A master surgical scheduling approach for cyclic scheduling in operating room departments

Oostrum, Jeroen M. van; Houdenhoven, Mark van; Hurink, Johann L.; Hans, Erwin W.; Wullink, Gerhard; Kazemier, Geert

doi:10.1007/s00291-006-0068-x

Cited by 180 publications

(144 citation statements)

References 29 publications

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“…We will again use the setting of the Thorax Centre Rotterdam for comparison with the previous approach. Compared to the work by Beliën and Demeulemeester [5] and Van Oostrum et al [6] we are less interested in finding the best mathematical solution. Instead, the aim in this paper is to offer mathematical support in a case setting where a cardiothoracic surgeon-planner wants to develop a planning approach for scheduling surgical patients that can provide information on the consequences of relevant resources and that can be implemented in practice.…”

Section: Introductionmentioning

confidence: 90%

“…The SA approach gave better results but the MIP approach required less computational effort and allowed according to the authors easier tuning to specific requirements of a setting by defining constraints or manipulating weights in the objective function. Van Oostrum et al [6] also look at cyclic master scheduling for operating rooms and the impact on succeeding departments. They use data on actual surgical procedures and their stochasticity and focus on the optimisation of the use of operating theatre resources.…”

Section: Introductionmentioning

confidence: 99%

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Patient mix optimisation and stochastic resource requirements: A case study in cardiothoracic surgery planning

Adan

Bekkers

Dellaert

et al. 2008

Health Care Manag Sci

109

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Cardiothoracic surgery planning involves different resources such as operating theatre time, beds, IC beds and nursing staff. In the daily practice of the Thorax Centre case study setting, the planning focuses on optimal use of operating theatre time, though the performance of the Thorax Centre as a whole is often more limited by other resources. For operating theatres a master surgical schedule is used to allocate operating theatre resources at tactical level for a longer period. Operational schedules at weekly level are derived from this master schedule. Within cardiothoracic surgery different categories of patients can be distinguished based on their requirement of resources. The mix of patients operated is, therefore, an important decision variable for the Thorax Centre to manage the use of these resources. In this paper we will consider the planning problem at the tactical level to generate a master surgical schedule that realises a given target of patient throughput and optimises an objective function for the utilisation of resources. The problem can be mathematically approached by mixed integer linear programming, which we already demonstrated in a previous paper. The specific topic of the current paper is to investigate the influence of using a stochastic instead of a deterministic length of stay. We will discuss the new mathematical model developed for this planning problem. The results obtained by the model indicate that we can generate master surgical schedules with a better performance on target utilization levels of resources by considering the stochastic length of stay.

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Section: Introductionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Patient mix optimisation and stochastic resource requirements: A case study in cardiothoracic surgery planning

Adan

Bekkers

Dellaert

et al. 2008

Health Care Manag Sci

109

View full text Add to dashboard Cite

show abstract

“…Fourth, we defined a set of recurrent surgery types that covered the surgical-case mix and applied a multiobjective algorithm for this purpose. Fifth, we constructed the actual MSS (van Oostrum et al 2008). Initially, we developed a benchmark schedule using a model that combines column generation and integer linear programming.…”

Section: Problem Backgroundmentioning

confidence: 99%

“…We used a seven-step model to implement the MSS approach, as defined by van Oostrum et al (2009). First, we defined the scope of the approach, i.e., the resources and departments to be included.…”

Section: Problem Backgroundmentioning

confidence: 99%

Practice Abstracts

Oostrum¹,

Houdenhoven²,

Wagelmans³

et al. 2009

Interfaces

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The goal of “Practice Abstracts” is to present interesting, topical, and novel applications of operations research methodology to a wide range of industrial applications. “Practice Abstracts” are intended to provide Interfaces readers with short (2–4 page) descriptions of the most relevant aspects of operations research-based projects, in a form that is accessible to academics and practitioners in other organizations. Contributions should be sent for evaluation to the editor of “Practice Abstracts,” Brian T. Denton, Edward P. Fitts Department of Industrial and Systems Engineering, 376 Daniels Hall, North Carolina State University, 111 Lampe Drive, Campus Box 7906, Raleigh, North Carolina 27695 (bdenton@ncsu.edu).

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“…It is myopic to focus on just the OR department itself. Its schedule influences processes throughout the hospital (van Oostrum et al 2008). Also, other departments like the intensive care units (ICUs) and wards pose constraints on the OR schedule that may not be ignored (e.g., bed availability after surgery; Vanberkel and Blake 2007).…”

mentioning

confidence: 99%

Suitability and managerial implications of a Master Surgical Scheduling approach

2009

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Operating room (OR) planning and scheduling is a popular and challenging subject within the operational research applied to health services research (ORAHS). However, the impact in practice is very limited. The organization and culture of a hospital and the inherent characteristics of its processes impose specific implementation issues that affect the success of planning approaches. Current tactical OR planning approaches often fail to account for these issues. Master surgical scheduling (MSS) is a promising approach for hospitals to optimize resource utilization and patient flows. We discuss the pros and cons of MSS and compare MSS with centralized and decentralized planning approaches. Finally, we address various implementation issues of MSS and discuss its suitability for hospitals with different organizational foci and culture.Keywords Master surgical scheduling · Organizational issues · Operating room management · Organizational focus and culture · Health care operations planning and scheduling

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A master surgical scheduling approach for cyclic scheduling in operating room departments

Cited by 180 publications

References 29 publications

Patient mix optimisation and stochastic resource requirements: A case study in cardiothoracic surgery planning

Patient mix optimisation and stochastic resource requirements: A case study in cardiothoracic surgery planning

Practice Abstracts

Suitability and managerial implications of a Master Surgical Scheduling approach

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