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This study proposes an integrated Machine Learning and simulated framework for a personalized learning system. This framework aims to improve the integrity of the provided tasks, adapt to each student individually and ultimately enhance students' academic performance.

This methodology comprises two components. (1) A simulation-based system that utilizes reinforcement algorithms to assign additional questions to students who do not reach pass grade thresholds. (2) A Machine Learning system that uses the data from the system to identify the drivers of passing or failing and predict the likelihood of each student passing or failing based on their engagement with the simulated system.

The results of this study offer preliminary evidence of the effectiveness of the proposed simulation system and indicate that such a system has the potential to foster improvements in learning outcomes.

As with all empirical studies, this research has limitations. A simulation study is an abstraction of reality and may not be completely accurate. Student performance in real-world environments may be higher than estimated in this simulation, reducing the required teacher support.

The developed personalized learning (PL) system demonstrates a strong foundation for improving students' performance, particularly within a blended learning context. The findings indicate that simulated performance using the system exhibited improvement when individual students experienced higher learning benefits tailored to their needs.

The research offers evidence of the effectiveness of personalized learning systems and highlights their capacity to drive improvements in education. The proposed system holds the potential to enhance learning outcomes by tailoring tasks to meet the unique needs of each student.

This study contributes to the growing literature on personalized learning, emphasizing the importance of leveraging machine learning in educational technologies to enable precise predictions of student performance.

The purpose of this paper is to identify the existing literature on the wide range of operations research (OR) studies applied to healthcare, and to classify studies based on application type and on the OR technique employed. The scope of the review is limited to studies which have been undertaken in the UK, and to papers published since the year 2000.

In total, 142 high‐quality journal and conference papers have been identified from ISI Web of Knowledge data base for review and analysis.

The findings categorise the OR techniques employed, and analyse the application type, publication trends, funding, and software packages used in the twenty‐first century in UK healthcare. Publication trends indicate an increasing use of OR techniques in UK healthcare. The findings show that, interestingly, the distribution of the OR techniques employed is not uniform; the majority of studies focus on simulation, either as the only technique employed or as one element of a multi‐method approach.

Several studies have focused on the use of simulation in healthcare modelling, but none has methodologically reviewed the use of the full range of OR techniques. This research is likely to benefit healthcare decision makers since it will provide them with an overview of the different studies that have utilised multiple OR techniques for investigating problems in the stated domain.