Operating room scheduling for non-operating room anesthesia with emergency uncertainty

Document Type

Article

Publication Date

2-1-2023

Abstract

How to improve the efficiency of operating rooms (ORs) has always been a challenging problem in the context of healthcare operations management. This paper focuses on the research of operating room scheduling under non-operatingroomanesthesia (NORA) mechanism, in the presence of the uncertainty of emergency arrivals. In particular, we examine the advantages of the NORA mechanism in comparison with traditional surgical anesthesia practice under different operating room settings. Operationally, the process is comprised of two stages: (1) initial scheduling and (2) rescheduling. In the first stage, the initial schedule for elective surgeries under NORA is first performed through our developed model. With experiments, it is shown that for different operating room settings, the NORA mechanism can significantly improve the operating room utilization in comparison with the traditional OR anesthesia process. In the second stage of rescheduling, our experiment results show that the rescheduling model can effectively address the disruptions caused by the random arrival of emergency patients.

Identifier

85135744822 (Scopus)

Publication Title

Annals of Operations Research

External Full Text Location

https://doi.org/10.1007/s10479-022-04870-6

e-ISSN

15729338

ISSN

02545330

First Page

565

Last Page

588

Issue

1-2

Volume

321

Grant

ZD129

Fund Ref

U.S. Department of Agriculture

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