A random forest and simulation approach for scheduling operation rooms: Elective surgery cancelation in a Chinese hospital urology department.

Autor: Luo L; Business School, Sichuan University, Chengdu, Sichuan, China., Liu C; Business School, Sichuan University, Chengdu, Sichuan, China.; Logistics Engineering School, Chengdu Vocational & Technical College of Industry, Chengdu, Sichuan, China., Feng L; Business School, Sichuan University, Chengdu, Sichuan, China., Zhao S; Outpatient Department of West China Hospital, Sichuan University, Chengdu, Sichuan, China., Gong R; Operating Room Department of West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Jazyk: angličtina
Zdroj: The International journal of health planning and management [Int J Health Plann Manage] 2018 Oct; Vol. 33 (4), pp. 941-966. Date of Electronic Publication: 2018 Jun 28.
DOI: 10.1002/hpm.2552
Abstrakt: Many hospitals encounter surgery cancelations for various reasons. We present a methodology applying data mining and simulation to optimize operating room (OR) scheduling in a urology department in West China Hospital. To the best of our knowledge, this is 1 of the first efforts to seek an optimal schedule solution based on cancelation risk of elective surgeries as well as OR allocation between elective and nonelective surgeries. First, chi-square test and random forest prediction modeling were used to predict potential elective surgeries with high cancelation risk, and the factors, including surgeon, number of days since admission of patient, first surgery or not, etc., that influence elective surgery cancelation were identified. Second, a simulation technology was designed to compare 7 different scheduling strategies. The results demonstrated that for elective surgery, cancelation rate low surgery first outperformed the others and increased the productivity of the ORs from 72% to 83%, while for nonelective surgery performed in a separate OR, there was no improvement because the supply was greater than necessary at present. However, in total, the selected strategies led to 7% higher productivity.
(© 2018 John Wiley & Sons, Ltd.)
Databáze: MEDLINE
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