Publication Date


Document Type


Committee Members

Subhashini Ganapathy (Advisor), Mary E. Fendley (Committee Member), Xinhui Zhang (Committee Member)

Degree Name

Master of Science in Industrial and Human Factors Engineering (MSIHE)


This study demonstrates the application of Agent-Based Simulation as a potential training aid for Transfer of Care (ToC) between EMS and a hospital triage department. The specific aim was to develop a simulation to increase the efficiency and accountability of information communication during ToC to test the suitability of Agent-Based Simulation to address training requirements in complex, health provision settings. This paper focuses on the design of the training simulation, including the development of individual agents within the simulation through the user interface elements and the evaluation and verification of the prototype simulator. The primary objective is for the simulation to generate realistic scenarios including complex and non-repeating patient conditions and outcomes based on real-world data and to provide an interface for trainees to conduct a simulated ToC task. It is hypothesized that an agent-based ToC simulator will provide a representative model of emergency situations both in realism and complexity. The study showed Agent-Based Simulation is capable of producing highly complex representations of healthcare scenarios and the prototype simulator was found to be statistically representative of real-world data. This paper primarily presents the work related to the simulation design and development and an initial validation of some model elements using the NEMESIS database.

Page Count


Department or Program

Department of Biomedical, Industrial & Human Factors Engineering

Year Degree Awarded


Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.