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Reserved capacity policies for operating room scheduling

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Abstract

Operating room (OR) scheduling is one of the most important tasks for hospital managers in terms of improving efficiency in hospitals. In this study, scheduling policies for elective and emergency procedures that minimize the total expected cost of OR operations are investigated. A simulation optimization approach is used to develop schedules and evaluate the operational impact of reserving capacity for emergency patients in an OR system. In order to mitigate the possible negative effects of unused capacity should a lower than expected number of emergency cases arrive, assigning any unused capacity to standby patients is examined. This study looks at the effect of hospital size in terms of the number of surgeries performed, mean surgery duration, and the variability in surgery duration on scheduling policy based on empirical data from three hospitals. Specifically, we investigate the best policies in terms of OR efficiency with and without reserved capacity for emergency arrivals and different probabilities for standby patient availability.

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References

  • Andradóttir S (2006) Simulation optimization with countably infinite feasible regions: efficiency and convergence. ACM Trans Model Comput Simul 16:357–374

    Article  Google Scholar 

  • Azeri-Rad S, Yontef A, Aleman DM, Urbach DR (2014) A simulation model for perioperative process improvement. Oper Res Health Care 3:22–30

    Article  Google Scholar 

  • Batun S, Denton BT, Huschka TR, Shaefer AJ (2011) Operating room pooling and parallel surgery processing under uncertainty. INFORMS J Comput 23:220–237

    Article  Google Scholar 

  • Bhattacharyya T, Vrahas MS, Morrison SM, Kim E, Wiklund RA, Smith RM, Rubash HE (2006) The value of the dedicated orthopaedic trauma operating room. J Trauma Acute Care Surg 60:1336–1340

    Article  Google Scholar 

  • Canadian Institute for Health Information. (2005) Improving the health of young Canadians - Canadian population health initiative. Retrieved from CIHI website: https://secure.cihi.ca/free_products/IHYC05_webRepENG.pdf. Accessed 29 June 2020

  • Cardoen B, Demeulemeester E, Beliën J (2010) Operating room planning and scheduling: a literature review. Eur J Oper Res 201:921–932

    Article  Google Scholar 

  • Cayirli T, Gunes ED (2014) Outpatient appointment scheduling in presence of seasonal walk-ins. J Oper Res Soc 65:512–531

    Article  Google Scholar 

  • Denton B, Gupta D (2003) A sequential bounding approach for optimal appointment scheduling. IIE Trans 35:1003–1016

    Article  Google Scholar 

  • Dexter F, Macario A, Traub RD (1999) Optimal sequencing of urgent surgical cases. J Clin Monit Comput 15:153–162

    Article  Google Scholar 

  • Erdem E, Qu X, Shi J (2012) Rescheduling of elective patients upon the arrival of emergency patients. Decis Support Syst 54:551–563

    Article  Google Scholar 

  • Erdogan SA, Denton BT (2011) Surgery planning and scheduling. Wiley Encyclopedia of Operations Research and Management Science. https://onlinelibrary.wiley.com/doi/abs/10.1002/9780470400531.eorms0861

  • Ferrand YB, Magazine MJ, Rao US (2014) Managing operating room efficiency and responsiveness for emergency and elective surgeries – a literature survey. IIE Trans Healthc Syst Eng 4:49–64

    Article  Google Scholar 

  • Fu MC (2002) Optimization for simulation: theory vs. practice. INFORMS J Comput 14:192–215

    Article  Google Scholar 

  • Gerchak Y, Gupta D, Henig M (1996) Reservation planning for elective surgery under uncertain demand for emergency surgery. Manag Sci 42:321–334

    Article  Google Scholar 

  • Gul S, Denton BT, Fowler JW, Huschka T (2011) Bi-criteria scheduling of surgical services for an outpatient procedure center. Prod Oper Manag 20:406–417

    Article  Google Scholar 

  • Gupta D, Denton B (2008) Appointment scheduling in health care: challenges and opportunities. IIE Trans 40:800–819

    Article  Google Scholar 

  • Jebali A, Alouane ABH, Ladet P (2006) Operating rooms scheduling. Int J Prod Econ 99:52–62

    Article  Google Scholar 

  • Jung KS, Pinedo M, Sriskandaraja C, Tiwari V (2019) Scheduling elective surgeries with emergency patients at shared operating rooms. Prod Oper Manag 28:1407–1430

    Article  Google Scholar 

  • Klassen KJ, Yoogalingam R (2009) Improving performance in outpatient appointment services with a simulation optimization approach. Prod Oper Manag 18:447–458

    Article  Google Scholar 

  • Klassen KJ, Yoogalingam R (2014) Patient unpunctuality: strategies for appointment policy design. Decis Sci 45:881–911

    Article  Google Scholar 

  • Lamiri M, Xie X, Zhang S (2008a) Column generation approach to operating theater planning with elective and emergency patients. IIE Trans 40:838–852

    Article  Google Scholar 

  • Lamiri M, Xie X, Dolgui A, Grimaud F (2008b) A stochastic model for operating room planning with elective and emergency demand for surgery. Eur J Oper Res 185:1026–1037

    Article  Google Scholar 

  • M’Hallah R, Al-Roomi AH (2014) The planning and scheduling of operating rooms: a simulation approach. Comput Ind Eng 78:235–248

    Article  Google Scholar 

  • May JH, Spangler WE, Strum DP, Vargas LG (2011) The surgical scheduling problem: current research and future opportunities. Prod Oper Manag 20:392–405

    Article  Google Scholar 

  • Persson MJ, Persson JA (2010) Analysing management policies for operating room planning using simulation. Health Care Manag Sci 13:182–191

    Article  Google Scholar 

  • Pham DN, Klinkert A (2008) Surgical case scheduling as a generalized job shop scheduling problem. Eur J Oper Res 185:1011–1025

    Article  Google Scholar 

  • Saremi A, Jula P, ElMekkawy T, Wang GG (2013) Appointment scheduling of outpatient surgical services in a multistage operating room department. Int J Prod Econ 141:646–658

    Article  Google Scholar 

  • Statistics Canada. (2020) About the Canadian Institute for Health Information (CIHI). Retrieved from http://www.statcan.gc.ca/pub/82-221-x/2011002/abc-eng.htm. Accessed 29 June 2020

  • Testi A, Tanfani E, Torre G (2007) A three-phase approach for operating theatre schedules. Health Care Manag Sci 10:163–172

    Article  Google Scholar 

  • Van Essen JT, Hans EW, Hurink JL, Oversberg A (2012) Minimizing the waiting time for emergency surgery. Oper Res Health Care 1:34–44

    Article  Google Scholar 

  • Wullink G, Van Houdenhoven M, Hans EW, van Oostrum JM, van der Lans M, Kazemier G (2007) Closing emergency operating rooms improves efficiency. J Med Syst 31:543–546

    Article  Google Scholar 

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Authors and Affiliations

  1. Brock University, 1812 Sir Isaac Brock Way, ON, L2S 3A1, St Catharines, Canada

    Yao Xiao & Reena Yoogalingam

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  1. Yao Xiao
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  2. Reena Yoogalingam
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Correspondence to Reena Yoogalingam.

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Xiao, Y., Yoogalingam, R. Reserved capacity policies for operating room scheduling. Oper Manag Res 14, 107–122 (2021). https://doi.org/10.1007/s12063-020-00172-x

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  • DOI: https://doi.org/10.1007/s12063-020-00172-x

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