forked from hsma-programme/hsma6_des_book
-
Notifications
You must be signed in to change notification settings - Fork 0
/
requesting_multiple_resources.qmd
918 lines (688 loc) · 33 KB
/
requesting_multiple_resources.qmd
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
637
638
639
640
641
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
658
659
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
701
702
703
704
705
706
707
708
709
710
711
712
713
714
715
716
717
718
719
720
721
722
723
724
725
726
727
728
729
730
731
732
733
734
735
736
737
738
739
740
741
742
743
744
745
746
747
748
749
750
751
752
753
754
755
756
757
758
759
760
761
762
763
764
765
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
787
788
789
790
791
792
793
794
795
796
797
798
799
800
801
802
803
804
805
806
807
808
809
810
811
812
813
814
815
816
817
818
819
820
821
822
823
824
825
826
827
828
829
830
831
832
833
834
835
836
837
838
839
840
841
842
843
844
845
846
847
848
849
850
851
852
853
854
855
856
857
858
859
860
861
862
863
864
865
866
867
868
869
870
871
872
873
874
875
876
877
878
879
880
881
882
883
884
885
886
887
888
889
890
891
892
893
894
895
896
897
898
899
900
901
902
903
904
905
906
907
908
909
910
911
912
913
914
915
916
917
918
---
title: Requesting Multiple Resources Simultaneously
execute:
eval: false
jupyter: python3
---
In your models, you may sometimes require multiple kinds of resources to be available for a single step.
For example, in an emergency department, you may need both a cubicle and a nurse to be available so a patient can be seen. Cubicles may be released slower than nurses if the patient in the cubicle is now waiting for a different step of their journey in the cubicle, such as having an x-ray, seeing a different type of practitioner, or waiting for a bed to become available within the hospital so they can be admitted.
Imagine this department is having problems seeing patients fast enough. They have 15 cubicles, and 8 nurses. They can either increase the number of nurses on shift to 9, or increase the capacity to 18 cubicles. Which should they do?
By setting up a model where we look at how both kinds of resources are used, we can begin to explore these questions.
## Code example
Let's return to our branching model from before.
Remember, in this, patients
- see a receptionist
- see a nurse
- have a chance of going on to see a doctor
![](images/example_simple_model_branching.png)
In the original version of the model, we assumed that there was always a room available for patients to be seen in. Maybe each nurse and doctor in this example clinic has their own designated room they are always in.
But let's imagine the setup is slightly different
- patients see a receptionist and go to a waiting area
- once both a cubicle and a nurse are available, the patient is seen by a nurse
- if the patient then needs to see a doctor (which, as before, only a certain % of patients will) then they will remain in the same cubicle while waiting for a doctor
- the doctor will see them in the cubicle
The cubicle is released for the next patient after seeing the nurse IF the patient leaves at this point. Otherwise, it will be released after seeing the doctor.
### The g class
We add in an additional parameter for the number of
```{python}
# Class to store global parameter values. We don't create an instance of this
# class - we just refer to the class blueprint itself to access the numbers
# inside.
class g:
patient_inter = 5
mean_reception_time = 2
mean_n_consult_time = 6
mean_d_consult_time = 20
number_of_receptionists = 1
number_of_nurses = 2
number_of_doctors = 2
number_of_cubicles = 5 ##NEW
prob_seeing_doctor = 0.6
sim_duration = 1800
number_of_runs = 10
```
### The Patient class
We add in an new attribute where we will record the time spent queueing for a cubicle.
```{python}
class Patient:
def __init__(self, p_id):
self.id = p_id
self.q_time_recep = 0
self.q_time_nurse = 0
self.q_time_doctor = 0
self.q_time_cubicle = 0 ##NEW
```
### The model class
#### The __init__ method
We do several things here:
- create a new cubicle resource using the number of cubicles we set in g
- create columns in our patient-level results dataframe for cubicle queuing time and time in the cubicle
- add an attribute for storing the average cubicle queueing time
```{python}
def __init__(self, run_number):
# Create a SimPy environment in which everything will live
self.env = simpy.Environment()
# Create a patient counter (which we'll use as a patient ID)
self.patient_counter = 0
# Create our resources
self.receptionist = simpy.Resource(self.env, capacity=g.number_of_receptionists)
self.nurse = simpy.Resource(self.env, capacity=g.number_of_nurses)
self.doctor = simpy.Resource(self.env, capacity=g.number_of_doctors)
