Accounting for Inpatient Wards when developing Master Surgical Schedules

Research output: Contribution to journalArticleAcademicpeer-review

18 Citations (Scopus)
27 Downloads (Pure)

Abstract

BACKGROUND: As the demand for health care services increases, the need to improve patient flow between departments has likewise increased. Understanding how the master surgical schedule (MSS) affects the inpatient wards and exploiting this relationship can lead to a decrease in surgery cancellations, a more balanced workload, and an improvement in resource utilization. We modeled this relationship and used the model to evaluate and select a new MSS for a hospital. METHODS: An operational research model was used in combination with staff input to develop a new MSS. A series of MSSs were proposed by staff, evaluated by the model, and then scrutinized by staff. Through iterative modifications of the MSS proposals (i.e., the assigned operating time of specialties), insight is obtained into the number, type, and timing of ward admissions, and how these affect ward occupancy. RESULTS: After evaluating and discussing a number of proposals, a new MSS was chosen that was acceptable to operating room staff and that balanced the ward occupancy. After implementing the new MSS, a review of the bed-use statistics showed it was achieving a balanced ward occupancy. The model described in this article gave the hospital the ability to quantify the concerns of multiple departments, thereby providing a platform from which a new MSS could be negotiated. CONCLUSION: The model, used in combination with staff input, supported an otherwise subjective discussion with quantitative analysis. The work in this article, and in particular the model, is readily repeatable in other hospitals and relies only on readily available data. (Anesth Analg 2011;112:1472–9)
Original languageEnglish
Pages (from-to)1472-1479
Number of pages8
JournalAnesthesia and analgesia
Volume112
Issue number6
DOIs
Publication statusPublished - Jun 2011

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Inpatients
Appointments and Schedules
Operating Rooms
Workload
Health Services
Delivery of Health Care
Research

Keywords

  • IR-77099
  • METIS-275510
  • EWI-20174

Cite this

@article{fae78271745040c3b2d4aa6921e701ec,
title = "Accounting for Inpatient Wards when developing Master Surgical Schedules",
abstract = "BACKGROUND: As the demand for health care services increases, the need to improve patient flow between departments has likewise increased. Understanding how the master surgical schedule (MSS) affects the inpatient wards and exploiting this relationship can lead to a decrease in surgery cancellations, a more balanced workload, and an improvement in resource utilization. We modeled this relationship and used the model to evaluate and select a new MSS for a hospital. METHODS: An operational research model was used in combination with staff input to develop a new MSS. A series of MSSs were proposed by staff, evaluated by the model, and then scrutinized by staff. Through iterative modifications of the MSS proposals (i.e., the assigned operating time of specialties), insight is obtained into the number, type, and timing of ward admissions, and how these affect ward occupancy. RESULTS: After evaluating and discussing a number of proposals, a new MSS was chosen that was acceptable to operating room staff and that balanced the ward occupancy. After implementing the new MSS, a review of the bed-use statistics showed it was achieving a balanced ward occupancy. The model described in this article gave the hospital the ability to quantify the concerns of multiple departments, thereby providing a platform from which a new MSS could be negotiated. CONCLUSION: The model, used in combination with staff input, supported an otherwise subjective discussion with quantitative analysis. The work in this article, and in particular the model, is readily repeatable in other hospitals and relies only on readily available data. (Anesth Analg 2011;112:1472–9)",
keywords = "IR-77099, METIS-275510, EWI-20174",
author = "P.T. Vanberkel and Boucherie, {Richardus J.} and Hans, {Elias W.} and Hurink, {Johann L.} and {van Lent}, W.A.M. and {van Harten}, {Willem H.} and {van Harten}, {Wim H.}",
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}

Accounting for Inpatient Wards when developing Master Surgical Schedules. / Vanberkel, P.T.; Boucherie, Richardus J.; Hans, Elias W.; Hurink, Johann L.; van Lent, W.A.M.; van Harten, Willem H.; van Harten, Wim H.

In: Anesthesia and analgesia, Vol. 112, No. 6, 06.2011, p. 1472-1479.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Accounting for Inpatient Wards when developing Master Surgical Schedules

AU - Vanberkel, P.T.

AU - Boucherie, Richardus J.

AU - Hans, Elias W.

AU - Hurink, Johann L.

AU - van Lent, W.A.M.

AU - van Harten, Willem H.

AU - van Harten, Wim H.

PY - 2011/6

Y1 - 2011/6

N2 - BACKGROUND: As the demand for health care services increases, the need to improve patient flow between departments has likewise increased. Understanding how the master surgical schedule (MSS) affects the inpatient wards and exploiting this relationship can lead to a decrease in surgery cancellations, a more balanced workload, and an improvement in resource utilization. We modeled this relationship and used the model to evaluate and select a new MSS for a hospital. METHODS: An operational research model was used in combination with staff input to develop a new MSS. A series of MSSs were proposed by staff, evaluated by the model, and then scrutinized by staff. Through iterative modifications of the MSS proposals (i.e., the assigned operating time of specialties), insight is obtained into the number, type, and timing of ward admissions, and how these affect ward occupancy. RESULTS: After evaluating and discussing a number of proposals, a new MSS was chosen that was acceptable to operating room staff and that balanced the ward occupancy. After implementing the new MSS, a review of the bed-use statistics showed it was achieving a balanced ward occupancy. The model described in this article gave the hospital the ability to quantify the concerns of multiple departments, thereby providing a platform from which a new MSS could be negotiated. CONCLUSION: The model, used in combination with staff input, supported an otherwise subjective discussion with quantitative analysis. The work in this article, and in particular the model, is readily repeatable in other hospitals and relies only on readily available data. (Anesth Analg 2011;112:1472–9)

AB - BACKGROUND: As the demand for health care services increases, the need to improve patient flow between departments has likewise increased. Understanding how the master surgical schedule (MSS) affects the inpatient wards and exploiting this relationship can lead to a decrease in surgery cancellations, a more balanced workload, and an improvement in resource utilization. We modeled this relationship and used the model to evaluate and select a new MSS for a hospital. METHODS: An operational research model was used in combination with staff input to develop a new MSS. A series of MSSs were proposed by staff, evaluated by the model, and then scrutinized by staff. Through iterative modifications of the MSS proposals (i.e., the assigned operating time of specialties), insight is obtained into the number, type, and timing of ward admissions, and how these affect ward occupancy. RESULTS: After evaluating and discussing a number of proposals, a new MSS was chosen that was acceptable to operating room staff and that balanced the ward occupancy. After implementing the new MSS, a review of the bed-use statistics showed it was achieving a balanced ward occupancy. The model described in this article gave the hospital the ability to quantify the concerns of multiple departments, thereby providing a platform from which a new MSS could be negotiated. CONCLUSION: The model, used in combination with staff input, supported an otherwise subjective discussion with quantitative analysis. The work in this article, and in particular the model, is readily repeatable in other hospitals and relies only on readily available data. (Anesth Analg 2011;112:1472–9)

KW - IR-77099

KW - METIS-275510

KW - EWI-20174

U2 - 10.1213/ANE.0b013e3182159c2f

DO - 10.1213/ANE.0b013e3182159c2f

M3 - Article

VL - 112

SP - 1472

EP - 1479

JO - Anesthesia and analgesia

JF - Anesthesia and analgesia

SN - 0003-2999

IS - 6

ER -