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Long term evaluation of operating theater planning policies

Agnetis, Alessandro and Coppi, Alberto and Corsini, Matteo and Dellino, Gabriella and Meloni, Carlo and Pranzo, Marco Long term evaluation of operating theater planning policies. Operations Research for Health Care, 1 (4). pp. 95-104. ISSN 2211-6923 (2012)

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This paper addresses Operating Room (OR) planning policies in elective surgery. In particular, we investigate long-term policies for determining the Master Surgical Schedule (MSS) throughout the year, analyzing the tradeoff between organizational simplicity, favored by an MSS that does not change completely every week, and quality of the service offered to the patients, favored by an MSS that dynamically adapts to the current state of waiting lists, the latter objective being related to a lean approach to hospital management. Surgical cases are selected from the waiting lists according to several parameters, including surgery duration, waiting time and priority class of the operations. We apply the proposed models to the operating theater of a public, medium-size hospital in Empoli, Italy, using Integer Linear Programming formulations, and analyze the scalability of the approach on larger hospitals. The simulations point out that introducing a very limited degree of variability in MSS in terms of OR sessions assignment can largely pay off in terms of resource efficiency and due date performance.

Item Type: Article
Identification Number: 10.1016/j.orhc.2012.10.001
Uncontrolled Keywords: Surgical planning; Operating room scheduling; Master surgical schedule; Surgical case assignment
Subjects: H Social Sciences > H Social Sciences (General)
Q Science > QA Mathematics
Research Area: Economics and Institutional Change
Depositing User: Users 17 not found.
Date Deposited: 24 Oct 2012 09:30
Last Modified: 13 Nov 2012 14:35
URI: http://eprints.imtlucca.it/id/eprint/1425

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