self.cubicle = simpy.Resource(self.env, capacity=g.number_of_cubicles) ## NEW
# Store the passed in run number
self.run_number = run_number
# Create a new Pandas DataFrame that will store some results against
# the patient ID (which we'll use as the index).
self.results_df = pd.DataFrame()
self.results_df["Patient ID"] = [1]
self.results_df["Q Time Recep"] = [0.0]
self.results_df["Time with Recep"] = [0.0]
self.results_df["Q Time Nurse"] = [0.0]
self.results_df["Time with Nurse"] = [0.0]
self.results_df["Q Time Doctor"] = [0.0]
self.results_df["Time with Doctor"] = [0.0]
self.results_df["Q Time Cubicle"] = [0.0] ##NEW
self.results_df["Time Using Cubicle"] = [0.0] ##NEW
self.results_df.set_index("Patient ID", inplace=True)
# Create an attribute to store the mean queuing times across this run of
# the model
self.mean_q_time_recep = 0
self.mean_q_time_nurse = 0
self.mean_q_time_doctor = 0
self.mean_q_time_cubicle = 0 ##NEW
```
### The generator_patient_arrivals method
This method is unchanged.
### The attend_clinic method
This is where the majority of our changes take place.
:::{.callout-tip}
There are two ways you can request a resource in simpy.
We've used the first method so far:
```{python}
with self.receptionist.request() as req:
yield req
## the rest of the code you want to run while holding on
## to this resource
```
However, an alternative option is this:
```{python}
nurse_request = self.receptionist.request()
yield nurse_request
## the rest of the code you want to run while holding on
## to this resource
self.nurse.release(nurse_request)
```
Here, we don't use indentation, and instead manually specify when we stop using the nurse and pass it back to the pool of available resources.
It's useful to know about this second option as it gives us an easier way of writing the code for requesting multiple resources at once.
:::
Once we finish our time with the receptionist, we are going to record two attributes.
```{python}
# Record the time the patient started queuing for a nurse
start_q_nurse = self.env.now
start_q_cubicle = self.env.now ##NEW
```
Yes, they are the same - but it's a bit easier to refer back to them when they are named separately!
Next we are going to request both a nurse and a cubicle.
```{python}
nurse_request = self.nurse.request() ##NEW
cubicle_request = self.cubicle.request() ##NEW
```
We then place both of these requests in a list, and wait until either of them become available.
```{python}
clinic_resource = yield self.env.any_of([nurse_request,cubicle_request]) ##NEW
```
Next, we have to check three possible scenarios and act accordingly:
- both were available at the same time
- we got the nurse but are still waiting for a cubicle
- we got the cubicle but are still waiting for a nurse
```{python}
clinic_resource_list = list(clinic_resource.keys()) ##NEW
if len(clinic_resource_list) < 2:
## Work out which we didn't get and wait for that one
got_resource = clinic_resource_list[0]
if got_resource == nurse_request:
end_q_nurse = self.env.now
yield(cubicle_request)
end_q_cubicle = self.env.now
else:
end_q_cubicle = self.env.now
yield(nurse_request)
end_q_nurse = self.env.now
else:
end_q_cubicle = self.env.now
end_q_nurse = self.env.now
patient.q_time_cubicle = end_q_cubicle - start_q_cubicle
self.results_df.at[patient.id, "Q Time Cubicle"] = (
patient.q_time_cubicle
)
# Calculate the time this patient was queuing for the nurse, and
# record it in the patient's attribute for this.
patient.q_time_nurse = end_q_nurse - start_q_nurse
self.results_df.at[patient.id, "Q Time Nurse"] = (
patient.q_time_nurse
)
```
:::{.callout-tip}
Remember - we don't have to indent all of the code where the resource is used here because we will manually specify when we release it.
You can still use the *first* method of requesting resources on top of this one - for example, our code for requesting a doctor is unchanged.
We just don't release the cubicle resource until that section completes.
:::
Now, the only thing left to do is to find the right place to release both resources.
For the nurse, this is after the activity time has elapsed.
