Hospitals and other healthcare settings use various simulation methods to improve their operations, management, and training. The COVID-19 pandemic, with the resulting necessity for rapid and remote assessment, has highlighted the critical role of modeling and simulation in healthcare, particularly distributed simulation (DS). DS enables integration of heterogeneous simulations to further increase the usability and effectiveness of individual simulations. This article presents a DS system that integrates two different simulations developed for a hospital intensive care unit (ICU) ward dedicated to COVID-19 patients. AnyLogic has been used to develop a simulation model of the ICU ward using agent-based and discrete event modeling methods. This simulation depicts and measures physical contacts between healthcare providers and patients. The Unity platform has been utilized to develop a virtual reality simulation of the ICU environment and operations. The high-level architecture, an IEEE standard for DS, has been used to build a cloud-based DS system by integrating and synchronizing the two simulation platforms. While enhancing the capabilities of both simulations, the DS system can be used for training purposes and assessment of different managerial and operational decisions to minimize contacts and disease transmission in the ICU ward by enabling data exchange between the two simulations.

The elderly, especially those individuals with pre-existing health problems, have been disproportionally at a higher risk during the COVID-19 pandemic. Residents of long-term care facilities have been gravely affected by the pandemic and resident death numbers have been far above those of the general population. To better understand how infectious diseases such as COVID-19 can spread through long-term care facilities, we developed an agent-based simulation tool that uses a contact matrix adapted from previous infection control research in these types of facilities. This matrix accounts for the average distinct daily contacts between seven different agent types that represent the roles of individuals in long-term care facilities. The simulation results were compared to actual COVID-19 outbreaks in some of the long-term care facilities in Ontario, Canada. Our analysis shows that this simulation tool is capable of predicting the number of resident deaths after 50 days with a less than 0.1 variation in death rate. We modeled and predicted the effectiveness of infection control measures by utilizing this simulation tool. We found that to reduce the number of resident deaths, the effectiveness of personal protective equipment must be above 50%. We also found that daily random COVID-19 tests for as low as less than 10% of a long-term care facility’s population will reduce the number of resident deaths by over 75%. The results further show that combining several infection control measures will lead to more effective outcomes.

Journal of the Operational Research Society (JORS) is the world's longest established OR journal and an official journal of The OR Society. It is the aim of the Journal to present papers which are relevant to practitioners, researchers, teachers, students and consumers of operational research, and which cover the theory, practice, history or methodology of OR.

The papers in this special section focus on modeling and simulation in disaster and emergency management. The COVID-19 pandemic of 2020 has wrought damage globally to a degree that is totally unprecedented in human history.Within three months that the first known death from the illness caused by the so-called novel Coronavirus was reported by state media in China on the 11th of January 2020, close to 1.8 million people worldwide had tested positive, with more than 100,000 deaths reported. By the time the pandemic will have been declared to be under control, millions more are expected to have been infected and tens (possibly hundreds) of thousands more will have perished as a result of the disease. Not only are the numbers of COVID-19 infected people and deaths staggering. Economies throughout the world have suffered tremendously, with many companies forced to shut down, or at the very least significantly scale down, their production of goods and services as a result of the need for social distancing and self-isolation required to prevent the unmitigated transmission of the disease. All this has led to hundreds of millions worldwide losing their employment or other sources of livelihood. Governments of all nations, large and small, developed and underdeveloped, have needed to pump into their economy and onto their struggling citizens whatever financial resources they could manage to generate.

Being competitive in today’s global business environment requires an even higher productivity, quality, flexibility and service levels in the perspective of the new era of industrial systems based on an augmented knowledge. As a result, many companies have focused their attention on better management of their asset and equipment. In this perspective, some factories have turned to Lean Management guidelines, while others, have tried to become “smart”, following the principles of Industry 4.0 paradigm. Although a positive correlation has been established between them, the integration of lean practices and Industry 4.0 remains an open question that needs to be further explored and analyzed. The paper will give a contribute to the topic, investigating this relation within asset management perspective. In particular, a 4.0 solution will be used to evaluate if and to what extent Industry 4.0 is able to implement the lean principles of Poka- Yoke. The developed tool will prove its effectiveness in solving problems related to the maintenance record management of a firm.

Responding to emergency incidents by emergency response organizations such as fire, ambulance and police during large disaster and emergency events is very important. The purpose of this paper is to provide some insights into response patterns during the 2013 ice storm in the city of Vaughan, Ontario, Canada, using temporal and spatial analyses. The City of Vaughan Fire and Rescue Service data set containing all responses to fire and other emergency incidents from January 1, 2009 to December 31, 2016 was used. The 2013 Southern Ontario ice storm occurred from December 20, 2013 to January 1, 2014, and, for this study, December 20–31 is considered the “study period.” Temporal, spatial and spatiotemporal analyses of responses during the study period are carried out and are compared with the same period in other years (2009–2012 and 2014–2016). The findings show that temporal patterns of response attributes changed significantly during the 2013 ice storm. Similarly, the spatial pattern of responses during the 2013 ice storm showed some major differences with other years. The spatiotemporal analyses also demonstrate significant variations in responses in the city during different hours of the day in the ice storm days. This study is the first study to examine the spatiotemporal patterns of responses made by a fire department during the 2013 ice storm in Canada. It provides some insights into the differences between response volumes, temporal and spatial distributions during large emergency events (e.g. ice storm) and normal situations. The results will help in mitigating the number of responses in the future through public education and technological changes. Moreover, the results will provide fire departments with information that could help them prepare for such events by possible reallocation of resources.