Abstract
Operating rooms (ORs), one of the most crucial hospital resources that generate among the highest costs, are prone to bottlenecking. This paper, therefore, proposes optimization models for multiple-period scheduling of patients in ORs and intensive care units (ICUs) as well as for sequencing of patients in the operating theatre. The first model considers scheduling at a minimal total cost, comprising hospitalization, undertime, overtime, and cancelation costs. The second model involves ICU scheduling and patient sequencing in the operating theatre at a minimal total overtime cost. The scheduling and sequencing models were implemented at a hospital that offers comprehensive surgical procedures for all surgical specialties. The research results are expected to improve patient satisfaction and resource efficiency as well as reduce hospital expenses by minimizing overtime, undertime, hospitalization costs, and cancelation costs. These optimization models may provide substantial assistance to decision makers and planners in facilitating coordination among available hospital resources, including ORs, surgeons, and patients, thereby increasing the productivity and efficiency of ORs and ICUs in providing high-quality care. Future research should consider OR scheduling for unexpected events.
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References
Ahmed MA, Alkhamis TM (2009) Simulation optimization for an emergency Department Healthcare Unit in Kuwait. Eur J Oper Res 198:936–942
Al-Refaie et al (2016) Optimal operating room scheduling for normal and unexpected events in a smart hospital. Oper Res. doi:10.1007/s12351-016-0244-y
Barbagallo S, Corradi L, de Goyet JV, Iannucci M, Porro I, Rosso N, Tanfani E, Testi A (2015) Optimization and planning of operating theatre activities: an original definition of pathways and process modeling. BMC Med Inform Decis Mak 15(38):1–16
Devi SP, Rao KS, Sangeetha SS (2012) Prediction of surgery times and scheduling of operation theaters in optholmology department. J Med Syst 36:415–430
Guinet A, Chaabane S (2003) Operating Theatre Planning. Int J Prod Econ 85:69–81
Jebali A, Alouane ABH, Ladet P (2006) Operating rooms scheduling. Int J Prod Econ 99:52–62
Lamiri M, Xie X, Dolgui A, Grimaud F (2008) A stochastic model for operating room planning with elective and emergency demand for surgery. Eur J Oper Res 185:1026–1037
Nouaouri I, Nicolas J-C, Jolly D (2009) Scheduling of stabilization surgical cares in case of a disaster. The IEEE international conference on industrial engineering and engineering management (IEEM), Hong Kong
Persson M, Persson JA (2006) Optimization modelling of hospital OR planning: analyzing strategies and problem settings. In: Proceedings of the 2006 annual conference of OR applied to health services
Saadouli H, Jerbi B, Dammak A, Masmoudi L, Bouaziz A (2015) A stochastic optimization and simulation approach for scheduling operating rooms and recovery beds in an orthopedic surgery department. Comput Ind Eng 80:72–79
Souki M (2011) Operating theatre scheduling with fuzzy durations. J Appl Oper Res 3(3):177–191
Tànfani E, Testi A (2010) A pre-assignment heuristic algorithm for the master surgical schedule problem (MSSP). Ann Oper Res 178:105–119
Testi A, Tanfani E, Torre G (2007) A three-phase approach for operating theatre schedules. Health Care Manag Sci 10:163–172
Testi A, Tanfani E, Valente R, Ansaldo GL, Torre GC (2008) Prioritizing surgical waiting lists. J Eval Clin Pract 14(1):59–64
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Al-Refaie, A., Judeh, M. & Chen, T. Optimal multiple-period scheduling and sequencing of operating room and intensive care unit. Oper Res Int J 18, 645–670 (2018). https://doi.org/10.1007/s12351-016-0287-0
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DOI: https://doi.org/10.1007/s12351-016-0287-0