```{python}
## Other code relating to nurse activity...
# Freeze this function in place for the activity time we sampled
# above. This is the patient spending time with the nurse.
yield self.env.timeout(sampled_nurse_act_time)
# When the time above elapses, the generator function will return
# here. As there's nothing moref that we've written, the function
# will simply end. This is a sink. We could choose to add
# something here if we wanted to record something - e.g. a counter
# for number of patients that left, recording something about the
# patients that left at a particular sink etc.
self.nurse.release(nurse_request) ##NEW
```
Finally, for the cubicle, we don't release this until either after sampling to decide whether the patient goes on to see a doctor, and release it accordingly.
Previously we just had an `if` clause with no `else` for seeing the doctor. However, now we need to release the cubicle and record the total time spent in the cubicle even if they don't see a doctor, so the `else` clause becomes necessary.
```{python}
if random.uniform(0,1) < g.prob_seeing_doctor:
start_q_doctor = self.env.now
with self.doctor.request() as req:
yield req
end_q_doctor = self.env.now
patient.q_time_doctor = end_q_doctor - start_q_doctor
sampled_doctor_act_time = random.expovariate(
1.0 / g.mean_d_consult_time
)
self.results_df.at[patient.id, "Q Time Doctor"] = (
patient.q_time_doctor
)
self.results_df.at[patient.id, "Time with Doctor"] = (
sampled_doctor_act_time
)
yield self.env.timeout(sampled_doctor_act_time)
self.results_df.at[patient.id, "Time Using Cubicle"] = ( ##NEW
self.env.now - end_q_cubicle
)
self.cubicle.release(cubicle_request) ##NEW
else: ## NEW
self.results_df.at[patient.id, "Time Using Cubicle"] = ( ##NEW
self.env.now - end_q_cubicle
)
self.cubicle.release(cubicle_request) ##NEW
```
The only step remaining now is to record the average queueing time for a cubicle.
```{python}
self.mean_q_time_recep = self.results_df["Q Time Recep"].mean()
self.mean_q_time_nurse = self.results_df["Q Time Nurse"].mean()
self.mean_q_time_doctor = self.results_df["Q Time Doctor"].mean()
self.mean_q_time_cubicle = self.results_df["Q Time Cubicle"].mean() ##NEW
```
### The trial class
#### The __init__ method
In the init method, we add in a column for the average cubicle queue time per run.
```{python}
self.df_trial_results = pd.DataFrame()
self.df_trial_results["Run Number"] = [0]
self.df_trial_results["Mean Q Time Recep"] = [0.0]
self.df_trial_results["Mean Q Time Nurse"] = [0.0]
self.df_trial_results["Mean Q Time Doctor"] = [0.0]
self.df_trial_results["Mean Q Time Cubicle"] = [0.0] ##NEW
self.df_trial_results.set_index("Run Number", inplace=True)
```
#### The run method
In the run method, we just need to add the cubcicle queueing mean to the results dataframe after each run.
After all runs are complete, w can also add in a column that checks which was longer on average - the queue for the cubicle, or the queue for the nurse. This can give an indication of which is the limiting resource.
```{python}
for run in range(g.number_of_runs):
my_model = Model(run)
my_model.run()
self.df_trial_results.loc[run] = [my_model.mean_q_time_recep,
my_model.mean_q_time_nurse,
my_model.mean_q_time_doctor,
my_model.mean_q_time_cubicle ##NEW
]
# Once the trial (ie all runs) has completed, add an additional column
self.df_trial_results['nurse_queue_longer'] = np.where(self.df_trial_results['Mean Q Time Nurse'] > self.df_trial_results['Mean Q Time Cubicle'], True, False) ##NEW
# Print the final results
self.print_trial_results()
print(f"Queue for nurse was longer than queue for cubicle in {sum(self.df_trial_results['nurse_queue_longer'].values)} trials of {g.number_of_runs}")
```
## The Full Code
:::{.callout-note collapse="true"}
### Click here to view the full code
```{python}
#| eval: true
#|
import simpy
import random
import pandas as pd
import numpy as np ##NEW
# Class to store global parameter values. We don't create an instance of this
# class - we just refer to the class blueprint itself to access the numbers
# inside.
class g:
