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1.
The persistent shortage of nurses adversely affects the productivity, quality of care, and operating costs in most acute care hospitals. Aggravating the shortage are high nurse turnover rates, approaching 200% in some institutions. Policies to ensure adequate staffing levels and provide more attractive work schedules are alleged to improve nurse retention. However, their cost is seldom discussed. We compared expected nursing expense and workforce requirements to staff eight medical and surgical nursing units of a large hospital for 1 month, under 12 different scheduling policies alleged to improve turnover. Using simulation and an integrated staffing and scheduling methodology, we found that the expected nursing wages and workforce requirements for some policies differed by as much as 33%. In this hospital, the expected labor costs for certain policies could erode the benefits expected from improved retention. In contrast, other policies appear to allow high utilization of nursing resources, enhancing the expected benefits of reduced turnover with significant reductions in expenses for labor, recruiting, training, and fringe benefits.  相似文献   
2.
This paper refreshes an empirical examination ofthe garbage can model, particularly in a sample drawnfrom Japanese firms. The garbage can model oforganizational decision making was originally developed by Cohen, March, and Olsen (1972) to describeorganized anarchy. This paper incorporates twomethodologies in an attempt to both validate and extendthe garbage can model: Simulation is first used togenerate a research hypothesis, then several surveys areconducted to test that hypothesis and to empiricallydevelop an ex-post model of decision ambiguity, flight,and anarchy. The data support our hypothesis and we find out new conditions of ambiguity:(i) fluid participation, (ii) divorce of solution fromdiscussion, and (iii) job performance rather thansubjective assessments, which are clearly related to the simulation assumption of our single garbagecan model. By using our new conditions of ambiguity, wedevelop a measure of degree of anarchy, and theregression analysis indicates a linear relationship between the flight ratio and the degree ofanarchy.  相似文献   
3.
This paper investigates the performance impact of lot‐sizing rule (LSR) selection and freezing of the master production schedule (MPS) in multi‐item single‐level systems with a single resource constraint under deterministic demand. The results of the study show that the selection of LSRS and the parameters for freezing the MPS have a significant impact on total cost, schedule instability, and the service level of the system. However, the selection of LSRS does not significantly influence the selection of the MPS freezing parameters. The basic conclusions concerning the performance of the freezing parameters under a capacity constraint agreed with previous research findings without consideration of capacity constraints.  相似文献   
4.
Motivating students to learn and apply operations management concepts is an important aspect of the learning process in an operations management class. While an emphasis on techniques and pedagogical technology has some motivational benefits, this paper proposes an emphasis on student/teacher interaction and a deeper understanding of complex situations. To support this approach, publishers should provide the materials to effectively use the new classroom technologies and the tools to support a wide variety of teaching styles. In addition, publishers should provide creative cross-functional simulations so that students can understand the role of operations management in the context of the firm. Finally, rich decision-making environments are needed to put the students in more realistic situations.  相似文献   
5.
This research investigated the value of protecting the continuity of release batchs in a transfer batching environment, by modifying the SPT rule. A simulation model of a job shop was used to test the modified SPT rule. The performance measures evaluated were mean flow time, flow time variance, and mean lateness. Conditions under which the SPT modification improved results were as follows: large number of transfer batches, small setup time to process time ratio, and large variation in process times from station to station. The results suggest that shop loading is not a significant factor affecting performance of the modified SPT rule.  相似文献   
6.
We develop analytical models for performance evaluation of Fabrication/Assembly (F/A) systems. We consider an F/A system that consists of an assembly station with input from K fabrication lines. Each fabrication line consists of one or more fabrication stations. The system is closed with a fixed number of items circulating between each fabrication line and the assembly station. We present algorithms to estimate the throughput and mean queue lengths of such systems with exponential processing times. We then extend our approach to analyze F/A systems with general processing time distributions. Numerical comparisons with simulations demonstrate the accuracy of our approach.  相似文献   
7.
This paper discusses the benefits of restructuring the introductory undergraduate production and operations management (pom) course to improve its pedagogical effectiveness and to better convey the importance of integrating logistics planning activities. The introduction of a dynamic integrative semester-long case study which involves students in applying pom concepts and tools through a simulation game is reported.  相似文献   
8.
We model choice of dispatching rules in real time (system state dependent) as a pattern recognition problem, using a modified version of Data Envelopment Analysis. A data base of system state and performance values is created from extensive simulation, and this data base is used to train the pattern-recognition model. Our results show that the model is very effective in choosing a mix of dispatching rules over a period of time, varying the mix with system objectives, and performing better than the strategy of using fixed rules. We show how “If-Then” decision rules can be created from the model and portrayed in a decision-tree-like diagram. Since such decision rules are based on rigorous mathematical foundations, optimization will be ensured in our approach.  相似文献   
9.
Paralleling the increased interest in cellular manufacturing in recent years, a large number of studies have emerged that focus on the relative performance of cell systems and the functionally organized systems they replace. This paper is an analysis of studies that use model-based, controlled experimentation to seek answers to the questions of if, when, and why cellular layouts outperform their functional counterparts. Twenty-four model-based studies are analyzed with respect to their definitions of cellular versus functional layouts, the experimental factors that have been investigated, the results concerning relative performance, and the findings' relevance to layout choice. We conclude that although the comparative studies have been very valuable in their efforts at identifying the factors that embody the essence of cells and shape performance improvements, most of the basic findings are known from past research. Furthermore, the studies' findings cannot assist practitioners in making specific choices between existing layouts and alternative cell systems. However, the totality of the findings reinforce our knowledge of how work systems in general can be designed and organized to reduce throughput time, and can also be used to identify environments and conditions for which conversions to cells may have more or less potential.  相似文献   
10.
We consider a single product, single level, stochastic master production scheduling (Mps ) model where decisions are made under rolling planning horizons. Outcomes of interest are cost, service level, and schedule stability. The subject of this research is the Mps control system: the method used in determining the amount of stock planned for production in each time period. Typically, Mps control systems utilize a single buffer stock. Here, two Mps dual-buffer stock systems are developed and tested by simulation. We extend the data envelopment analysis (dea ) methodology to aid in the evaluation of the simulation results, where Dea serves to increase the scope of the experimental design. Results indicate that the dual-buffer control systems outperform existing policies.  相似文献   
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