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Surgical block scheduling in a system of hospitals: an application to resource and wait list management in a British Columbia health authority

Author

Listed:
  • Pablo Santibáñez

    ()

  • Mehmet Begen

    ()

  • Derek Atkins

    ()

Abstract

Scheduling surgical specialties in a medical facility is a very complex process. The choice of schedules and resource availability impact directly on the number of patients treated by specialty, cancellations, wait times, and the overall performance of the system. In this paper we present a system-wide model developed to allow management to explore trade-offs between OR availability, bed capacity, surgeons’ booking privileges, and wait lists. We developed a mixed integer programming model to schedule surgical blocks for each specialty into ORs and applied it to the hospitals in a British Columbia Health Authority, considering OR time availability and post-surgical resource constraints. The results offer promising insights into resource optimization and wait list management, showing that without increasing post-surgical resources hospitals could handle more cases by scheduling specialties differently. Copyright Springer Science+Business Media, LLC 2007

Suggested Citation

  • 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.
  • Handle: RePEc:kap:hcarem:v:10:y:2007:i:3:p:269-282
    DOI: 10.1007/s10729-007-9019-6
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    References listed on IDEAS

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    1. 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.
    2. Guinet, Alain & Chaabane, Sondes, 2003. "Operating theatre planning," International Journal of Production Economics, Elsevier, vol. 85(1), pages 69-81, July.
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    Cited by:

    1. repec:spr:annopr:v:258:y:2017:i:2:d:10.1007_s10479-016-2172-x is not listed on IDEAS
    2. repec:eee:ejores:v:262:y:2017:i:1:p:194-206 is not listed on IDEAS
    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. Choi, Sangdo & Wilhelm, Wilbert E., 2014. "An approach to optimize block surgical schedules," European Journal of Operational Research, Elsevier, vol. 235(1), pages 138-148.
    5. Cappanera, Paola & Visintin, Filippo & Banditori, Carlo, 2014. "Comparing resource balancing criteria in master surgical scheduling: A combined optimisation-simulation approach," International Journal of Production Economics, Elsevier, vol. 158(C), pages 179-196.
    6. Astaraky, Davood & Patrick, Jonathan, 2015. "A simulation based approximate dynamic programming approach to multi-class, multi-resource surgical scheduling," European Journal of Operational Research, Elsevier, vol. 245(1), pages 309-319.
    7. repec:eee:ejores:v:264:y:2018:i:3:p:870-883 is not listed on IDEAS
    8. Fügener, Andreas & Hans, Erwin W. & Kolisch, Rainer & Kortbeek, Nikky & Vanberkel, Peter T., 2014. "Master surgery scheduling with consideration of multiple downstream units," European Journal of Operational Research, Elsevier, vol. 239(1), pages 227-236.
    9. Vijayakumar, Bharathwaj & Parikh, Pratik J. & Scott, Rosalyn & Barnes, April & Gallimore, Jennie, 2013. "A dual bin-packing approach to scheduling surgical cases at a publicly-funded hospital," European Journal of Operational Research, Elsevier, vol. 224(3), pages 583-591.
    10. Roshanaei, Vahid & Luong, Curtiss & Aleman, Dionne M. & Urbach, David, 2017. "Propagating logic-based Benders’ decomposition approaches for distributed operating room scheduling," European Journal of Operational Research, Elsevier, vol. 257(2), pages 439-455.
    11. Xiangyong Li & N. Rafaliya & M. Fazle Baki & Ben A. Chaouch, 2017. "Scheduling elective surgeries: the tradeoff among bed capacity, waiting patients and operating room utilization using goal programming," Health Care Management Science, Springer, vol. 20(1), pages 33-54, March.
    12. Antoine Legrain & Marie-Andrée Fortin & Nadia Lahrichi & Louis-Martin Rousseau, 2015. "Online stochastic optimization of radiotherapy patient scheduling," Health Care Management Science, Springer, vol. 18(2), pages 110-123, June.
    13. 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.
    14. Silva, Thiago A.O. & de Souza, Mauricio C. & Saldanha, Rodney R. & Burke, Edmund K., 2015. "Surgical scheduling with simultaneous employment of specialised human resources," European Journal of Operational Research, Elsevier, vol. 245(3), pages 719-730.

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