patient_inter = 5
mean_reception_time = 2
mean_n_consult_time = 6
mean_d_consult_time = 20
number_of_receptionists = 1
number_of_nurses = 2
number_of_doctors = 2
number_of_cubicles = 5 ##NEW
prob_seeing_doctor = 0.6
sim_duration = 600
number_of_runs = 100
# Class representing patients coming in to the clinic.
class Patient:
def __init__(self, p_id):
self.id = p_id
self.q_time_recep = 0
self.q_time_nurse = 0
self.q_time_doctor = 0
self.q_time_cubicle = 0 ##NEW
# Class representing our model of the clinic.
class Model:
# Constructor to set up the model for a run. We pass in a run number when
# we create a new model.
def __init__(self, run_number):
# Create a SimPy environment in which everything will live
self.env = simpy.Environment()
# Create a patient counter (which we'll use as a patient ID)
self.patient_counter = 0
# Create our resources
self.receptionist = simpy.Resource(self.env, capacity=g.number_of_receptionists)
self.nurse = simpy.Resource(self.env, capacity=g.number_of_nurses)
self.doctor = simpy.Resource(self.env, capacity=g.number_of_doctors)
self.cubicle = simpy.Resource(self.env, capacity=g.number_of_cubicles) ## NEW
# Store the passed in run number
self.run_number = run_number
# Create a new Pandas DataFrame that will store some results against
# the patient ID (which we'll use as the index).
self.results_df = pd.DataFrame()
self.results_df["Patient ID"] = [1]
self.results_df["Q Time Recep"] = [0.0]
self.results_df["Time with Recep"] = [0.0]
self.results_df["Q Time Nurse"] = [0.0]
self.results_df["Time with Nurse"] = [0.0]
self.results_df["Q Time Doctor"] = [0.0]
self.results_df["Time with Doctor"] = [0.0]
self.results_df["Q Time Cubicle"] = [0.0] ##NEW
self.results_df["Time Using Cubicle"] = [0.0] ##NEW
self.results_df.set_index("Patient ID", inplace=True)
# Create an attribute to store the mean queuing times across this run of
# the model
self.mean_q_time_recep = 0
self.mean_q_time_nurse = 0
self.mean_q_time_doctor = 0
self.mean_q_time_cubicle = 0 ##NEW
# A generator function that represents the DES generator for patient
# arrivals
def generator_patient_arrivals(self):
# We use an infinite loop here to keep doing this indefinitely whilst
# the simulation runs
while True:
# Increment the patient counter by 1 (this means our first patient
# will have an ID of 1)
self.patient_counter += 1
# Create a new patient - an instance of the Patient Class we
# defined above. Remember, we pass in the ID when creating a
# patient - so here we pass the patient counter to use as the ID.
p = Patient(self.patient_counter)
# Tell SimPy to start up the attend_clinic generator function with
# this patient (the generator function that will model the
# patient's journey through the system)
self.env.process(self.attend_clinic(p))
# Randomly sample the time to the next patient arriving. Here, we
# sample from an exponential distribution (common for inter-arrival
# times), and pass in a lambda value of 1 / mean. The mean
# inter-arrival time is stored in the g class.
sampled_inter = random.expovariate(1.0 / g.patient_inter)
# Freeze this instance of this function in place until the
# inter-arrival time we sampled above has elapsed. Note - time in
# SimPy progresses in "Time Units", which can represent anything
# you like (just make sure you're consistent within the model)
yield self.env.timeout(sampled_inter)
# A generator function that represents the pathway for a patient going
# through the clinic.
# The patient object is passed in to the generator function so we can
# extract information from / record information to it
def attend_clinic(self, patient):
start_q_recep = self.env.now
with self.receptionist.request() as req:
yield req
end_q_recep = self.env.now
patient.q_time_recep = end_q_recep - start_q_recep
sampled_recep_act_time = random.expovariate(
1.0 / g.mean_reception_time
)
self.results_df.at[patient.id, "Q Time Recep"] = (
patient.q_time_recep
)
self.results_df.at[patient.id, "Time with Recep"] = (
sampled_recep_act_time
)
yield self.env.timeout(sampled_recep_act_time)
