Date of Award
8-2026
Document Type
Dissertation
Degree Name
Doctor of Philosophy (PhD)
Department
Industrial Engineering
Committee Chair/Advisor
Amin Khademi
Committee Member
Qi Luo
Committee Member
Thomas Sharkey
Committee Member
Yongjia Song
Abstract
This dissertation develops theory and algorithms for sequential decision-making under uncertainty, with applications to disaster response and patient-centric clinical trials. The first study addresses evacuation shelter opening during hurricanes. It formulates shelter activation as a multi-class optimal stopping problem with irreversible, priority-constrained decisions and proposes a direct policy approximation method based on hierarchical neural networks. A Hurricane Florence case study shows that the proposed policy can reduce response costs by adapting shelter opening times to evolving, physics-informed forecasts. The second study examines when a fully informed patient should enroll in an early-stage clinical trial. Using a Bayesian optimal stopping model, it captures how beliefs about treatment toxicity and efficacy evolve while patient health deteriorates, and establishes control-limit enrollment policies that balance immediate treatment benefit against the value of waiting. The third study extends the enrollment-timing problem to a multi-patient setting in which prospective participants observe shared interim trial outcomes. It models enrollment as a dynamic information-sharing game, characterizes Markov perfect equilibrium behavior, and develops computational methods for larger instances. The analysis shows that transparency can improve patient welfare through learning, but may also induce strategic waiting. Together, these studies provide structured, interpretable, and computationally viable decision policies for high-stakes systems where uncertainty, irreversibility, learning, and strategic interaction shape real-time decisions.
Recommended Citation
Liu, Hanwen, "Sequential Decision-Making Under Uncertainty: Applications in Disaster Response and Patient-Centric Clinical Trials" (2026). All Dissertations. 4386.
https://open.clemson.edu/all_dissertations/4386
Author ORCID Identifier
C16863574