IDEAS home Printed from https://ideas.repec.org/a/kap/hcarem/v10y2007i2p163-172.html
   My bibliography  Save this article

A three-phase approach for operating theatre schedules

Author

Listed:
  • Angela Testi
  • Elena Tanfani
  • Giancarlo Torre

Abstract

In this paper we develop a three-phase, hierarchical approach for the weekly scheduling of operating rooms. This approach has been implemented in one of the surgical departments of a public hospital located in Genova (Genoa), Italy. Our aim is to suggest an integrated way of facing surgical activity planning in order to improve overall operating theatre efficiency in terms of overtime and throughput as well as waiting list reduction, while improving department organization. In the first phase we solve a bin packing-like problem in order to select the number of sessions to be weekly scheduled for each ward; the proposed and original selection criterion is based upon an updated priority score taking into proper account both the waiting list of each ward and the reduction of residual ward demand. Then we use a blocked booking method for determining optimal time tables, denoted Master Surgical Schedule (MSS), by defining the assignment between wards and surgery rooms. Lastly, once the MSS has been determined we use the simulation software environment Witness 2004 in order to analyze different sequencings of surgical activities that arise when priority is given on the basis of a) the longest waiting time (LWT), b) the longest processing time (LPT) and c) the shortest processing time (SPT). The resulting simulation models also allow us to outline possible organizational improvements in surgical activity. The results of an extensive computational experimentation pertaining to the studied surgical department are here given and analyzed. Copyright Springer Science+Business Media, LLC 2007

