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This study focuses on enhancing ambulance response times through a dynamic management model. By analyzing various phases in the ambulance lifecycle and integrating actions based on real-time scenarios, the model aims to minimize the average response time and cost associated with waiting patients. Key elements include the dispatch of the nearest ambulance, consideration of all potential scenarios, and an evaluation of service time and destinations. The findings leverage historical data to improve efficiency in emergency service operations, benefiting both hospitals and patients.
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Minimizing Average Response Times in a Dynamic Ambulance Management Model Thije van Barneveld, CWI, Amsterdam
Region • Equidistant graph • Blue: Demand locations • Yellow: Hospitals • Red: Additional nodes
State components • Elapsed service time of ambulances in phase 4 • Destinations and remaining driving times of phase 3 ambulances
Actions • Dispatch nearest ambulance • Change in ambulance configuration
Objective • Cost in a state: number of patients waiting • Minimize costs: minimize the average number of patients waiting • Minimize the average response time Cost 0 Cost 1 Cost 0
Heuristic Solution - Idea • Observe state • Consider all actions • Consider possible scenarios • Combine each action with each scenario • Classify each action and optimize
Scenarios • Possible next state • One new request • Ambulances that finish service
Scenarios • Possible next state • One new request • Ambulances that finish service
Scenarios • Possible next state • One new request • Ambulances that finish service
Scenarios • Possible next state • One new request • Ambulances that finish service
Scenarios • Possible next state • One new request • Ambulances that finish service
Eligible ambulances Eligibleforrespondingto new request: • Nearestidleunassigned ambulance • Nearest busy ambulance at hospital • Nearest busy ambulance on scene, notrequiredto transport Expectedshortest response time
Example Classify action: • Scenario probabilityExpectedshortest response time torequest • Sum over scenarios • Take best classified action
Results • ’s estimatedusinghistorical data • No hospitals • 4 ambulances
Results • ’s as before • 2 hospitals: • 6 ambulances