Planning and scheduling of semi-urgent surgeries
نویسندگان
چکیده
This paper investigates the trade-off between cancellations of elective surgeries due to semi-urgent surgeries, and unused operating room (OR) time due to excessive reservation of OR time for semi-urgent surgeries. Semi-urgent surgeries, to be performed soon but not necessarily today, pose an uncertain demand on available hospital resources, and interfere with the planning of elective patients. For a highly utilized OR, reservation of OR time for semi-urgent surgeries avoids excessive cancellations of elective surgeries, but may also result in unused OR time, since arrivals of semi-urgent patients are unpredictable. First, using a queuing theory framework, we evaluate the OR capacity needed to accommodate every incoming semi-urgent surgery. Second, we introduce another queuing model that enables a trade-off between the cancelation rate of elective surgeries and unused OR time. Third, based on Markov decision theory, we develop a decision support tool that assists the scheduling process of elective and semi-urgent surgeries. We demonstrate our results with actual data obtained from a department of neurosurgery.
منابع مشابه
Multi-period and multi-resource operating room scheduling and rescheduling using a rolling horizon approach: a case study
In this paper, a multi-period and multi-resource operating room (OR) scheduling and rescheduling problem with elective and semi-elective (semi-urgent) patients is addressed. A scheduling-rescheduling framework based on the so-called rolling horizon approach is proposed to solve the problem. The core of the proposed framework is a novel proposed mixed-integer linear programming (MILP) model with...
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