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Reserved capacity policies for operating room scheduling

Author

Listed:
  • Yao Xiao

    (Brock University)

  • Reena Yoogalingam

    (Brock University)

Abstract

Operating room (OR) scheduling is one of the most important tasks for hospital managers in terms of improving efficiency in hospitals. In this study, scheduling policies for elective and emergency procedures that minimize the total expected cost of OR operations are investigated. A simulation optimization approach is used to develop schedules and evaluate the operational impact of reserving capacity for emergency patients in an OR system. In order to mitigate the possible negative effects of unused capacity should a lower than expected number of emergency cases arrive, assigning any unused capacity to standby patients is examined. This study looks at the effect of hospital size in terms of the number of surgeries performed, mean surgery duration, and the variability in surgery duration on scheduling policy based on empirical data from three hospitals. Specifically, we investigate the best policies in terms of OR efficiency with and without reserved capacity for emergency arrivals and different probabilities for standby patient availability.

Suggested Citation

  • Yao Xiao & Reena Yoogalingam, 2021. "Reserved capacity policies for operating room scheduling," Operations Management Research, Springer, vol. 14(1), pages 107-122, June.
    • Handle: RePEc:spr:opmare:v:14:y:2021:i:1:d:10.1007_s12063-020-00172-x
    DOI: 10.1007/s12063-020-00172-x
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    References listed on IDEAS

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    1. Kyung Sung Jung & Michael Pinedo & Chelliah Sriskandarajah & Vikram Tiwari, 2019. "Scheduling Elective Surgeries with Emergency Patients at Shared Operating Rooms," Production and Operations Management, Production and Operations Management Society, vol. 28(6), pages 1407-1430, June.
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    7. 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.
    8. Tugba Cayirli & Evrim Didem Gunes, 2014. "Outpatient appointment scheduling in presence of seasonal walk-ins," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 65(4), pages 512-531, April.
    9. Marie Persson & Jan Persson, 2010. "Analysing management policies for operating room planning using simulation," Health Care Management Science, Springer, vol. 13(2), pages 182-191, June.
    10. 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.
    11. Saremi, Alireza & Jula, Payman & ElMekkawy, Tarek & Wang, G. Gary, 2013. "Appointment scheduling of outpatient surgical services in a multistage operating room department," International Journal of Production Economics, Elsevier, vol. 141(2), pages 646-658.
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    Cited by:

    1. 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.
    2. Arne Schulz & Malte Fliedner, 2023. "Minimizing the expected waiting time of emergency jobs," Journal of Scheduling, Springer, vol. 26(2), pages 147-167, April.

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