A State Based Dispatch Controller for Hospital Delivery Robots with Shared Human and Infrastructure Resources

Ambulance response is time-critical in out-of-hospital cardiac arrest (OHCA), where dispatchers must balance timely arrivals with limited fleet capacity. Static territories and deterministic travel-time estimates are vulnerable to dynamic congestion, while always-dual dispatch adds redundancy but consumes fleet capacity. We propose IDEAL (Intelligent Dual dispatch of Emergency AmbuLances), a selective dual-dispatch framework that sends a second ambulance only when the optimistic gap between primary and secondary paths exceeds a threshold. IDEAL learns context-specific edge travel times from trip-level dispatch records, including unobserved routes, using a weakly supervised bilevel representation network. We train the nonsmooth model with mini-batch conservative gradients and prove an asymptotic convergence guarantee. IDEAL models uncertainty via Burg-divergence perturbations to a shared metric in the learned representation space, thereby inducing correlated changes in edge travel times and learning context-specific radii from historical underprediction errors. For real-time decisions, IDEAL casts optimistic-gap computation as a difference-of-convex program and derives an efficient oracle with complexity guarantees. In collaboration with the Hong Kong Fire Services Department, we evaluate IDEAL using historical OHCA records and real-time adaptive simulations. The results achieve a stronger response-time/resource trade-off relative to all region-based and Google-based baselines.

In this paper, we formulate a new vehicle dispatch optimization problem, called Nursing Care Taxi Dispatch, as a variant of the Vehicle Routing Problem, considering constraints related to wheelchair use, user compatibility, pick-up and drop-off times, and vehicle limitations. Previous neural-based methods for Vehicle Routing Problems have typically addressed a few simple constraints, while our new problem involves multiple complex constraints, resulting in having fewer destinations to select. This complexity makes it more difficult to obtain solutions that allow all nodes to be visited with a limited number of vehicles. To balance low violation rate, computational efficiency, and solution quality, we propose a supervised machine learning approach based on the Transformer architecture. We first obtain a set of high-quality solutions using an integer linear programming solver for given inputs and then train our learning model through supervised learning. Additionally, we introduce the post-processing of the paths generated by the learning model, ensuring that all constraints are satisfied. We compared each instance's objective function value (operating time), execution time, and constraint violation rate across different methods: our proposed method and some existing methods including integer linear programming and machine learning-based methods, using real-world facility data. Our method successfully produced balanced solutions regarding operating time, execution time, and constraint violation rate. Notably, we observed a decrease in the operating time for all problem sizes and regions, while keeping constraint violations to a minimum compared to existing methods. Especially, the decrease reached up to 8% for problem sizes with fewer than 30 users.

In electric delivery fleets, mid-shift charging is non-trivial: each vehicle must decide when, where and how much to charge to finish on time with battery above a safety floor. The choices are coupled: queues build where too many vehicles pick the same station. Prior work resolves this coupling with central dispatching, precomputed schedules or reservations, machinery that charging infrastructure rarely supports. Instead, we use a family of learning agents under purely local control: every vehicle runs the same policy, deciding alone from its time budgets and broadcast station occupancies, leading to emergent coordination without central control or messaging. We validate this paradigm in simulation on real OpenStreetMap networks of twenty cities, each with a frozen scenario calibrated by an omniscient Oracle (99.5% of shifts completed on time), whereas a naive greedy rule (nearest station on low battery) completes just 73%. Agents trained with neuroevolution (NEAT) and policy gradients (PPO) on four cities and deployed zero-shot across all twenty, sixteen never seen in training, complete 96.8% and 98.6% of shifts, with the policy-gradient controllers proving more robust when demand or vehicle characteristics drift beyond the trained regime. In contrast, tuned threshold heuristics that read vehicle urgency alone fall short in contended cities (~80%). Through training, these learning agents rediscover partial charging and short opportunistic sessions, and route around busy stations, cutting per-session queue waits from about 45 minutes to under 2. In summary, this coordination paradigm balances local urgency against public occupancy, reaching near-Oracle performance at minimal implementation cost.