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Simulation framework to analyze operating room release mechanisms

Abstract

The block time (BT) schedule, which allocates Operating Rooms (ORs) to surgical specialties, causes
inflexibility for scheduling outside the BT, which negatively affects new surgeons, new specialties, and
specialties that have fluctuation in the number of surgeries. For this inflexibility, we introduce the concept
of releasing ORs, and present a generic simulation and evaluation framework that can be used by hospitals
to evaluate various release mechanisms. The simulation and evaluation framework is illustrated by a case
study at Vanderbilt Medical Center and University (VUMC) in Nashville. The results show that introducing
a release policy has benefits in decreasing the number of unscheduled patients and decreasing access time,
without affecting the specialties originally assigned to the released rooms.

Category

Academic article

Language

English

Author(s)

  • Rimmert van der Kooij
  • Martijn R.K. Mes
  • Erwin W. Hans

Affiliation

  • SINTEF Digital / Technology Management
  • University of Twente, Enschede

Year

2015

Published in

Winter simulation conference : proceedings

ISSN

0891-7736

Publisher

IEEE Press

Volume

2015-January

Page(s)

1144 - 1155

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