Designing an Integrated Surgical Care Delivery System Using Axiomatic Design and Petri Net Modeling

  • Joshua Bosire
  • Shengyong WangEmail author
  • Mohammad Khasawneh
  • Tejas Gandhi
  • Krishnaswami Srihari
Part of the Annals of Information Systems book series (AOIS, volume 19)


Over the last decade, a wide range of philosophies and management strategies have been embraced by an increasing number of healthcare organizations, with the principal goal of improving productivity and the quality of care while reducing the associated costs. These have had a significant impact on various healthcare services, including the delivery of surgical care. These philosophies and strategies are composed of scientific techniques and methods, a majority of which can be classified under the Industrial and Systems Engineering (ISE) field of study. For the most part, these techniques have proved to be instrumental in engineering radical changes and improvements in the ailing healthcare industry. This research seeks to contribute to the growing efforts on the application of ISE tools in the healthcare industry. First, an attempt is made to illustrate how various techniques can be used to engineer tangible benefits into the processes for surgical care delivery. Axiomatic Design (AD) concepts are leveraged to synthesize redesign changes, which are then applied to a conceptual model of the surgical system. The model is developed using a Petri Net (PN) technique and subsequently validated, verified and analyzed using PN heuristics and Dependency Structure Matrix (DSM). The outcomes of this redesign depict process improvements with the potential to enhance the quality of surgical care while enabling close to 70 % productivity gains. As a result, this research proposes a framework for the systematic redesign of processes, especially when changes need to be tested and verified before implementation. The techniques identified within this framework are ideal for the successful completion of the ‘design’ and ‘plan’ phases when pursuing operations management philosophies like Six-Sigma (SS) and Total Quality Management (TQM).


Surgical system System redesign Axiomatic design Petri net Integrated care delivery 


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Joshua Bosire
    • 1
  • Shengyong Wang
    • 2
    Email author
  • Mohammad Khasawneh
    • 3
  • Tejas Gandhi
    • 4
  • Krishnaswami Srihari
    • 3
  1. 1.Cooper University HospitalCamdenUSA
  2. 2.Department of Mechanical EngineeringUniversity of AkronAkronUSA
  3. 3.Department of Systems Science and Industrial EngineeringState University of New York at BinghamtonBinghamtonUSA
  4. 4.Navicent HealthMaconUSA

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