Operating theatre scheduling with patient recovery in both operating rooms and recovery beds

Autor: Xiaolan Xie, Viviana Perdomo, Vincent Augusto
Přispěvatelé: Centre Ingénierie et Santé (CIS-ENSMSE), École des Mines de Saint-Étienne (Mines Saint-Étienne MSE), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT), Département Génie Industriel Hospitalier (GIH-ENSMSE), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-CIS, Institut Fédératif de Recherche en Sciences et Ingénierie de la Santé (IFRESIS-ENSMSE), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-IFR143
Rok vydání: 2010
Předmět:
Zdroj: Computers & Industrial Engineering
Computers & Industrial Engineering, Elsevier, 2010, 58 (5), pp.231-238. ⟨10.1016/j.cie.2009.04.019⟩
ISSN: 0360-8352
DOI: 10.1016/j.cie.2009.04.019
Popis: International audience; This paper investigates the impact of allowing patient recovery in the operating room when no recovery bed is available. Three types of identical resources are considered: transporters, operating rooms and recovery beds. A fixed number of patients must be planned over a term horizon, usually one or two weeks. The surgery process is modelled as follows: each patient is transported from the ward to the operating theatre. Then the patient visits an operating room for surgery operation and is transferred to the recovery room. If no recovery bed is available, the patient wakes up in the operating room until a bed becomes available. The operating room needs to be cleaned after the patient's departure, before starting another operation. Finally, the patient is transported back to the ward after his recovery. We consider several criteria based on patients' completion times. We propose a Lagrangian relaxation-based method to solve this operating theatre scheduling problem. The efficiency of this method is then validated by numerical experiments. A comprehensive numerical experiment is then performed to quantify the benefit of allowing patient recovery in operating rooms. We show that the benefit is high when the workload of the recovery beds is high.
Databáze: OpenAIRE