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Emergency Operating Room or Not?

In: Handbook of Healthcare Logistics

Author

Listed:
  • Nardo J. Borgman

    (Gelre Ziekenhuizen)

  • Ingrid M. H. Vliegen

    (Eindhoven University of Technology)

  • Erwin W. Hans

    (University of Twente)

Abstract

Hospital operating theaters often face the problem of unscheduled emergency arrivals that should be treated as soon as possible. In practice different policies are used to allocate these emergency patients to the operating rooms. These policies are (1) keeping operating rooms empty and available for emergency arrivals; (2) treating emergency patients in elective operating rooms, postponing elective patients; and (3) a mix of these two policies. The use of a specific policy affects performance (e.g., utilization, waiting times, overtime). Currently, these effects are not clear, and there is no agreement on what works ‘best’ for a specific hospital. Using discrete-event simulation, we evaluate the policies for many case characteristics such as hospital size, patient case mix, and fraction of (emergency) patients. We gathered the simulation results in a tool called OR analyzer. This tool is made available online and allows healthcare practitioners to gain insight into the effects of the scheduling policies in settings similar to their specific hospital setting. In addition, this tool allows others researching emergency scheduling policies to frame their hospital settings and compare results.

Suggested Citation

  • Nardo J. Borgman & Ingrid M. H. Vliegen & Erwin W. Hans, 2021. "Emergency Operating Room or Not?," International Series in Operations Research & Management Science, in: Maartje E. Zonderland & Richard J. Boucherie & Erwin W. Hans & Nikky Kortbeek (ed.), Handbook of Healthcare Logistics, pages 111-128, Springer.
    • Handle: RePEc:spr:isochp:978-3-030-60212-3_7
    DOI: 10.1007/978-3-030-60212-3_7
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    Cited by:

    1. Lien Wang & Erik Demeulemeester & Nancy Vansteenkiste & Frank E. Rademakers, 2022. "On the use of partitioning for scheduling of surgeries in the inpatient surgical department," Health Care Management Science, Springer, vol. 25(4), pages 526-550, December.
    2. Wang, Lien & Demeulemeester, Erik & Vansteenkiste, Nancy & Rademakers, Frank E., 2024. "Capacity and surgery partitioning: An approach for improving surgery scheduling in the inpatient surgical department," European Journal of Operational Research, Elsevier, vol. 313(1), pages 112-128.

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