Operating room rescheduling

J. Theresia van Essen, Johann L. Hurink, W. Hartholt, B.J. van den Akker

Research output: Book/ReportReportProfessional

23 Citations (Scopus)
38 Downloads (Pure)

Abstract

Due to surgery duration variability and arrivals of emergency surgeries, the planned Operating Room (OR) schedule is disrupted throughout the day which may lead to a change in the start time of the elective surgeries. These changes may result in undesirable situations for patients, wards or other involved departments, and therefore, the OR schedule has to be adjusted. In this paper, we develop a decision support system which assists the OR manager in this decision by providing the three best adjusted OR schedules. The system considers the preferences of all involved stakeholders and only evaluates the OR schedules that satisfy the imposed resource constraints. The decision rules used for this system are based on a thorough analysis of the OR rescheduling problem. We model this problem as an Integer Linear Program (ILP) which objective is to minimize the deviation from the preferences of the considered stakeholders. By applying this ILP to instances from practice, we determined that the given preferences mainly lead to (i) shifting a surgery and (ii) scheduling a break between two surgeries. By using these changes in the decision support system, less surgeries are canceled and the perceived workload of all departments is reduced. The system can also be used to judge the acceptability of a proposed initial OR schedule.
Original languageEnglish
Place of PublicationEindhoven
PublisherBETA Research School for Operations Management and Logistics
Number of pages14
Publication statusPublished - 2012

Publication series

NameBeta Working Papers
PublisherBeta Research School for Operations Management and Logistics
No.WP-368
ISSN (Print)1386-9213

Fingerprint

Rescheduling
Operating room
Surgery
Schedule
Integer
Stakeholders
Linear program
Decision support systems
Workload
Decision rules
Managers
Acceptability
Emergency
Deviation
Resource constraints

Keywords

  • Operating Rooms
  • Rescheduling
  • Integer Programming
  • Decision Support System

Cite this

van Essen, J. T., Hurink, J. L., Hartholt, W., & van den Akker, B. J. (2012). Operating room rescheduling. (Beta Working Papers; No. WP-368). Eindhoven: BETA Research School for Operations Management and Logistics.
van Essen, J. Theresia ; Hurink, Johann L. ; Hartholt, W. ; van den Akker, B.J. / Operating room rescheduling. Eindhoven : BETA Research School for Operations Management and Logistics, 2012. 14 p. (Beta Working Papers; WP-368).
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van Essen, JT, Hurink, JL, Hartholt, W & van den Akker, BJ 2012, Operating room rescheduling. Beta Working Papers, no. WP-368, BETA Research School for Operations Management and Logistics, Eindhoven.

Operating room rescheduling. / van Essen, J. Theresia; Hurink, Johann L.; Hartholt, W.; van den Akker, B.J.

Eindhoven : BETA Research School for Operations Management and Logistics, 2012. 14 p. (Beta Working Papers; No. WP-368).

Research output: Book/ReportReportProfessional

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N2 - Due to surgery duration variability and arrivals of emergency surgeries, the planned Operating Room (OR) schedule is disrupted throughout the day which may lead to a change in the start time of the elective surgeries. These changes may result in undesirable situations for patients, wards or other involved departments, and therefore, the OR schedule has to be adjusted. In this paper, we develop a decision support system which assists the OR manager in this decision by providing the three best adjusted OR schedules. The system considers the preferences of all involved stakeholders and only evaluates the OR schedules that satisfy the imposed resource constraints. The decision rules used for this system are based on a thorough analysis of the OR rescheduling problem. We model this problem as an Integer Linear Program (ILP) which objective is to minimize the deviation from the preferences of the considered stakeholders. By applying this ILP to instances from practice, we determined that the given preferences mainly lead to (i) shifting a surgery and (ii) scheduling a break between two surgeries. By using these changes in the decision support system, less surgeries are canceled and the perceived workload of all departments is reduced. The system can also be used to judge the acceptability of a proposed initial OR schedule.

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van Essen JT, Hurink JL, Hartholt W, van den Akker BJ. Operating room rescheduling. Eindhoven: BETA Research School for Operations Management and Logistics, 2012. 14 p. (Beta Working Papers; WP-368).