Managing daily surgery schedules in a teaching hospital: a mixed-integer optimization approach.
Background: This study examined the daily surgical scheduling problem in a teaching hospital. This problem relates to the use of multiple operating rooms and different types of surgeons in a typical surgical day with deterministic operation durations (preincision, incision, and postincision times)....
| Publicado en: | BMC Health Services Research Vol. 14; no. 1; pp. 464 - 465 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
BioMed Central
2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109760770&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109760770 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14726963 1CHS jtl: BMC Health Services Research issn: 14726963 maglogo: N pubinfo: dt: 2014 vid: 14 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 109760770 109760770 NLM25316070 2012771064 10.1186/1472-6963-14-464 NLM25316070 PMC4283080 109760770 ppf: 464 ppct: 1 formats: tig: atl: Managing daily surgery schedules in a teaching hospital: a mixed-integer optimization approach. aug: au: Pulido, Raul Aguirre, Adrian M Ortega-Mier, Miguel García-Sánchez, Alvaro Méndez, Carlos A García-Sánchez, Álvaro affil: Escuela Técnica Superior de Ing, Industriales (ETSII-UPM), José Gutierrez Abascal 2, 28006 Madrid, Spain. raul.pulido@upm.es. sug: subj: Appointments and Schedules Academic Medical Centers Administration Operating Rooms Utilization Time Management Computer Simulation Costs and Cost Analysis Decision Making Organizational Efficiency Health Services Research Human Models, Statistical Spain ab: Background: This study examined the daily surgical scheduling problem in a teaching hospital. This problem relates to the use of multiple operating rooms and different types of surgeons in a typical surgical day with deterministic operation durations (preincision, incision, and postincision times). Teaching hospitals play a key role in the health-care system; however, existing models assume that the duration of surgery is independent of the surgeon's skills. This problem has not been properly addressed in other studies. We analyze the case of a Spanish public hospital, in which continuous pressures and budgeting reductions entail the more efficient use of resources.Methods: To obtain an optimal solution for this problem, we developed a mixed-integer programming model and user-friendly interface that facilitate the scheduling of planned operations for the following surgical day. We also implemented a simulation model to assist the evaluation of different dispatching policies for surgeries and surgeons. The typical aspects we took into account were the type of surgeon, potential overtime, idling time of surgeons, and the use of operating rooms.Results: It is necessary to consider the expertise of a given surgeon when formulating a schedule: such skill can decrease the probability of delays that could affect subsequent surgeries or cause cancellation of the final surgery. We obtained optimal solutions for a set of given instances, which we obtained through surgical information related to acceptable times collected from a Spanish public hospital.Conclusions: We developed a computer-aided framework with a user-friendly interface for use by a surgical manager that presents a 3-D simulation of the problem. Additionally, we obtained an efficient formulation for this complex problem. However, the spread of this kind of operation research in Spanish public health hospitals will take a long time since there is a lack of knowledge of the beneficial techniques and possibilities that operational research can offer for the health-care system. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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