Mobile blood donation logistics : case for Turkish Red Crescent

Ankara : The Department of Industrial Engineering and the Graduate School of Engineering and Science of Bilkent University, 2012.Thesis (Master's) -- Bilkent University, 2012.Includes bibliographical refences.Blood transfusion is one of the most critical operations in various medical interventions. Currently, the only authorized way of securing the required blood for transfusion is through voluntary donations. For this reason, reorganizing blood donation operations to create an operable and efficient system is of utmost importance. In this study, a mobile blood collection system is designed for Turkish Red Crescent (TRC) to increase blood collection levels. This design also takes into account operational costs as a second objective so as to aim the collection of large amounts of blood at reasonable cost. In the current system, TRC has bloodmobiles that perform independent direct tours to certain activities (fairs, college fests etc.), but at the end of each day, they bring the collected blood to a designated depot to prevent its spoilage. Considering blood’s considerably short shelf-life of 24 hrs, these direct tours may seem justifiable yet they are not efficient in terms of logistics costs. The proposed system consists of classic bloodmobiles and a new vehicle – called the shuttle – which visits the bloodmobiles in the field and transfers the collected blood to the blood centers, so that bloodmobiles can continue their tours without having to make daily returns to the depot. A mathematical model is developed to determine the stops of bloodmobiles, the duration of each visit as well as the tours of the bloodmobiles and the shuttle. In the literature, a study that covers all these decisions does not exist. Therefore, a new extension of Selective Vehicle Routing Problem (SVRP) is defined, called SVRP with Integrated Tours. Also, a 2-stage IP based heuristic algorithm is developed for the same problem. The performances of these methodologies are tested on the data set obtained from past blood donation activities in Ankara. In addition, GIS data of the European part of Istanbul is used as a constructed test case. The Pareto set of optimum solutions is generated based on blood amounts and logistics costs, and finally a sensitivity analysis on some important design parameters is conducted.Şahinyazan, Feyza GülizM.S

Selective vehicle routing for a mobile blood donation system

In this study, a mobile blood collection system is designed with the primary objective of increasing blood collection levels. This design also takes into account operational costs to aim for collection of large amounts of blood at reasonable cost. Bloodmobiles perform direct tours to certain activities to collect blood, but at the end of each day, they bring the collected blood to a designated depot to prevent its spoilage. The proposed system consists of the bloodmobiles and a new vehicle called the shuttle that visits the bloodmobiles in the field on each day and transfers the collected blood to the depot. Consequently, bloodmobiles can continue their tours without having to make daily returns to the depot. We propose a mathematical model and a 2-stage IP based heuristic algorithm to determine the tours of the bloodmobiles and the shuttle, and their lengths of stay at each stop. This new problem is defined as an extension of the Selective Vehicle Routing Problem and is referred to as the SVRP with Integrated Tours. The performances of the solution methodologies are tested first on a real data set obtained from past blood donation activities of Turkish Red Crescent in Ankara, and then on a constructed data set based on GIS data of the European part of Istanbul. The Pareto set of optimum solutions is generated based on blood amounts and logistics costs, and finally a sensitivity analysis on some important design parameters is conducted. © 2015 Elsevier B.V. All rights reserved

Integrated Production and Distribution planning of perishable goods

Tese de doutoramento. Programa Doutoral em Engenharia Industrial e Gestão. Faculdade de Engenharia. Universidade do Porto. 201

Modelling and (re-)planning periodic home social care services with loyalty and non-loyalty features

This work was partially supported by the Fundacao para a Ciencia e a Tecnologia (Portuguese Foundation for Science and Technology) through the project UID/MAT/00297/2019 (Centro de Matematica e Aplicacees).The aging population alongside little availability of informal care are two of the several factors leading to an increased need for assisted living support. In this work, we tackle a home social care service problem, motivated by two real case studies where a new loyalty scheme must be considered: within a week, patient-caregiver loyalty should be pursued but, between weeks, the caregivers must rotate among patients (non-loyalty). In addition, a common situation in this kind of service is also addressed: the need of a constant re-planning caused by the leaving of patients and the arrival of new ones. This new plan should be such that minimum disturbance is caused to the visiting hours of current patients, the caregivers’ travelling time between visits is minimized, and the workload is balanced among caregivers. A multi-objective optimization approach based on mixed-integer models is developed. Results on the two real case studies show that both institutions can efficiently re-plan their activities without much disturbance on the visits of their patients, and with a patient-caregiver loyalty scheme suiting their needs.authorsversionpublishe

Evolutionary computing for routing and scheduling applications

Ph.DDOCTOR OF PHILOSOPH

Dynamically accepting and scheduling patients for home healthcare

Importance of home healthcare is growing rapidly since populations of developed and even developing countries are getting older quickly and the number of hospitals, retirement homes, and medical staff do not increase at the same rate. We present Scenario Based Approach (SBA) for the Home Healthcare Nurse Scheduling Problem. In this problem, arrivals of patients are dynamic and acceptance and appointment time decisions have to be made as soon as patients arrive. The primary objective is to maximise the average number of daily visits. For the sake of service continuity, patients have to be visited at the same days and times each week during their service horizon. SBA is basically a simulation procedure based on generating several scenarios and scheduling new customers with a simple but fast heuristic. Then results are analysed to decide whether to accept the new patient and at which appointment day/time. First, two different versions of SBA, Daily and Weekly SBA are developed and analysed for a single nurse. We compare Daily SBA to two greedy heuristics from the literature, distance and capacity based, and computational studies show that Daily SBA makes significant improvements compared to these other two methods for a single nurse. Next, we extend SBA for a multi-nurse case. SBA is compared to a greedy heuristic under different conditions such as same depot case where nurses start their visits from and return to same place, clustered service area, and nurses with different qualification level. SBA gives superior results under all experiment conditions compared to the greedy heuristic

An Optimisation-based Framework for Complex Business Process: Healthcare Application

The Irish healthcare system is currently facing major pressures due to rising demand, caused by population growth, ageing and high expectations of service quality. This pressure on the Irish healthcare system creates a need for support from research institutions in dealing with decision areas such as resource allocation and performance measurement. While approaches such as modelling, simulation, multi-criteria decision analysis, performance management, and optimisation can – when applied skilfully – improve healthcare performance, they represent just one part of the solution. Accordingly, to achieve significant and sustainable performance, this research aims to develop a practical, yet effective, optimisation-based framework for managing complex processes in the healthcare domain. Through an extensive review of the literature on the aforementioned solution techniques, limitations of using each technique on its own are identified in order to define a practical integrated approach toward developing the proposed framework. During the framework validation phase, real-time strategies have to be optimised to solve Emergency Department performance issues in a major hospital. Results show a potential of significant reduction in patients average length of stay (i.e. 48% of average patient throughput time) whilst reducing the over-reliance on overstretched nursing resources, that resulted in an increase of staff utilisation between 7% and 10%. Given the high uncertainty in healthcare service demand, using the integrated framework allows decision makers to find optimal staff schedules that improve emergency department performance. The proposed optimum staff schedule reduces the average waiting time of patients by 57% and also contributes to reduce number of patients left without treatment to 8% instead of 17%. The developed framework has been implemented by the hospital partner with a high level of success