# Here's where the patient finishes with the receptionist, and starts
# queuing for the nurse
# NEW: They will also be queueing for a cubicle at this point.
#
# Record the time the patient started queuing for a nurse
start_q_nurse = self.env.now
start_q_cubicle = self.env.now ##NEW
########
##NEW
########
# As we are going to require the cubicle for the entire time period from
# here on, and won't release it until they exit the system, we will request
# the cubicle here and indent all of the existing code by one level.
nurse_request = self.nurse.request() ##NEW
cubicle_request = self.cubicle.request() ##NEW
clinic_resource = yield self.env.any_of([nurse_request,cubicle_request]) ##NEW
# First, check if both were available at once. If so, we can continue.
clinic_resource_list = list(clinic_resource.keys()) ##NEW
if len(clinic_resource_list) < 2:
## Work out which we didn't get and wait for that one
got_resource = clinic_resource_list[0]
if got_resource == nurse_request:
#print(f"{patient.id} got nurse first at {self.env.now}")
end_q_nurse = self.env.now
yield(cubicle_request)
end_q_cubicle = self.env.now
#print(f"{patient.id} got cubicle at {self.env.now}")
else:
#print(f"{patient.id} got cubicle first at {self.env.now}")
end_q_cubicle = self.env.now
yield(nurse_request)
end_q_nurse = self.env.now
#print(f"{patient.id} got nurse at {self.env.now}")
else:
#print(f"{patient.id} got both resources simultaneously at {self.env.now}")
end_q_cubicle = self.env.now
end_q_nurse = self.env.now
patient.q_time_cubicle = end_q_cubicle - start_q_cubicle
self.results_df.at[patient.id, "Q Time Cubicle"] = (
patient.q_time_cubicle
)
# Calculate the time this patient was queuing for the nurse, and
# record it in the patient's attribute for this.
patient.q_time_nurse = end_q_nurse - start_q_nurse
self.results_df.at[patient.id, "Q Time Nurse"] = (
patient.q_time_nurse
)
########
##END NEW
########
# Now we'll randomly sample the time this patient with the nurse.
# Here, we use an Exponential distribution for simplicity, but you
# would typically use a Log Normal distribution for a real model
# (we'll come back to that). As with sampling the inter-arrival
# times, we grab the mean from the g class, and pass in 1 / mean
# as the lambda value.
sampled_nurse_act_time = random.expovariate(1.0 /
g.mean_n_consult_time)
# Here we'll store the queuing time for the nurse and the sampled
# time to spend with the nurse in the results DataFrame against the
# ID for this patient. In real world models, you may not want to
# bother storing the sampled activity times - but as this is a
# simple model, we'll do it here.
# We use a handy property of pandas called .at, which works a bit
# like .loc. .at allows us to access (and therefore change) a
# particular cell in our DataFrame by providing the row and column.
# Here, we specify the row as the patient ID (the index), and the
# column for the value we want to update for that patient.
self.results_df.at[patient.id, "Time with Nurse"] = (
sampled_nurse_act_time)
# Freeze this function in place for the activity time we sampled
# above. This is the patient spending time with the nurse.
yield self.env.timeout(sampled_nurse_act_time)
# When the time above elapses, the generator function will return
# here. As there's nothing moref that we've written, the function
# will simply end. This is a sink. We could choose to add
# something here if we wanted to record something - e.g. a counter
# for number of patients that left, recording something about the
# patients that left at a particular sink etc.
self.nurse.release(nurse_request) ##NEW
# Conditional logic to see if patient goes on to see doctor
# We sample from the uniform distribution between 0 and 1. If the value
# is less than the probability of seeing a doctor (stored in g Class)
# then we say the patient sees a doctor.
# If not, this block of code won't be run and the patient will just
# leave the system (we could add in an else if we wanted a branching
# path to another activity instead)
if random.uniform(0,1) < g.prob_seeing_doctor:
start_q_doctor = self.env.now
with self.doctor.request() as req:
yield req
end_q_doctor = self.env.now
patient.q_time_doctor = end_q_doctor - start_q_doctor
sampled_doctor_act_time = random.expovariate(
1.0 / g.mean_d_consult_time
)
self.results_df.at[patient.id, "Q Time Doctor"] = (
patient.q_time_doctor
)
self.results_df.at[patient.id, "Time with Doctor"] = (
sampled_doctor_act_time
)
yield self.env.timeout(sampled_doctor_act_time)
self.results_df.at[patient.id, "Time Using Cubicle"] = ( ##NEW
self.env.now - end_q_cubicle
)
self.cubicle.release(cubicle_request) ##NEW
else: ## NEW
self.results_df.at[patient.id, "Time Using Cubicle"] = ( ##NEW
self.env.now - end_q_cubicle
)
self.cubicle.release(cubicle_request) ##NEW
# This method calculates results over a single run. Here we just calculate
# a mean, but in real world models you'd probably want to calculate more.
def calculate_run_results(self):
