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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

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

Accurate modeling of the patient flow within an Emergency Department (ED) is required by all studies dealing with the increasing and well-known problem of overcrowding. Since Discrete Event Simulation (DES) models are often adopted with the…

Optimization and Control · Mathematics 2021-02-02 A. De Santis , T. Giovannelli , S. Lucidi , M. Messedaglia , M. Roma

In this paper, we address the dynamic Emergency Medical Service (EMS) systems. A dynamic location model is presented that tries to locate and relocate the ambulances. The proposed model controls the movements and locations of ambulances in…

Artificial Intelligence · Computer Science 2014-04-15 Mahdi Moeini , Zied Jemai , Evren Sahin

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

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 Medical Systems (EMS) provide crucial pre-hospital care and transportation. Faster EMS response time provides quicker pre-hospital care and thus increases survival rate. We reduce response time by providing optimal ambulance…

Applications · Statistics 2022-01-28 Joshua Ong , David Kulpanowski , Yangxinyu Xie , Evdokia Nikolova , Ngoc Mai Tran

The New York City (NYC) youth shelter system provides housing, counseling, and other support services to runaway and homeless youth and young adults (RHY). These resources reduce RHYs vulnerability to human trafficking, yet most shelters…

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

Modelling and simulation of complex systems is key to exploring and understanding social processes, benefiting from formal mechanisms to derive global-level properties from local-level interactions. In this paper we extend the body of…

Multiagent Systems · Computer Science 2021-10-18 Daniel Foguelman , Esteban Lanzarotti , Emanuel Ferreyra , Rodrigo Castro

Innovation in healthcare payment and service delivery utilizes high cost, high risk pilots paired with traditional program evaluations. Decision-makers are unable to reliably forecast the impacts of pilot interventions in this complex…

Emergency Medical Services (EMS) in the United States and similar systems typically utilize a single treatment pathway, transporting all patients to emergency departments (EDs), regardless of their actual care needs or preferences. Recent…

Optimization and Control · Mathematics 2025-06-25 Eric G. Stratman , Justin J. Boutilier , Laura A. Albert

The optimisation in the ambulance dispatching process is significant for patients who need early treatments. However, the problem of dynamic ambulance redeployment for destination hospital selection has rarely been investigated. The paper…

Computers and Society · Computer Science 2022-01-07 Xinyu Fu , Valeria Krzhizhanovskaya , Alexey Yakovlev , Sergey Kovalchuk

Location of depots and routing of emergency response units are assumed to be interdependent in the incident management system. System costs will be excessive if delay regarding routing decisions is ignored when locating response units. This…

Systems and Control · Computer Science 2015-04-21 Hyoshin Park , Ali Shafahi , Ali Haghani

Actions taken immediately following a life-threatening personal health incident are critical for the survival of the sufferer. The timely arrival of specialist ambulance crew in particular often makes the difference between life and death.…

Computers and Society · Computer Science 2018-12-11 Marcus Poulton , Anastasios Noulas , David Weston , George Roussos

Simulation is a well established what-if scenario analysis tool in Operational Research (OR). While traditionally Discrete Event Simulation (DES) and System Dynamics Simulation (SDS) are the predominant simulation techniques in OR, a new…

Computational Engineering, Finance, and Science · Computer Science 2013-07-04 Mazlina Abdul Majid , Peer-Olaf Siebers , Uwe Aickelin

In this paper, we investigate output accuracy for a Discrete Event Simulation (DES) model and Agent Based Simulation (ABS) model. The purpose of this investigation is to find out which of these simulation techniques is the best one for…

Artificial Intelligence · Computer Science 2010-07-05 Mazlina Abdul Majid , Uwe Aickelin , Peer-Olaf Siebers

Virtual reality (VR) has emerged as a powerful tool for evaluating school security measures in high-risk scenarios such as school shootings, offering experimental control and high behavioral fidelity. However, assessing new interventions in…

Artificial Intelligence · Computer Science 2026-03-20 Christopher A. McClurg , Alan R. Wagner

This work develops a methodology for studying the effect of an offload zone on the ambulance ramping problem using a multi-server, multi-class non-preemptive priority queueing model that can be treated analytically. A prototype model for…

Systems and Control · Electrical Eng. & Systems 2024-02-01 Josef Zuk , David Kirszenblat

Emergency Medical Services (EMS) are critical to patient survival in emergencies, but first responders often face intense cognitive demands in high-stakes situations. AI cognitive assistants, acting as virtual partners, have the potential…

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