Analysing management policies for operating room planning using simulation

Document type: Journal Articles
Article type: Original article
Peer reviewed: Yes
Author(s): Marie Persson, Jan A. Persson
Title: Analysing management policies for operating room planning using simulation
Journal: Health Care Management Science
Year: 2010
Volume: 13
Issue: 2
Pagination: 182-191
ISSN: 1386-9620
Publisher: Springer
URI/DOI: 10.1007/s10729-009-9122-y
ISI number: 000281585300007
Organization: Blekinge Institute of Technology
Department: School of Computing (Sektionen för datavetenskap och kommunikation)
School of Computing S-371 79 Karlskrona
+46 455 38 50 00
Language: English
Abstract: In this paper we analyse the operating room planning at a department of orthopaedic surgery in Sweden. We focus on the problem of meeting the uncertainty in demand of patient arrival and surgery duration and at the same time maximizing the utilization of Operating Room (OR) time. With a discrete-event model we simulate how different management polices affect different performance metrics such as patient waiting time, cancellations and the utilization of OR time. The experiments show that the performance of the operating room department can be improved significantly by applying a different policy in reserving OR-capacity for emergency cases together with a policy to increase staff in stand-by. Moreover, the developed simulation model provides estimates for a what-if situation related to the prognosis of an increasing number of hip-joint replacements.
Subject: Software Engineering\General
Nursing & Caring Sciences\General
Keywords: Healthcare; Management, Operating room planning, Optimisation, Simulation