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作者：Chow, Vincent S.; Puterman, Martin L.; Salehirad, Neda; Huang, Wenhai; Atkins, Derek
作者单位：British Columbia Cancer Agency; University of British Columbia
摘要：High surgical bed occupancy levels often result in heightened staff stress, frequent surgical cancellations, and long surgical wait times. This congestion is in part attributable to surgical scheduling practices, which often focus on the efficient use of operating rooms but ignore resulting downstream bed utilization. This paper describes a transparent and portable approach to improve scheduling practices, which combines a Monte Carlo simulation model and a mixed integer programming (MIP) mode...
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作者：White, Denise L.; Froehle, Craig M.; Klassen, Kenneth J.
作者单位：Cincinnati Children's Hospital Medical Center; University System of Ohio; University of Cincinnati; Brock University
摘要：In outpatient healthcare clinics, capacity, patient flow, and scheduling are rarely managed in an integrated fashion, so a question of interest is whether clinic performance can be improved if the policies that guide these decisions are set jointly. Despite the potential importance of this issue, we find surprisingly few studies that look at how the allocation of capacity, paired with various appointment scheduling policies and different patient flow configurations, affects patient flow and cl...
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作者：May, Jerrold H.; Spangler, William E.; Strum, David P.; Vargas, Luis G.
作者单位：Pennsylvania Commonwealth System of Higher Education (PCSHE); University of Pittsburgh; Duquesne University; University of Pennsylvania
摘要：This paper reviews the general problem of surgical scheduling. We organize the literature based on the time frame or planning horizon of the schedule into six categories: capacity planning, process reengineering/redesign, the surgical services portfolio, procedure duration estimation, schedule construction, and schedule execution, monitoring, and control. We survey past work and suggest topics for potential future research in each of those areas.
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作者：Patrick, Jonathan
作者单位：University of Ottawa
摘要：Much attention has been paid to lengthy wait times in emergency departments (EDs) and much research has sought to improve ED performance. However, ED congestion is often caused by the inability to move patients into the wards while the wards in turn are often congested primarily due to patients waiting for a bed in a long-term care (LTC) facility. The scheduling of clients to LTC is a complex problem that is compounded by the variety of LTC beds (different facilities and room accommodations), ...
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作者：Bretthauer, Kurt M.; Heese, H. Sebastian; Pun, Hubert; Coe, Edwin
作者单位：Indiana University System; Indiana University Bloomington; IU Kelley School of Business; Western University (University of Western Ontario); University Western Ontario Hospital; California Pacific Medical Center
摘要：We consider the problem of optimal capacity allocation in a hospital setting, where patients pass through a set of units, for example intensive care and acute care (AC), or AC and post-acute care. If the second stage is full, a patient whose service at the first stage is complete is blocked and cannot leave the first stage. We develop a new heuristic for tandem systems to efficiently evaluate the effects of such blocking on system performance and we demonstrate that this heuristic performs wel...
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作者：Gul, Serhat; Denton, Brian T.; Fowler, John W.; Huschka, Todd
作者单位：Arizona State University; Arizona State University-Tempe; North Carolina State University; Mayo Clinic
摘要：Uncertainty in the duration of surgical procedures can cause long patient wait times, poor utilization of resources, and high overtime costs. We compare several heuristics for scheduling an Outpatient Procedure Center. First, a discrete event simulation model is used to evaluate how 12 different sequencing and patient appointment time-setting heuristics perform with respect to the competing criteria of expected patient waiting time and expected surgical suite overtime for a single day compared...
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作者：Helm, Jonathan E.; AhmadBeygi, Shervin; Van Oyen, Mark P.
作者单位：University of Michigan System; University of Michigan
摘要：Variability in hospital occupancy negatively impacts the cost and quality of patient care delivery through increased emergency department (ED) congestion, emergency blockages and diversions, elective cancelations, backlogs in ancillary services, overstaffing, and understaffing. Controlling inpatient admissions can effectively reduce variability in hospital occupancy to mitigate these problems. Currently there are two major gateways for admission to a hospital: the ED and scheduled elective adm...
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作者：Kucukyazici, Beste; Verter, Vedat; Mayo, Nancy E.
作者单位：McGill University; Royal Victoria Hospital; McGill University
摘要：In this study, we propose a methodological framework to provide a road map to clinicians and system planners in developing chronic disease management strategies, and designing community-based care. We extend the analytical epidemiologic model by utilizing a patient flow approach, in order to model the multiple care-provider visit patterns of patients with a specific chronic illness. The patterns of care received by a group of patients are represented in compact form by means of a Markov model ...
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作者：Dobson, Gregory; Hasija, Sameer; Pinker, Edieal J.
作者单位：University of Rochester; INSEAD Business School
摘要：This paper examines the effect of the common practice of reserving slots for urgent patients in a primary health care practice on two service quality measures: the average number of urgent patients that are not handled during normal hours (either handled as overtime, referred to other physicians, or referred to the emergency room) and the average queue of non-urgent or routine patients. We formulate a stochastic model of appointment scheduling in a primary care practice. We conduct numerical e...
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作者：Price, Carter; Golden, Bruce; Harrington, Michael; Konewko, Ramon; Wasil, Edward; Herring, William
作者单位：RAND Corporation; University System of Maryland; University of Maryland College Park; University System of Maryland; University of Maryland Baltimore; Johns Hopkins University; Johns Hopkins Medicine; American University; University System of Maryland; University of Maryland College Park
摘要：When operating room schedules in hospitals are produced, the constraints and preferences of surgeons and hospital workers are a primary consideration. The downstream impact on post-operative bed availability is often ignored. This can lead to the boarding of patients overnight in the post-anesthesia care unit (PACU) because intensive care unit beds are unavailable. In this paper, we apply integer programming and simulation to develop improved surgical scheduling assignments. We want to balance...
