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A bi-objective integrated approach to building surgical teams and nurse schedule rosters to maximise surgical team affinities and minimise nurses' idle time

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  • Di Martinelly, Christine
  • Meskens, Nadine

Abstract

This paper addresses the detailed assignment of nurses to surgical operations taking into account the skills requirements. We consider the building of weekly nurse schedule roster by assigning the nurses to surgical operations while generating teams which have strong affinities and minimising nurse idle times. Nurses are assigned to shifts based on their availability, legal constraints on their working hours and the elective surgery schedule. Building on the ε-constraint method, we propose a new bi-objective approach that can solve the problem faster and more accurately, as well as provide insight into the trade-offs between the two objectives. The approach is also used to gain more insight into the problem and evaluate the impact of nurse settings. In this paper, we considered the impact of using circulating and scrub nurses or using polyvalent (multi-skilled) nurses. In all instances and settings, the affinities between the surgical team members were more sensitive to variations in idle time. Furthermore, the use of polyvalent (multi-skilled) nurses yielded rosters with reduced idle time and better surgical team member affinities.

Suggested Citation

  • Di Martinelly, Christine & Meskens, Nadine, 2017. "A bi-objective integrated approach to building surgical teams and nurse schedule rosters to maximise surgical team affinities and minimise nurses' idle time," International Journal of Production Economics, Elsevier, vol. 191(C), pages 323-334.
    • Handle: RePEc:eee:proeco:v:191:y:2017:i:c:p:323-334
    DOI: 10.1016/j.ijpe.2017.05.014
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    1. Sean Harris & David Claudio, 2022. "Current Trends in Operating Room Scheduling 2015 to 2020: a Literature Review," SN Operations Research Forum, Springer, vol. 3(1), pages 1-42, March.
    2. Turhan, Aykut Melih & Bilgen, Bilge, 2022. "A mat-heuristic based solution approach for an extended nurse rostering problem with skills and units," Socio-Economic Planning Sciences, Elsevier, vol. 82(PB).
    3. Akbarzadeh, Babak & Maenhout, Broos, 2024. "A study on policy decisions to embed flexibility for reactive recovery in the planning and scheduling process in operating rooms," Omega, Elsevier, vol. 126(C).
    4. Şeyda Gür & Mehmet Pınarbaşı & Hacı Mehmet Alakaş & Tamer Eren, 2023. "Operating room scheduling with surgical team: a new approach with constraint programming and goal programming," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 31(4), pages 1061-1085, December.
    5. Akbarzadeh, Babak & Moslehi, Ghasem & Reisi-Nafchi, Mohammad & Maenhout, Broos, 2019. "The re-planning and scheduling of surgical cases in the operating room department after block release time with resource rescheduling," European Journal of Operational Research, Elsevier, vol. 278(2), pages 596-614.
    6. Babak Akbarzadeh & Ghasem Moslehi & Mohammad Reisi-Nafchi & Broos Maenhout, 2020. "A diving heuristic for planning and scheduling surgical cases in the operating room department with nurse re-rostering," Journal of Scheduling, Springer, vol. 23(2), pages 265-288, April.

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