# Take the mean of the queuing times across patients in this run of the
# model.
self.mean_q_time_recep = self.results_df["Q Time Recep"].mean()
self.mean_q_time_nurse = self.results_df["Q Time Nurse"].mean()
self.mean_q_time_doctor = self.results_df["Q Time Doctor"].mean()
self.mean_q_time_cubicle = self.results_df["Q Time Cubicle"].mean() ##NEW
# The run method starts up the DES entity generators, runs the simulation,
# and in turns calls anything we need to generate results for the run
def run(self):
# Start up our DES entity generators that create new patients. We've
# only got one in this model, but we'd need to do this for each one if
# we had multiple generators.
self.env.process(self.generator_patient_arrivals())
# Run the model for the duration specified in g class
self.env.run(until=g.sim_duration)
# Now the simulation run has finished, call the method that calculates
# run results
self.calculate_run_results()
# Print the run number with the patient-level results from this run of
# the model
# EDIT: Omit patient-level results in this model
# print (f"Run Number {self.run_number}")
# print (self.results_df)
# Class representing a Trial for our simulation - a batch of simulation runs.
class Trial:
# The constructor sets up a pandas dataframe that will store the key
# results from each run against run number, with run number as the index.
def __init__(self):
self.df_trial_results = pd.DataFrame()
self.df_trial_results["Run Number"] = [0]
self.df_trial_results["Mean Q Time Recep"] = [0.0]
self.df_trial_results["Mean Q Time Nurse"] = [0.0]
self.df_trial_results["Mean Q Time Doctor"] = [0.0]
self.df_trial_results["Mean Q Time Cubicle"] = [0.0] ##NEW
self.df_trial_results.set_index("Run Number", inplace=True)
# Method to print out the results from the trial. In real world models,
# you'd likely save them as well as (or instead of) printing them
def print_trial_results(self):
print ("Trial Results")
print (self.df_trial_results.round(1)) ##EDITED: Added rounding
# Method to run a trial
def run_trial(self):
# Run the simulation for the number of runs specified in g class.
# For each run, we create a new instance of the Model class and call its
# run method, which sets everything else in motion. Once the run has
# completed, we grab out the stored run results (just mean queuing time
# here) and store it against the run number in the trial results
# dataframe.
for run in range(g.number_of_runs):
my_model = Model(run)
my_model.run()
self.df_trial_results.loc[run] = [my_model.mean_q_time_recep,
my_model.mean_q_time_nurse,
my_model.mean_q_time_doctor,
my_model.mean_q_time_cubicle ##NEW
]
# Once the trial (ie all runs) has completed, add an additional column
self.df_trial_results['nurse_queue_longer'] = np.where(self.df_trial_results['Mean Q Time Nurse'] > self.df_trial_results['Mean Q Time Cubicle'], True, False) ##NEW
# Print the final results
self.print_trial_results()
print(f"Queue for nurse was longer than queue for cubicle in {sum(self.df_trial_results['nurse_queue_longer'].values)} trials of {g.number_of_runs}")
```
:::
## Evaluating the outputs
:::{.callout-warning}
We haven't fully controlled the randomness in our trials here, so the different trials will each have slightly differing arrival times and activity times. Even though we have run a high number of trials to compensate, this is not an ideal solution.
For information on how to properly control for randomness across trials, make sure to read the reproducibility section (@sec-reproducibility).
:::
```{python}
#| eval: true
#| echo: false
random.seed(102)
```
```{python}
#| eval: true
#| echo: false
g.number_of_cubicles = 9
print(f"{g.number_of_cubicles} cubicles, {g.number_of_nurses} nurses, {g.number_of_doctors} doctors")
# Create an instance of the Trial class
my_trial = Trial()
# Call the run_trial method of our Trial object
my_trial.run_trial()
```
```{python}
#| eval: true
#| echo: false
random.seed(102)
```
```{python}
#| eval: true
#| echo: false
g.number_of_cubicles = 3
print(f"{g.number_of_cubicles} cubicles, {g.number_of_nurses} nurses, {g.number_of_doctors} doctors")
# Create an instance of the Trial class
my_trial = Trial()
# Call the run_trial method of our Trial object
my_trial.run_trial()
```
```{python}
#| eval: true
#| echo: false
random.seed(102)
```
```{python}
#| eval: true
#| echo: false
g.number_of_cubicles = 12
print(f"{g.number_of_cubicles} cubicles, {g.number_of_nurses} nurses, {g.number_of_doctors} doctors")
# Create an instance of the Trial class
my_trial = Trial()
# Call the run_trial method of our Trial object
my_trial.run_trial()
```
### Exploring the number of cubicles
Let's tweak our output to see the impact of changing the number of cubicles while keeping the number of receptionists, nurses and doctors consistent.
