A dynamic time warped clustering technique for discrete event simulation-based system analysis

Abstract This paper introduces a novel approach for discrete event simulation output analysis. The approach combines dynamic time warping and clustering to enable the identification of system behaviours contributing to overall system performance, by linking the clustering cases to specific causal events within the system. Simulation model event logs have been analysed to group entity flows based on the path taken and travel time through the system. The proposed approach is investigated for a discrete event simulation of an international airport baggage handling system. Results show that the method is able to automatically identify key factors that influence the overall dwell time of system entities, such as bags that fail primary screening. The novel analysis methodology provides insight into system performance, beyond that achievable through traditional analysis techniques. This technique also has potential application to agent-based modelling paradigms and also business event logs traditionally studied using process mining techniques.

Discrete Wirtinger-based inequality and its application

In this paper, we derive a new inequality, which encompasses the discrete Jensen inequality. The new inequality is applied to analyze stability of linear discrete systems with an interval time-varying delay and a less conservative stability condition is obtained. Two numerical examples are given to show the effectiveness of the obtained stability condition.

Discrete inequalities based on multiple auxiliary functions and their applications to stability analysis of time-delay systems

Abstract
This paper presents new discrete inequalities for single summation and double summation. These inequalities are based on multiple auxiliary functions and include the Jensen discrete inequality and the discrete Wirtinger-based inequality as special cases. An application of these discrete inequalities to analyse stability of linear discrete systems with an interval time-varying delay is studied and a less conservative stability condition is obtained. Three numerical examples are given to show the effectiveness of the obtained stability condition.

Patient and nurse preferences for nurse handover-using preferences to inform policy: a discrete choice experiment protocol

INTRODUCTION: Nursing bedside handover in hospital has been identified as an opportunity to involve patients and promote patient-centred care. It is important to consider the preferences of both patients and nurses when implementing bedside handover to maximise the successful uptake of this policy. We outline a study which aims to (1) identify, compare and contrast the preferences for various aspects of handover common to nurses and patients while accounting for other factors, such as the time constraints of nurses that may influence these preferences.; (2) identify opportunities for nurses to better involve patients in bedside handover and (3) identify patient and nurse preferences that may challenge the full implementation of bedside handover in the acute medical setting. METHODS AND ANALYSIS: We outline the protocol for a discrete choice experiment (DCE) which uses a survey design common to both patients and nurses. We describe the qualitative and pilot work undertaken to design the DCE. We use a D-efficient design which is informed by prior coefficients collected during the pilot phase. We also discuss the face-to-face administration of this survey in a population of acutely unwell, hospitalised patients and describe how data collection challenges have been informed by our pilot phase. Mixed multinomial logit regression analysis will be used to estimate the final results. ETHICS AND DISSEMINATION: This study has been approved by a university ethics committee as well as two participating hospital ethics committees. Results will be used within a knowledge translation framework to inform any strategies that can be used by nursing staff to improve the uptake of bedside handover. Results will also be disseminated via peer-reviewed journal articles and will be presented at national and international conferences.

A discrete choice experiment to examine the preferences of patients with cancer and their willingness to pay for different types of health care appointments

BACKGROUND: This study sought to understand the preferences of patients with cancer and the trade-offs between appointment attributes using discrete choice experiment (DCE). METHODS AND STUDY DESIGN: Patients with cancer at 3 hospitals completed a self-administered DCE. Each scenario described 6 attributes: expertise of health care professionals (HCPs), familiarity of doctors with patients' medical history, waiting time, accompaniment by family/friends, travel time, and out-of-pocket costs. Patient preferences were estimated using logistic regression. Willingness to pay (WTP) estimates were derived from regression coefficients. RESULTS: Of 512 patients contacted, 185 returned the questionnaire. The mean age was 61 years, and 60% of respondents were female. The mean time since cancer diagnosis was 34 months, 90% had received treatment; and 61% had early-stage disease. The most important attributes were expertise and familiarity of doctors with patients' medical history; distance traveled was least likely to influence patient preferences. The WTP analysis estimated that patients were willing to pay $680 (95% CI, 470-891) for an appointment with a specialist, $571 (95% CI, 388-754) for doctors familiar with their history, $422 (95% CI, 262-582) for shorter waiting times, $399 (95% CI, 249-549) to be accompanied by family/friends, and $301 (95% CI, 162-441) for shorter traveling times. Male patients had a stronger preference for accompaniment by family/friends. The expertise of HCP was the most important attribute for patients regardless of geographic remoteness. CONCLUSIONS: Our study can assist the development of patient-centered health care models that improve patient access to experienced HCPs, support the role of primary care providers during the cancer journey, and educate patients about the roles of non-oncology HCPs to cope with increasing demand for cancer care.

Evaluation of tender solutions for aviation training using discrete event simulation and best performance criteria

This paper describes a novel discrete event simulation (DES) methodology for the evaluation of aviation training tenders where performance is measured against “best performance” criteria. The objective was to assess and compare multiple aviation training schedules and their resource allocation plans against predetermined training objectives. This research originated from the need to evaluate tender proposals for the Australian Defence Aviation Training School that is currently undergoing aviation training consolidation and helicopter rationalization. We show how DES is an ideal platform for evaluating resource plans and schedules, and discuss metric selection to objectively encapsulate performance and permit an unbiased comparison. DES allows feasibility studies for each tender proposal to assure they satisfy system and policy constraints. Consequently, to create an objective and fair environment to compare tendered solutions, what-if scenarios have been strategically examined to consider improved implementations of the proposed solutions.