Human resources optimization in hospital emergency using the genetic algorithm approach

Evaluating the effectiveness of safety countermeasures at highway-railway grade crossing based on a machine learning framework

OBJECTIVE

This research aims to cluster similar highway-railway grade crossings (HRGCs) to examine the safety countermeasures at HRGCs.

METHODS

The methodology integrates inventory and collision data from Federal Railroad Association (FRA) data set during years 2010 to 2022 . The XGBoost and random forest (RF) algorithms are employed to identify influential collision severity factors. Then, the deep latent class analysis (DLCA) method is utilized on selected inventory factors as important features to cluster similar HRGCs. Afterward, collision modification factor (CMF) and standard error (SE) measures are computed for each countermeasure through collisions within each HRGC cluster.

RESULTS

XGBoost successfully identified 20 important collision and inventory factors with importance levels exceeding 94%, such as the number of daily trains and the surface material. Then, the DCLA method achieved 4 distinct clusters optimized by high similarity within each cluster and significant independence among clusters. The effectiveness of countermeasures was computed in terms of CMF and SE. The CMF results demonstrated that bells achieved superior safety compared to other countermeasures in clusters with sharper track angles and high maximum train speeds. Implementing bells decreased collisions across Clusters 1 and 4, with reductions of 53% (CMF = 0.47) and 46% (CMF = 0.54), respectively.

CONCLUSIONS

The results highlight XGBoost's capability to identify important collision and inventory factors, successfully uncovering 20 of the most important factors. The DCLA clustering method forms 4 distinct groups marked by substantial internal similarity within each cluster. This approach contributes to a clearer understanding of how each countermeasure impacts collision frequency. The findings highlight the varying effectiveness of different countermeasures across clusters, improving decision making for safety at HRGCs. The study highlights the efficacy of crossbucks in addressing safety concerns during moderate traffic conditions, particularly evident in environments with a highway speed limit between 100 and 125 mph. Additionally, bells demonstrate notable effectiveness in areas with sharper track angles.

Gap analysis of strategies for promoting interprofessional teams in healthcare units

PURPOSE

A healthcare unit's effectiveness largely depends on how well its interprofessional teams work together. Unfortunately, the strategies used to improve these teams often lack substance. This study analyzed these strategies and found a performance gap.

DESIGN/METHODOLOGY/APPROACH

This study took a unique mixed-method approach, systematically reviewing both qualitative and quantitative studies that identified strategies to enhance interprofessional teams in healthcare units. To gauge the effectiveness of these strategies, the researcher utilized an Importance-Performance Analysis (IPA) in four specialized clinical training centers in Hamadan province, Iran. The analysis of the IPA involved 35 experts from these centers as the statistical population.

FINDINGS

Based on a systematic review, there are seven categories: contextual, strategic, communication, organizational, individual, Human Resources Management (HRM), and environmental for promoting interprofessional teams with a total of 36 sub-indicator. Based on the IPA, the HRM aspect shows the most extensive performance gap. The individual and organizational aspects fall under resource wastage, and the environmental aspect is within the indifferent zone. Also, some critical sub-indicators, such as incentives/rewards, roles and responsibilities, financial resources, team-initiated innovation, the culture of respect, partner resources, humility, data availability, set expectations, and team availability, are in the weak areas.

PRACTICAL IMPLICATIONS

This research has identified critical areas for improvement in promoting teamwork in clinical training centers through a comprehensive gap analysis. It also presents practical policy solutions to address these weak points, providing a clear roadmap for enhancing interprofessional teams in healthcare units.

ORIGINALITY/VALUE

Improving teamwork in healthcare can be challenging, but it is possible with proper strategies and tools. One of the highlights of the recent study was the combination of systematic review studies with IPA to identify areas for improving interprofessional teamwork in clinical training centers.