```{python}
#| eval: true
# Class representing a Trial for our simulation - a batch of simulation runs.
class Trial:
# The constructor sets up a pandas dataframe that will store the key
# results from each run against run number, with run number as the index.
def __init__(self):
self.df_trial_results = pd.DataFrame()
self.df_trial_results["Run Number"] = [0]
self.df_trial_results["Mean Q Time Recep"] = [0.0]
self.df_trial_results["Mean Q Time Nurse"] = [0.0]
self.df_trial_results["Mean Q Time Doctor"] = [0.0]
self.df_trial_results["Mean Q Time Cubicle"] = [0.0]
self.df_trial_results.set_index("Run Number", inplace=True)
# Method to print out the results from the trial. In real world models,
# you'd likely save them as well as (or instead of) printing them
def print_trial_results(self):
print ("Trial Results")
print (self.df_trial_results.round(1)) ##EDITED: Added rounding
# Method to run a trial
def run_trial(self):
# Run the simulation for the number of runs specified in g class.
# For each run, we create a new instance of the Model class and call its
# run method, which sets everything else in motion. Once the run has
# completed, we grab out the stored run results (just mean queuing time
# here) and store it against the run number in the trial results
# dataframe.
for run in range(g.number_of_runs):
random.seed(run)
my_model = Model(run)
my_model.run()
self.df_trial_results.loc[run] = [my_model.mean_q_time_recep,
my_model.mean_q_time_nurse,
my_model.mean_q_time_doctor,
my_model.mean_q_time_cubicle
]
# Once the trial (ie all runs) has completed, add an additional column
self.df_trial_results['nurse_queue_longer'] = np.where(self.df_trial_results['Mean Q Time Nurse'] > self.df_trial_results['Mean Q Time Cubicle'], True, False)
return (sum(self.df_trial_results['nurse_queue_longer'].values) / g.number_of_runs) ##NEW
```
```{python}
#| eval: true
results = []
for num_cubicles in range(1, 20, 1):
g.number_of_cubicles = num_cubicles
# Create an instance of the Trial class
my_trial = Trial()
# Call the run_trial method of our Trial object
trial_results = my_trial.run_trial()
results.append({"Number of cubicles": num_cubicles,
"% of Trials with longer nurse queue time than cubicle queue time": trial_results})
results_df = pd.DataFrame(results)
results_df
```
```{python}
#| eval: true
import plotly.express as px
px.line(
results_df,
x="Number of cubicles",
y="% of Trials with longer nurse queue time than cubicle queue time",
title=f"Impact of cubicle numbers with {g.number_of_nurses} nurses"
)
```
Now, our rate limiting step might actually be the number of doctors, as their consultations take longer on average (20 minutes on average with roughly 60% of patients needing to see a doctor after seeing the nurse; nurse consults take on average 6 minutes but every patient sees a nurse). Let's fix the number of cubicles at 8 and look at the impact of changing the number of doctors instead.
```{python}
#| eval: true
g.number_of_cubicles = 8
results = []
for num_doctors in range(1, 20, 1):
g.number_of_doctors = num_doctors
# Create an instance of the Trial class
my_trial = Trial()
# Call the run_trial method of our Trial object
trial_results = my_trial.run_trial()
results.append({"Number of doctors": num_doctors,
"% of Trials with longer nurse queue time than cubicle queue time": trial_results})
results_df = pd.DataFrame(results)
results_df
```
```{python}
#| eval: true
px.line(
results_df,
x="Number of doctors",
y="% of Trials with longer nurse queue time than cubicle queue time",
title=f"Impact of doctor numbers with {g.number_of_nurses} nurses and {g.number_of_cubicles} cubicles"
)
```
You can see that with more doctors we very quickly start to see the number of nurses being the rate limiting factor rather than the number of nurses.
:::{.callout-note}
Take a look at the chapter "Testing Large Numbers of Scenarios" (@sec-test-scenarios) to see how you could automatically try out different combinations of nurse, doctor and cubicle numbers to find the optiumum value.
:::