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Hybrid, composable approach to simulations in healthcare operations and management
KTH, School of Technology and Health (STH), Health Systems Engineering, Health Care Logistics.ORCID iD: 0000-0002-3416-4535
KTH, School of Technology and Health (STH), Health Systems Engineering, Health Care Logistics.
KTH, School of Technology and Health (STH), Health Systems Engineering, Health Care Logistics.ORCID iD: 0000-0003-1126-3781
2017 (English)In: Proceedings of the 2017 Winter Simulation Conference / [ed] W. K. V. Chan, A. D'Ambrogio, G. Zacharewicz, N. Mustafee, G. Wainer, and E. Page, ACM Digital Library, 2017Conference paper (Refereed)
Abstract [en]

Simulation has been used for modeling in healthcare for many decades. Ranging from the modeling of physiological processes to group dynamics to the modeling of strategic and system-wide models of healthcare provision, simulation promises to be an effective approach to analyze healthcare operations. Effective application of simulations in healthcare operations requires that simulation deal with wide variability and unpredictability in workflow processes, the complexity of healthcare organizations and enables the participation of human experts in the modeling and operations processes. In this paper, based on requirements drawn from a participatory simulation with healthcare practitioners, we define a hybrid, composable approach to healthcare simulations. Both the participatory simulation and the composable simulation are applied in the context of the New Karolinska Solna hospital in Sweden, a highly specialized new hospital. Results point to the need to accounting for variability in workflow processes and integration with existing IT infrastructure in hospitals. 

Place, publisher, year, edition, pages
ACM Digital Library, 2017.
Keyword [en]
simulation, healthcare, composable
National Category
Computer Systems
Research subject
Technology and Health
Identifiers
URN: urn:nbn:se:kth:diva-208166OAI: oai:DiVA.org:kth-208166DiVA: diva2:1104447
Conference
2017 Winter Simulation Conference
Funder
Stockholm County Council
Note

The paper is under review currently, and is yet to to be published.

QC 20170602

Available from: 2017-06-01 Created: 2017-06-01 Last updated: 2017-06-02Bibliographically approved
In thesis
1. Integrating Computational and Participatory Simulations for Design in Complex Systems
Open this publication in new window or tab >>Integrating Computational and Participatory Simulations for Design in Complex Systems
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The understanding and conceptualization of cities and its constituent systems such as transportation and healthcare as open and complex is shifting the debates around the technical and communicative rationales of planning. Viewing cities in a holistic manner presents methodological challenges, where our understanding of complexity is applied in a tangible fashion to planning processes. Bridging the two rationales in the tools and methodologies of planning is necessary for the emergence of a 'non-linear rationality' of planning, one that accounts for and is premised upon complexity. Simulations representing complex systems provide evidence and support for planning, and have the potential to serve as an interface between the more abstract and political decision making and the material city systems.

Moving beyond current planning methods, this thesis explores the role of simulations in planning. Recognizing the need for holistic representations, the thesis integrates multiple disparate simulations into a holistic whole achieving complex representations of systems. These representations are then applied and studied in an interactive environment to address planning problems in different contexts. The thesis contributes an approach towards the development of complex representations of systems; improvements on participatory methods to integrate computational simulations; a nuanced understanding of the relative value of simulation constructs; technologies and frameworks that facilitate the easy development of integrated simulations that can support participatory planning processes.

The thesis develops contributions through experiments which involved problems and stakeholders from real world systems. The approach towards development of integrated simulations is realized in an open source framework. The framework creates computationally efficient, scalable and interactive simulations of complex systems, which used in a participatory manner delivers tangible plans and designs.

Place, publisher, year, edition, pages
KTH Royal Institute of Technology, 2017. 43 p.
Series
TRITA-STH : report, ISSN 1653-3836 ; 2017:9
Keyword
distributed simulations, interactive, participatory, gaming, complexity theory, fidelity
National Category
Computer Systems
Research subject
Technology and Health
Identifiers
urn:nbn:se:kth:diva-208170 (URN)978-91-7729-466-5 (ISBN)
Public defence
2017-08-25, Lecture Hall T1, Hälsovägen 11C, Huddinge, 10:00 (English)
Opponent
Supervisors
Funder
EU, FP7, Seventh Framework Programme, 609042
Note

QC 20170602

Available from: 2017-06-02 Created: 2017-06-01 Last updated: 2017-06-02Bibliographically approved

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