Operating room planning and scheduling: A literature review

Personnel scheduling: A literature review

Operating theatre represents one of the most critical and expensive hospital resources since a high percentage of the hospital admissions is due to surgical interventions. The main objectives are to guarantee the optimal utilization of medical resources, the delivery of surgery at the right time, the maximisation of profitability (i.e., patient flow) without incurring additional costs or excessive patient waiting time. The operating theatre management is a process very complex: the use of mathematical and simulation models, and quantitative techniques plays, thus a crucial role. The main aim of this paper is to provide a structured literature review on how Operational Research can be applied to the surgical planning and scheduling processes. A particular attention is on the published papers that present the most interesting mathematical (optimization and simulation) models and solution approaches developed to address the problems arising in operating theatres. Directions for future researches are also highlighted.

Operational research in the management of the operating theatre: a survey.

We provide a comprehensive overview of the typical decisions to be made in resource capacity planning and control in health care, and a structured review of relevant articles from the field of Operations Research and Management Sciences (OR/MS) for each planning decision. The contribution of this paper is twofold. First, to position the planning decisions, a taxonomy is presented. This taxonomy provides health care managers and OR/MS researchers with a method to identify, break down and classify planning and control decisions. Second, following the taxonomy, for six health care services, we provide an exhaustive specification of planning and control decisions in resource capacity planning and control. For each planning and control decision, we structurally review the key OR/MS articles and the OR/MS methods and techniques that are applied in the literature to support decision making.

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Taxonomic classification of planning decisions in health care: a structured review of the state of the art in OR/MS

https://repositorio.inesctec.pt/bitstream/123456789/3167/1/PS-06772.pdf

Operations Research in Healthcare: a survey

Optimizing a multiple objective surgical case sequencing problem

This paper presents a decision support system for cyclic master surgery scheduling and describes the results of an extensive case study applied in a medium-sized Belgian hospital. Three objectives are taken into account when building the master surgery schedule. First of all, the resulting bed occupancy at the hospitalization units should be leveled as much as possible. Second, a particular operating room is best allocated exclusively to one group of surgeons having the same speciality; i.e., operating rooms should be shared as little as possible between different surgeon groups. Third, the master surgery schedule is preferred to be as simple and repetitive as possible, with few changes from week to week. The system relies on mixed integer programming techniques involving the solution of multi-objective linear and quadratic optimization problems, and on a simulated annealing metaheuristic.

/pdf/a-decision-support-system-for-cyclic-master-surgery-2tqlcypgbq.pdf

A decision support system for cyclic master surgery scheduling with multiple objectives

Sequencing surgical cases in a day-care environment: An exact branch-and-price approach

In hospitals, the operating room (OR) is a particularly expensive facility and thus efficient scheduling is imperative. This can be greatly supported by using advanced methods that are discussed in the academic literature. In order to help researchers and practitioners to select new relevant articles, we classify the recent OR planning and scheduling literature into tables regarding patient type, used performance measures, decisions made, OR up- and downstream facilities, uncertainty, research methodology and testing phase. Based on these classifications, we identify trends and promising topics. Additionally, we recognize three common pitfalls that hamper the adoption of research results by stakeholders: the lack of a clear choice of authors on whether to target researchers (contributing advanced methods) or practitioners (providing managerial insights), the use of ill-fitted performance measures in models and the failure to understandably report on the hospital setting and method-related assumptions. We provide specific guidelines that help to avoid these pitfalls. First, we show how to build up an article based on the choice of the target group (i.e., researchers or practitioners). Making a clear distinction between target groups impacts the problem setting, the research task, the reported findings, and the conclusions. Second, we discuss points that need to be considered by researchers when deciding on the used performance measures. Third, we list the assumptions that need to be included in articles in order to enable readers to decide whether the presented research is relevant to them.

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Brecht Cardoen

Papers

Operating room planning and scheduling: A literature review

Optimizing a multiple objective surgical case sequencing problem

A decision support system for cyclic master surgery scheduling with multiple objectives

Sequencing surgical cases in a day-care environment: An exact branch-and-price approach

Scheduling operating rooms: achievements, challenges and pitfalls