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Other literature type . 2017
License: CC BY
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Journal of the Operational Research Society
Article . 2017 . Peer-reviewed
License: Springer TDM
Data sources: Crossref
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Alternative metrics to measure EMS system performance

Authors: Capar, Ibrahim; Melouk, Sharif H.; Keskin, Burcu B.;

Alternative metrics to measure EMS system performance

Abstract

In the development of strategy for the response to emergent incidents, emergency medical services (EMS) organizations must properly manage their resources while also adhering to response time mandates established by contractual agreements. Performance of an EMS system is typically measured by focusing on the response time of its first responders. However, given that some incidents require the response of multiple emergency vehicles, investigating only the initial response to incidents is inadequate. In this research, we propose two new metrics, in addition to the first response metric, to evaluate the performance of EMS operations: total response time and last responder response time. We develop three mixed integer programming formulations, each one focused on minimizing one of the three metrics, to model the assignment of emergency vehicles to incidents. We also propose a fourth model that combines the metrics via a weighted objective function. This model allows for the simultaneous consideration of the response metrics when evaluating the effectiveness of an emergency response dispatch policy. Experimental results, from comparisons of the models against a greedy dispatch policy, suggest the consideration of multiple response metrics leads to a more robust and effective dispatch policy. Finally, analysis using the models has potential to shape improved strategic and operational policies of EMS organizations. Journal of the Operational Research Society advance online publication, 29 June 2016; doi:10.1057/jors.2016.39

  • BIP!
    Impact byBIP!
    selected citations
    These citations are derived from selected sources.
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    3
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
3
Average
Average
Average
Green