Suggested Citation

  • Angela Testi & Elena Tanfani & Giancarlo Torre, 2007. "A three-phase approach for operating theatre schedules," Health Care Management Science, Springer, vol. 10(2), pages 163-172, June.
    • Handle: RePEc:kap:hcarem:v:10:y:2007:i:2:p:163-172
    DOI: 10.1007/s10729-007-9011-1
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1007/s10729-007-9011-1
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1007/s10729-007-9011-1?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Kleijnen, Jack P. C., 1995. "Verification and validation of simulation models," European Journal of Operational Research, Elsevier, vol. 82(1), pages 145-162, April.
    2. Bowers, John & Mould, Gillian, 2004. "Managing uncertainty in orthopaedic trauma theatres," European Journal of Operational Research, Elsevier, vol. 154(3), pages 599-608, May.
    3. Blake, John T. & Carter, Michael W., 2002. "A goal programming approach to strategic resource allocation in acute care hospitals," European Journal of Operational Research, Elsevier, vol. 140(3), pages 541-561, August.
    4. E. El‐Darzi & C. Vasilakis & T. Chaussalet & P.H. Millard, 1998. "A simulation modelling approach to evaluating length of stay, occupancy, emptiness and bed blocking in a hospital geriatric department," Health Care Management Science, Springer, vol. 1(2), pages 143-149, October.
    5. Yigal Gerchak & Diwakar Gupta & Mordechai Henig, 1996. "Reservation Planning for Elective Surgery Under Uncertain Demand for Emergency Surgery," Management Science, INFORMS, vol. 42(3), pages 321-334, March.
    6. Guinet, Alain & Chaabane, Sondes, 2003. "Operating theatre planning," International Journal of Production Economics, Elsevier, vol. 85(1), pages 69-81, July.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Shuwan Zhu & Wenjuan Fan & Shanlin Yang & Jun Pei & Panos M. Pardalos, 2019. "Operating room planning and surgical case scheduling: a review of literature," Journal of Combinatorial Optimization, Springer, vol. 37(3), pages 757-805, April.
    2. Belien, Jeroen & Demeulemeester, Erik, 2007. "Building cyclic master surgery schedules with leveled resulting bed occupancy," European Journal of Operational Research, Elsevier, vol. 176(2), pages 1185-1204, January.
    3. Michael Samudra & Carla Van Riet & Erik Demeulemeester & Brecht Cardoen & Nancy Vansteenkiste & Frank E. Rademakers, 2016. "Scheduling operating rooms: achievements, challenges and pitfalls," Journal of Scheduling, Springer, vol. 19(5), pages 493-525, October.
    4. Cardoen, Brecht & Demeulemeester, Erik & Beliën, Jeroen, 2010. "Operating room planning and scheduling: A literature review," European Journal of Operational Research, Elsevier, vol. 201(3), pages 921-932, March.
    5. Eun, Joonyup & Kim, Sang-Phil & Yih, Yuehwern & Tiwari, Vikram, 2019. "Scheduling elective surgery patients considering time-dependent health urgency: Modeling and solution approaches," Omega, Elsevier, vol. 86(C), pages 137-153.
    6. Francesca Guerriero & Rosita Guido, 2011. "Operational research in the management of the operating theatre: a survey," Health Care Management Science, Springer, vol. 14(1), pages 89-114, March.
    7. Elena Tànfani & Angela Testi, 2010. "A pre-assignment heuristic algorithm for the Master Surgical Schedule Problem (MSSP)," Annals of Operations Research, Springer, vol. 178(1), pages 105-119, July.
    8. Shan Wang & Huiqiao Su & Guohua Wan, 2015. "Resource-constrained machine scheduling with machine eligibility restriction and its applications to surgical operations scheduling," Journal of Combinatorial Optimization, Springer, vol. 30(4), pages 982-995, November.
    9. Pablo Santibáñez & Mehmet Begen & Derek Atkins, 2007. "Surgical block scheduling in a system of hospitals: an application to resource and wait list management in a British Columbia health authority," Health Care Management Science, Springer, vol. 10(3), pages 269-282, September.
    10. Range, Troels Martin & Kozlowski, Dawid & Petersen, Niels Chr., 2019. "Dynamic job assignment: A column generation approach with an application to surgery allocation," European Journal of Operational Research, Elsevier, vol. 272(1), pages 78-93.
    11. Lamiri, Mehdi & Grimaud, Frédéric & Xie, Xiaolan, 2009. "Optimization methods for a stochastic surgery planning problem," International Journal of Production Economics, Elsevier, vol. 120(2), pages 400-410, August.
    12. Paola Cappanera & Filippo Visintin & Carlo Banditori, 2018. "Addressing conflicting stakeholders’ priorities in surgical scheduling by goal programming," Flexible Services and Manufacturing Journal, Springer, vol. 30(1), pages 252-271, June.
    13. Angela Testi & Elena Tànfani, 2009. "Tactical and operational decisions for operating room planning: Efficiency and welfare implications," Health Care Management Science, Springer, vol. 12(4), pages 363-373, December.
    14. Maartje Zonderland & Richard Boucherie & Nelly Litvak & Carmen Vleggeert-Lankamp, 2010. "Planning and scheduling of semi-urgent surgeries," Health Care Management Science, Springer, vol. 13(3), pages 256-267, September.
    15. Seyed Hossein Hashemi Doulabi & Louis-Martin Rousseau & Gilles Pesant, 2016. "A Constraint-Programming-Based Branch-and-Price-and-Cut Approach for Operating Room Planning and Scheduling," INFORMS Journal on Computing, INFORMS, vol. 28(3), pages 432-448, August.
    16. Cheng Guo & Merve Bodur & Dionne M. Aleman & David R. Urbach, 2021. "Logic-Based Benders Decomposition and Binary Decision Diagram Based Approaches for Stochastic Distributed Operating Room Scheduling," INFORMS Journal on Computing, INFORMS, vol. 33(4), pages 1551-1569, October.
    17. Penn, M.L. & Potts, C.N. & Harper, P.R., 2017. "Multiple criteria mixed-integer programming for incorporating multiple factors into the development of master operating theatre timetables," European Journal of Operational Research, Elsevier, vol. 262(1), pages 194-206.
    18. B Zhang & P Murali & M M Dessouky & D Belson, 2009. "A mixed integer programming approach for allocating operating room capacity," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 60(5), pages 663-673, May.
    19. Min, Daiki & Yih, Yuehwern, 2010. "Scheduling elective surgery under uncertainty and downstream capacity constraints," European Journal of Operational Research, Elsevier, vol. 206(3), pages 642-652, November.
    20. Jeroen Oostrum & Eelco Bredenhoff & Erwin Hans, 2010. "Suitability and managerial implications of a Master Surgical Scheduling approach," Annals of Operations Research, Springer, vol. 178(1), pages 91-104, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:kap:hcarem:v:10:y:2007:i:2:p:163-172. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.