Managing daily surgery schedules in a teaching hospital: a mixed-integer optimization approach

Pulido Martínez, Raúl and Aguirre, Adrián M. and Ortega Mier, Miguel Ángel and García Sánchez, Álvaro and Méndez, Carlos A. (2014). Managing daily surgery schedules in a teaching hospital: a mixed-integer optimization approach. "BMC Health Service Research", v. 14 (n. 464); pp. 1-13. ISSN 1472-6963. https://doi.org/10.1186/1472-6963-14-464.

Description

Title: Managing daily surgery schedules in a teaching hospital: a mixed-integer optimization approach
Author/s:
  • Pulido Martínez, Raúl
  • Aguirre, Adrián M.
  • Ortega Mier, Miguel Ángel
  • García Sánchez, Álvaro
  • Méndez, Carlos A.
Item Type: Article
Título de Revista/Publicación: BMC Health Service Research
Date: 2014
ISSN: 1472-6963
Volume: 14
Subjects:
Freetext Keywords: Scheduling; MILP; Simulation; Operation rooms; Teaching hospital
Faculty: E.T.S.I. Industriales (UPM)
Department: Ingeniería de Organización, Administración de Empresas y Estadística
Creative Commons Licenses: Recognition - No derivative works - Non commercial

Full text

[img]
Preview
PDF - Requires a PDF viewer, such as GSview, Xpdf or Adobe Acrobat Reader
Download (2MB) | Preview

Abstract

Background: This study examined the daily surgical scheduling problem in a teaching hospital. This problem relates to the use of multiple operating rooms and different types of surgeons in a typical surgical day with deterministic operation durations (preincision, incision, and postincision times). Teaching hospitals play a key role in the health-care system; however, existing models assume that the duration of surgery is independent of the surgeon's skills. This problem has not been properly addressed in other studies. We analyze the case of a Spanish public hospital, in which continuous pressures and budgeting reductions entail the more efficient use of resources. Methods: To obtain an optimal solution for this problem, we developed a mixed-integer programming model and user-friendly interface that facilitate the scheduling of planned operations for the following surgical day. We also implemented a simulation model to assist the evaluation of different dispatching policies for surgeries and surgeons. The typical aspects we took into account were the type of surgeon, potential overtime, idling time of surgeons, and the use of operating rooms. Results: It is necessary to consider the expertise of a given surgeon when formulating a schedule: such skill can decrease the probability of delays that could affect subsequent surgeries or cause cancellation of the final surgery. We obtained optimal solutions for a set of given instances, which we obtained through surgical information related to acceptable times collected from a Spanish public hospital. Conclusions: We developed a computer-aided framework with a user-friendly interface for use by a surgical manager that presents a 3-D simulation of the problem. Additionally, we obtained an efficient formulation for this complex problem. However, the spread of this kind of operation research in Spanish public health hospitals will take a long time since there is a lack of knowledge of the beneficial techniques and possibilities that operational research can offer for the health-care system.

Funding Projects

TypeCodeAcronymLeaderTitle
UnspecifiedUnspecifiedEDIMUnspecifiedEDIM program from the Erasmus Mundus ARCOIRIS Action 1 scholarship program

More information

Item ID: 37982
DC Identifier: http://oa.upm.es/37982/
OAI Identifier: oai:oa.upm.es:37982
DOI: 10.1186/1472-6963-14-464
Official URL: http://www.biomedcentral.com/1472-6963/14/464
Deposited by: Memoria Investigacion
Deposited on: 08 Oct 2015 18:38
Last Modified: 21 Mar 2017 16:02
  • Logo InvestigaM (UPM)
  • Logo GEOUP4
  • Logo Open Access
  • Open Access
  • Logo Sherpa/Romeo
    Check whether the anglo-saxon journal in which you have published an article allows you to also publish it under open access.
  • Logo Dulcinea
    Check whether the spanish journal in which you have published an article allows you to also publish it under open access.
  • Logo de Recolecta
  • Logo del Observatorio I+D+i UPM
  • Logo de OpenCourseWare UPM