How to schedule elective surgical cases into specific operating rooms to maximize the efficiency of use of operating room time

Anesthesia and Analgesia
Franklin Dexter, Rodney D Traub

Abstract

We considered elective case scheduling at hospitals and surgical centers at which surgeons and patients choose the day of surgery, cases are not turned away, and anesthesia and nursing staffing are adjusted to maximize the efficiency of use of operating room (OR) time. We investigated scheduling a new case into an OR by using two patient-scheduling rules: Earliest Start Time or Latest Start Time. By using several scenarios, we showed that the use of Earliest Start Time is rational economically at such facilities. Specifically, it maximizes OR efficiency when a service has nearly filled its regularly scheduled hours of OR time. However, Latest Start Time will perform better at balancing workload among services' OR time. We then used historical case duration data from two facilities in computer simulations to investigate the effect of errors in predicting case durations on the performance of these two heuristics. The achievable incremental reduction in overtime by having perfect information on case duration versus using historical case durations was only a few minutes per OR. The differences between Earliest Start Time and Latest Start Time were also only a few minutes per OR. We conclude that for facilities at which the goals ar...Continue Reading

References

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Citations

Feb 19, 2005·Health Care Management Science·Liam O'Neill, Franklin Dexter
Apr 25, 2006·Anesthesia and Analgesia·Franklin DexterAngella J Dow
Mar 15, 2006·Current Opinion in Anaesthesiology·Franklin Dexter, Richard H Epstein
Apr 15, 2006·Health Care Management Science·Eric Marcon, Franklin Dexter
Mar 20, 2008·Plastic and Reconstructive Surgery·Salvatore J PacellaWilliam M Kuzon
Jan 1, 2008·Anesthesia and Analgesia·Ruth E Wachtel, Franklin Dexter
Nov 15, 2008·The International Journal of Health Planning and Management·Prithwiraj SahaAdam Magos
Sep 19, 2009·Anesthesia and Analgesia·Franklin DexterJohannes Ledolter
Jun 29, 2010·Anesthesia and Analgesia·Avery TungDavid B Glick
Jan 11, 2011·BMC Medical Informatics and Decision Making·Franklin DexterRichard H Epstein
Mar 21, 2012·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Franklin DexterBettina Smallman
Mar 5, 2014·Health Care Management Science·Narges Hosseini, Kevin M Taaffe
Feb 28, 2019·Hand : Official Journal of the American Association for Hand Surgery·Michael T MiloneJacques H Hacquebord
Oct 6, 2006·Current Opinion in Anaesthesiology·Franklin Dexter
Mar 21, 2009·Anesthesia and Analgesia·Franklin Dexter, Richard H Epstein
Sep 27, 2012·Anesthesia and Analgesia·Franklin DexterRichard H Epstein
Mar 19, 2013·BMC Surgery·Vanni AgnolettiGiorgio Gambale
May 28, 2013·Anesthesia and Analgesia·Pieter S Stepaniak, Franklin Dexter
Jul 18, 2015·Paediatric Anaesthesia·Fernanda BravoMichael L McManus
Jan 23, 2016·Anesthesia and Analgesia·Pengyi ShiRichard H Epstein
Feb 6, 2017·Hand : Official Journal of the American Association for Hand Surgery·Michael B GottschalkS Steven Yang
Jun 10, 2017·Journal of Medical Systems·Mitchell H TsaiRichard D Urman
Jun 20, 2020·Surgical Endoscopy·Dimitrios I AthanasiadisDimitrios Stefanidis
Feb 26, 2004·Anesthesia and Analgesia·Franklin DexterDavid A Lubarsky
Sep 27, 2006·Anesthesia and Analgesia·Franklin Dexter, Ruth E Wachtel
Dec 14, 2007·Health Care Management Science·Peter T VanBerkel, John T Blake

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