Scheduling elective surgeries: the tradeoff among bed capacity, waiting patients and operating room utilization using goal programming.
Scheduling of surgeries in the operating rooms under limited competing resources such as surgical and nursing staff, anesthesiologist, medical equipment, and recovery beds in surgical wards is a complicated process. A well-designed schedule should be concerned with the welfare of the entire system b...
| Publicado en: | Health Care Management Science Vol. 20; no. 1; pp. 33 - 55 |
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| Autores principales: | , , , , , |
| Formato: | equations & formulas research tables/charts Journal Article |
| Publicado: |
Springer Nature
Mar2017
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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=121442067&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 121442067 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13869620 BSE jtl: Health Care Management Science issn: 13869620 maglogo: N pubinfo: dt: Mar2017 vid: 20 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 121442067 121442067 NLM26183470 121442067 10.1007/s10729-015-9334-2 NLM26183470 121442067 ppf: 33 ppct: 22 formats: tig: atl: Scheduling elective surgeries: the tradeoff among bed capacity, waiting patients and operating room utilization using goal programming. aug: au: Li, Xiangyong Rafaliya, N. Baki, M. Chaouch, Ben Baki, M Fazle Chaouch, Ben A affil: School of Economics and Management , Tongji University , Shanghai 200092 China sug: subj: Bed Occupancy Surgery, Elective Statistics and Numerical Data Surgery, Elective Methods Waiting Lists Operating Rooms Utilization Appointments and Schedules Operating Rooms Administration Management Time Factors Length of Stay Statistics and Numerical Data Post Anesthesia Care Units Statistics and Numerical Data Post Anesthesia Care Units Administration Organizational Efficiency Human ab: Scheduling of surgeries in the operating rooms under limited competing resources such as surgical and nursing staff, anesthesiologist, medical equipment, and recovery beds in surgical wards is a complicated process. A well-designed schedule should be concerned with the welfare of the entire system by allocating the available resources in an efficient and effective manner. In this paper, we develop an integer linear programming model in a manner useful for multiple goals for optimally scheduling elective surgeries based on the availability of surgeons and operating rooms over a time horizon. In particular, the model is concerned with the minimization of the following important goals: (1) the anticipated number of patients waiting for service; (2) the underutilization of operating room time; (3) the maximum expected number of patients in the recovery unit; and (4) the expected range (the difference between maximum and minimum expected number) of patients in the recovery unit. We develop two goal programming (GP) models: lexicographic GP model and weighted GP model. The lexicographic GP model schedules operating rooms when various preemptive priority levels are given to these four goals. A numerical study is conducted to illustrate the optimal master-surgery schedule obtained from the models. The numerical results demonstrate that when the available number of surgeons and operating rooms is known without error over the planning horizon, the proposed models can produce good schedules and priority levels and preference weights of four goals affect the resulting schedules. The results quantify the tradeoffs that must take place as the preemptive-weights of the four goals are changed. pubtype: Academic Journal doctype: equations & formulas research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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