min abans de ser atesos per urgència. D'altra banda, d'acord amb la revisió de literatura, la combinació de tècniques d'investigació d'operacions, enginyeria de la qualitat i analítica de dades és àmpliament recomanada per abordar aquest problema. En aquest sentit, una metodologia basada en models col´laterals de pagament, simulació de processos i llegeixin 6 sigma va ser proposada i validada generant un redisseny de Xarxa la oportunitat d'atenció mitjana podria disminuir entre 6,71 min i 9,08 min amb beneficis financers mitjana d'US$ 29,980 / node. En darrer lloc, un model compost per 8 criteris i 35 sub-criteris va ser dissenyat per avaluar el rendiment general dels departaments d'Urgències. Els resultats de el model evidenciar el paper crític de la infraestructura (Pes global = 21,5%) en el rendiment dels departaments d'Urgència i la naturalesa interactiva de la Seguretat de l'Pacient (C + R = 12,771).[EN] Waiting time is one of the most critical measures in the satisfaction of patients admitted within emergency departments. Therefore, hospitals and governmental organizations should jointly aim to provide timely attention at reasonable costs. In the case of Barranquilla's Pubic Emergency Service Network, composed by 8 Points of care (POCs) and 2 hospitals, the trend evidences a continuous growing of the waiting time with a rate of 3,08 min/semester and a 93,13% likelihood of serving patients after waiting for more than 30 minutes. This is an unmistakable symptom of the network inability for satisfying the standards established by the Ministry of Health, which may trigger the development of more complex symptoms, increase in the death rate, requirement for more complex clinical services (hospitalization and intensive care unit) and increased service costs. This doctoral dissertation then illustrates the redesign of the aforementioned Public Emergency Service Network aiming at providing the target population with an efficient and highly timely service where both hospitals and governmental institutions effectively converge. It was then necessary to implement a 4-phase methodology consolidating a proposal oriented to the effective and sustainable development of network operations. First, the Public Emergency Service Network was characterized considering its current behavior in terms of demand and waiting time. A systematic literature review was then undertaken for identifying the methodological approaches that have been implementing for improving the waiting time and other performance indicators associated with the emergency care service. Following this, a methodology for the creation of efficient and sustainable emergency care networks was designed and later validated in the Southamerican Public network for lessening the average waiting time and ensuring the equitable distribution of profits derived from the collaboration. Ultimately, a multicriteria decision-making model was created for assessing the performance of the emergency departments and propelling the design of improvement strategies focused on bettering the response against the changing demand conditions, critical to satisfaction and operational conditions. The results evidenced that the patients accessing to the network tend to wait 201,6 min on average with a standard deviation of 81,6 min before being served by the emergency care unit. On the other hand, based on the reported literature, it is highly suggested to combine Operations Research (OR) methods, quality-based techniques, and data-driven approaches for addressing this problem. In this sense, a methodology based on collateral payment models, Discrete-event simulation, and Lean Six Sigma was proposed and validated resulting in a redesigned network whose average waiting time may diminish between 6,71 min and 9,08 min with an average profit US$29,980/node. Lately, a model comprising of 8 criteria and 35 sub-criteria was designed for evaluating the overall performance of emergency departments. The model outcomes revealed the critical role of Infrastructure (Global weight = 21,5%) in ED performance and the interactive nature of Patient Safety (C + R = 12,771).Ortíz Barrios, MÁ. (2020). Redesigning the Barranquilla's public emergency care network to improve the patient waiting time [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/156215TESISCompendi

Simulation modelling of service contracts within the context of Product-Service Systems (PSS).

This thesis deals with the decision support tools for service contracting within the context of Product-Service Systems (PSS). The research contributes to the modelling constructs that can support modellers in developing service contract simulation models in an effective and efficient manner. Overall, the models can assist manufacturers to understand implications of contracting decisions that may either lead to profitable solutions or loss of business opportunities. PSS is recognised as a survival strategy for many manufacturers to sustain their market competitiveness. It is an emerging manufacturing paradigm that integrates services into products to ensure the required capability or availability of products. This concept is often delivered as long-term service contracts which can be made in separation or together with product acquisition. As the contracts can span over decades, the manufacturers need to absorb the future risks. For this reason, a decision support tool that allows the risks and rewards to be visualised and ultimately support contract design is in urgent need. However, PSS has various characteristics beyond the traditional product-selling businesses and involves potential dynamic behaviour. Existing tools are inadequate to effectively analyse the issues and also to be reused across cases or during the contract delivery phase. For this reason, this thesis intends to provide modelling constructs that enhance effective and efficient development of simulation models for PSS offerings To accomplish this aim, various simulation modelling techniques have been first explored from the literature and through the practical model developments to identify the backbone of the constructs. The hybrid Discrete-Event Simulation and Agent-Based Simulation has subsequently been selected as the most suitable technique to represent the PSS cases. This technique was applied in four reported cases to generalise the modelling approach. All the developed models have been verified and validated using several methods. The approach was then analysed and refined to enhance efficiency in building models. The refined approach was used to form the modelling constructs. The constructs were validated using three other cases and tested by three other modellers with different simulation background. The results have demonstrated the applicability, practicality, feasibility, and efficiency of the constructs. The outcomes of this research are the final modelling constructs which provide significant contributions academically and practically. Academically, this research provides a new way of capturing PSS characteristics and dynamic behaviour, and brings together PSS theoretical research, operational planning and decision support tools. Practically, manufacturers can effectively analyse the implication of service contracts and modellers can rapidly develop service contract simulation models

Planning and control of autonomous mobile robots for intralogistics: Literature review and research agenda

Autonomous mobile robots (AMR) are currently being introduced in many intralogistics operations, like manufacturing, warehousing, cross-docks, terminals, and hospitals. Their advanced hardware and control software allow autonomous operations in dynamic environments. Compared to an automated guided vehicle (AGV) system in which a central unit takes control of scheduling, routing, and dispatching decisions for all AGVs, AMRs can communicate and negotiate independently with other resources like machines and systems and thus decentralize the decision-making process. Decentralized decision-making allows the system to react dynamically to changes in the system state and environment. These developments have influenced the traditional methods and decision-making processes for planning and control. This study identifies and classifies research related to the planning and control of AMRs in intralogistics. We provide an extended literature review that highlights how AMR technological advances affect planning and control decisions. We contribute to the literature by introducing an AMR planning and control framework t