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Most of the studies dealing with the increasing and well-known problem of Emergency Department (ED) overcrowding usually mainly focus on modeling the patient flow within a single ED, without considering the possibilities offered by the…

Optimization and Control · Mathematics 2021-08-10 Christian Piermarini , Massimo Roma

Emergency Departments (EDs) overcrowding is a well recognized worldwide phenomenon. The consequences range from long waiting times for visits and treatment of patients up to life-threatening health conditions. The international community is…

Computers and Society · Computer Science 2021-02-01 G. Fava , T. Giovannelli , M. Messedaglia , M. Roma

This paper focuses on the study of a practical management problem faced by a healthcare {\it emergency department} (ED) located in the north of Italy. The objective of our study was to propose organisational changes in the selected ED,…

Computers and Society · Computer Science 2023-09-01 Arthur Kramer , Clio Dosi , Manuel Iori , Matteo Vignoli

The objective of Emergency Medical Services (EMSs) is to promptly respond to calls from citizens for first aid, providing pre-hospital care and, if necessary, to transfer patients to an appropriate Emergency Department (ED) by ambulance.…

Systems and Control · Electrical Eng. & Systems 2026-04-28 Alberto De Santis , Stefania Iannazzo , Fabio Ingravalle , Stefano Lucidi , Massimo Maurici , Giulia Riccardi , Massimo Roma , Antonio Vinci

Ambulance Diversion (AD) is one of the possible strategies for relieving the worldwide phenomenon of Emergency Department (ED) overcrowding. It can be carried out when an ED is overloaded and consists of redirecting incoming by ambulance…

Systems and Control · Electrical Eng. & Systems 2023-09-06 Christian Piermarini , Massimo Roma

Emergency departments (ED) face challenges in patient care and resource management. We propose to explore optimization strategies in a realistic and flexible model and develop a hybrid Discrete Event Simulation (DES) and Agent-Based Model…

Artificial Intelligence · Computer Science 2026-05-14 Markus Wenzel , Tobias Strapatsas , Jessika Kress , Dorothea Sauer , Nele Gessler , Horst K. Hahn

Modeling the arrival process to an Emergency Department (ED) is the first step of all studies dealing with the patient flow within the ED. Many of them focus on the increasing phenomenon of ED overcrowding, which is afflicting hospitals all…

Optimization and Control · Mathematics 2021-01-28 A. De Santis , T. Giovannelli , S. Lucidi , M. Messedaglia , M. Roma

Emergency department (ED) crowding has been an increasing problem worldwide. Prior research has identified factors that contribute to ED crowding. However, the relationships between these remain incompletely understood. This study's…

Recently, the combination of machine learning (ML) and simulation is gaining a lot of attention. This paper presents a novel application of ML within the simulation to improve patient flow within an emergency department (ED). An ML model…

Computers and Society · Computer Science 2020-12-03 Emad Alenany , Abdessamad Ait El Cadi

A discrete-event simulation (DES) involves the execution of a sequence of event handlers dynamically scheduled at runtime. As a consequence, a priori knowledge of the control flow of the overall simulation program is limited. In particular,…

Performance · Computer Science 2018-05-14 Marc Leinweber , Hannes Hartenstein , Philipp Andelfinger

Over the past several years, across the globe, there has been an increase in people seeking care in emergency departments (EDs). ED resources, including nurse staffing, are strained by such increases in patient volume. Accurate forecasting…

Using SimPy and Discrete Event Simulation we have observed the different model responses of a system consisting of a hospital and people getting sick/healing under different initial conditions. In our model, each independent person can get…

Numerical Analysis · Mathematics 2022-03-25 Dincer Atasoy

Emergency Department (ED) overcrowding continues to be a public health issue as well as a patient safety issue. The underlying factors leading to ED crowding are numerous, varied, and complex. Although lack of in-hospital beds is frequently…

Background/Objectives: Efficient task allocation in hospital emergency departments (EDs) is critical for operational efficiency and patient care quality, yet the complexity of staff coordination poses significant challenges. This study…

Human-Computer Interaction · Computer Science 2025-10-21 Zoi Lygizou , Dimitris Kalles

Simulation models often have parameters as input and return outputs to understand the behavior of complex systems. Calibration is the process of estimating the values of the parameters in a simulation model in light of observed data from…

Methodology · Statistics 2024-11-15 Özge Sürer

Ordinary differential equations (ODEs) are widely used to model biological, (bio-)chemical and technical processes. The parameters of these ODEs are often estimated from experimental data using ODE-constrained optimisation. This article…

Optimization and Control · Mathematics 2015-11-06 Anna Fiedler , Fabian J. Theis , Jan Hasenauer

This paper is based on a case study of an IT organization in a large, US-based healthcare provider, and develops simluation models to identify areas for performance improvement. These organizations are often grouped into departments by…

Systems and Control · Electrical Eng. & Systems 2024-02-23 Eric Enos , Daniel Herber

Studies on simulation input uncertainty often built on the availability of input data. In this paper, we investigate an inverse problem where, given only the availability of output data, we nonparametrically calibrate the input models and…

Optimization and Control · Mathematics 2018-01-09 Aleksandrina Goeva , Henry Lam , Huajie Qian , Bo Zhang

This paper presents a simulation-based optimization framework for city-scale real-time estimation and calibration of dynamic demand models by focusing on disaggregated microsimulation in congested networks. The calibration approach is based…

Optimization and Control · Mathematics 2022-11-01 Mozhgan Pourmoradnasseri , Kaveh Khoshkhah , Amnir Hadachi

Metropolitan scale vehicular traffic modeling is used by a variety of private and public sector urban mobility stakeholders to inform the design and operations of road networks. High-resolution stochastic traffic simulators are increasingly…

Multiagent Systems · Computer Science 2021-09-24 Neha Arora , Yi-fan Chen , Sanjay Ganapathy , Yechen Li , Ziheng Lin , Carolina Osorio , Andrew Tomkins , Iveel Tsogsuren
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