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In a healthcare setting, the Sterile Processing Department (SPD) provides ancillary services to the Operating Room (OR), Emergency Room, Labor & Delivery, and off-site clinics. SPD's function is to reprocess reusable surgical instruments and return them to their home departments. The management of surgical instruments and medical devices can impact

In a healthcare setting, the Sterile Processing Department (SPD) provides ancillary services to the Operating Room (OR), Emergency Room, Labor & Delivery, and off-site clinics. SPD's function is to reprocess reusable surgical instruments and return them to their home departments. The management of surgical instruments and medical devices can impact patient safety and hospital revenue. Any time instrumentation or devices are not available or are not fit for use, patient safety and revenue can be negatively impacted. One step of the instrument reprocessing cycle is sterilization. Steam sterilization is the sterilization method used for the majority of surgical instruments and is preferred to immediate use steam sterilization (IUSS) because terminally sterilized items can be stored until needed. IUSS Items must be used promptly and cannot be stored for later use. IUSS is intended for emergency situations and not as regular course of action. Unfortunately, IUSS is used to compensate for inadequate inventory levels, scheduling conflicts, and miscommunications. If IUSS is viewed as an adverse event, then monitoring IUSS incidences can help healthcare organizations meet patient safety goals and financial goals along with aiding in process improvement efforts. This work recommends statistical process control methods to IUSS incidents and illustrates the use of control charts for IUSS occurrences through a case study and analysis of the control charts for data from a health care provider. Furthermore, this work considers the application of data mining methods to IUSS occurrences and presents a representative example of data mining to the IUSS occurrences. This extends the application of statistical process control and data mining in healthcare applications.
ContributorsWeart, Gail (Author) / Runger, George C. (Thesis advisor) / Li, Jing (Committee member) / Shunk, Dan (Committee member) / Arizona State University (Publisher)
Created2014
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Description
This thesis pursues a method to deregulate the electric distribution system and provide support to distributed renewable generation. A locational marginal price is used to determine prices across a distribution network in real-time. The real-time pricing may provide benefits such as a reduced electricity bill, decreased peak demand, and lower

This thesis pursues a method to deregulate the electric distribution system and provide support to distributed renewable generation. A locational marginal price is used to determine prices across a distribution network in real-time. The real-time pricing may provide benefits such as a reduced electricity bill, decreased peak demand, and lower emissions. This distribution locational marginal price (D-LMP) determines the cost of electricity at each node in the electrical network. The D-LMP is comprised of the cost of energy, cost of losses, and a renewable energy premium. The renewable premium is an adjustable function to compensate `green' distributed generation. A D-LMP is derived and formulated from the PJM model, as well as several alternative formulations. The logistics and infrastructure an implementation is briefly discussed. This study also takes advantage of the D-LMP real-time pricing to implement distributed storage technology. A storage schedule optimization is developed using linear programming. Day-ahead LMPs and historical load data are used to determine a predictive optimization. A test bed is created to represent a practical electric distribution system. Historical load, solar, and LMP data are used in the test bed to create a realistic environment. A power flow and tabulation of the D-LMPs was conducted for twelve test cases. The test cases included various penetrations of solar photovoltaics (PV), system networking, and the inclusion of storage technology. Tables of the D-LMPs and network voltages are presented in this work. The final costs are summed and the basic economics are examined. The use of a D-LMP can lower costs across a system when advanced technologies are used. Storage improves system costs, decreases losses, improves system load factor, and bolsters voltage. Solar energy provides many of these same attributes at lower penetrations, but high penetrations have a detrimental effect on the system. System networking also increases these positive effects. The D-LMP has a positive impact on residential customer cost, while greatly increasing the costs for the industrial sector. The D-LMP appears to have many positive impacts on the distribution system but proper cost allocation needs further development.
ContributorsKiefer, Brian Daniel (Author) / Heydt, Gerald T (Thesis advisor) / Shunk, Dan (Committee member) / Hedman, Kory (Committee member) / Arizona State University (Publisher)
Created2011