Operating room planning and scheduling: A literature review

Cardoen, Brecht; Demeulemeester, Erik; Beliën, Jeroen

doi:10.1016/j.ejor.2009.04.011

Cited by 917 publications

(587 citation statements)

References 121 publications

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“…Literature on the subject of patient scheduling in hospitals is diverse in its approach to the problem [5] with the type of analysis or solution technique dependent on a number of factors. Increasing patient throughput using simple techniques is the approach taken by Litvak [6].…”

Section: Patient Schedulingmentioning

confidence: 99%

Modeling the critical care pathway for cardiothoracic surgery

Bahou

Fenwick

Anderson

et al. 2017

Health Care Manag Sci

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The west of Scotland heart and lung center based at the Golden Jubilee National Hospital houses all adult cardiothoracic surgery for the region. Increased demand for scheduled patients and fluctuations in emergency referrals resulted in increasing waiting times and patient cancellations. The main issue was limited resources, which was aggravated by the stochastic nature of the length of stay (LOS) and arrival of patients. Discrete event simulation (DES) was used to assess if an enhanced schedule was sufficient, or more radical changes, such as capacity or other resource reallocations should be considered in order to solve the problem. Patients were divided into six types depending on their condition and LOS at the different stages of the process. The simulation model portrayed each patient type's pathway with sufficient detail. Patient LOS figures were analyzed and distributions were formed from historical data, which were then used in the simulation. The model proved successful as it showed figures that were close to actual observations. Acquiring results and knowing exactly when and what caused a cancellation was another strong point of the model. The results demonstrated that the bottleneck in the system was related to the use of High Dependency Unit (HDU) beds, which were the recovery beds used by most patients. Enhancing the schedule by leveling out the daily arrival of patients to HDUs reduced patient cancellations by 20%. However, coupling this technique with minor capacity reallocations resulted in more than 60% drop in cancellations.

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Section: Patient Schedulingmentioning

confidence: 99%

Modeling the critical care pathway for cardiothoracic surgery

Bahou

Fenwick

Anderson

et al. 2017

Health Care Manag Sci

View full text Add to dashboard Cite

show abstract

“…Much of this literature focuses on operating room scheduling. A recent review is given by Cardoen et al (2010). Given the immense importance of acute hospitals and the central role of the operating room, this scheduling task will continue to attract a lot of research.…”

Section: Literature Overviewmentioning

confidence: 99%

Decision support for rehabilitation hospital scheduling

2011

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We present a detailed analysis of the patient and resource scheduling problem in rehabilitation hospitals. In practice, the predominantly therapeutical treatments and activities which are prescribed for the patients are typically scheduled manually.This leads to rigid and inefficient schedules which can have negative effects on the quality of care and the patients' satisfaction. We outline the conceptual framework of a decision support system for the scheduling process that is based on formal optimization models. To this end, we first develop a large-scale monolithic optimization model. Then we derive a numerically tractable hierarchical model system in order to deal with problem instances of realistic sizes. We report numerical results with respect to solution times, model sizes and solution quality.

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“…Importantly, DES provides the capability to model resource constraints explicitly [5,6,7]. It is therefore a useful tool for modelling re-usable (or occupied) resource constraints, as proven in its widespread use in other sectors such as operational research, engineering and scheduling [8][9][10][11]. The use of DES is also gaining momentum within the field of HTA itself [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Discrete Event Simulation-Based Resource Modelling in Health Technology Assessment

et al. 2017

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OBJECTIVE:To conduct a systematic review of published research on the use of discrete event simulation (DES) for resource modelling in health technology assessment (HTA). Resource modelling (RM) is broadly defined as incorporating and measuring effects of constraints on physical resources (e.g. beds, doctors, nurses) in HTA models. METHODS: Systematic literature searches were conducted in academic databases (JSTOR, SAGE, SPRINGER, SCOPUS, IEEE, Science Direct, PUBMED, EMBASE) and grey literature (Google Scholar, NHS journal library), enhanced by manual searchers (i.e. reference list checking, citation searching and hand searching techniques). RESULTS:The search strategy yielded 4,117 potentially relevant citations. Following the screening and manual searches, 10 articles were included. Reviewing these articles provided insights into the applications of RM: firstly, different types of economic analyses, model settings, RM and costeffectiveness analysis (CEA) outcomes were identified. Secondly, variation in the characteristics of the constraints such as types and nature of constraints, sources of data for the constraints were identified. Thirdly, it was found that including the effects of constraints caused the CEA results to change in these articles. CONCLUSION:The review found that DES proved to be an effective technique for RM but there were only a small number of studies applied in HTA. However, these studies showed the important consequences of modelling physical constraints and point to the need for a framework to be developed to guide future applications of this approach. (230 words) Keywords Discrete event simulation, resource modelling, health technology assessment, simulation modelling 2 Key Points for Decision Makers  Economic evaluation studies in health care typically ignore the short-term constraints on physical resources (e.g. doctors, nurses) which can lead to incorrect results.  Discrete Event Simulation is an effective tool for modelling the effects of constraints but there were only a small number of studies applied in health technology assessment (HTA).  Further research is required to examine the possible developments for detailed modelling of the resource constraints in HTA.

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Operating room planning and scheduling: A literature review

Cited by 917 publications

References 121 publications

Modeling the critical care pathway for cardiothoracic surgery

Modeling the critical care pathway for cardiothoracic surgery

Decision support for rehabilitation hospital scheduling

Discrete Event Simulation-Based Resource Modelling in Health Technology Assessment

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