Using Discrete Event Simulation (DES) to manage theatre operations in healthcare: An audit-based case study

This paper discusses the application of Discrete Event Simulation (DES) in modelling the complex relationship between patient types, case-mix and operating theatre allocation in a large National Health Service (NHS) Trust in London. The simulation model that was constructed described the main features of nine theatres, focusing on operational processes and patient throughput times. The model was used to test three scenarios of case-mix and to demonstrate the potential of using simulation modelling as a cost effective method for understanding the issues of healthcare operations management and the role of simulation techniques in problem solving. The results indicated that removing all day cases will reduce patient throughput by 23.3% and the utilization of the orthopaedic theatre in particular by 6.5%. This represents a case example of how DES can be used by healthcare managers to inform decision making. © 2008 IEEE.

Laboratory measurement of strength mobilisation in kaolin: Link to stress history

This letter presents data from triaxial tests conducted as part of a research programme into the stress-strain behaviour of clays and silts at Cambridge University. To support findings from earlier research using databases of soil tests, eighteen CIU triaxial tests on speswhite kaolin were performed to confirm an assumed link between mobilisation strain (γ M=2) and overconsolidation ratio (OCR). In the moderate shear stress range (0.2c u to 0.8c u) the test data are essentially linear on log-log plots. Both the slopes and intercepts of these lines are simple functions of OCR.