Comparing two operating-room-allocation policies for elective and emergency surgeries

Yann Ferrand, Michael Magazine, Uday Rao

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

When organizing the operating theatre and scheduling surgeries, hospitals face a trade-off between the need to be responsive to emergency cases and to conduct scheduled elective surgeries efficiently. We develop a simulation model to compare a flexible and a focused resource-allocation policy. We evaluate these two policies on patient and provider outcome measures, including patient wait time and physician overtime. We find that the focused policy results in lower elective wait time and lower overtime, which leads to the conclusion that electives benefit more from the elimination of emergency disruptions than what they lose from the reduced access to operating rooms. Emergency patient wait time, however, increases significantly as we shift from the flexible to the focused policy. The sensitivity analysis showed that average emergency wait time can decrease as the processing time variability increases. The trade-off between efficiency and responsiveness calls for additional research on other operating-room-allocation policies.

Original languageEnglish (US)
Title of host publicationProceedings of the 2010 Winter Simulation Conference, WSC'10
Pages2364-2374
Number of pages11
DOIs
StatePublished - Dec 1 2010
Externally publishedYes
Event2010 43rd Winter Simulation Conference, WSC'10 - Baltimore, MD, United States
Duration: Dec 5 2010Dec 8 2010

Publication series

NameProceedings - Winter Simulation Conference
ISSN (Print)0891-7736

Conference

Conference2010 43rd Winter Simulation Conference, WSC'10
CountryUnited States
CityBaltimore, MD
Period12/5/1012/8/10

Fingerprint

Operating rooms
Emergency
Surgery
Theaters
Sensitivity analysis
Resource allocation
Scheduling
Trade-offs
Processing
Resource Allocation
Sensitivity Analysis
Elimination
Simulation Model
Policy
Decrease
Evaluate

ASJC Scopus subject areas

  • Software
  • Modeling and Simulation
  • Computer Science Applications

Cite this

Ferrand, Y., Magazine, M., & Rao, U. (2010). Comparing two operating-room-allocation policies for elective and emergency surgeries. In Proceedings of the 2010 Winter Simulation Conference, WSC'10 (pp. 2364-2374). [5678933] (Proceedings - Winter Simulation Conference). https://doi.org/10.1109/WSC.2010.5678933

Comparing two operating-room-allocation policies for elective and emergency surgeries. / Ferrand, Yann; Magazine, Michael; Rao, Uday.

Proceedings of the 2010 Winter Simulation Conference, WSC'10. 2010. p. 2364-2374 5678933 (Proceedings - Winter Simulation Conference).

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Ferrand, Y, Magazine, M & Rao, U 2010, Comparing two operating-room-allocation policies for elective and emergency surgeries. in Proceedings of the 2010 Winter Simulation Conference, WSC'10., 5678933, Proceedings - Winter Simulation Conference, pp. 2364-2374, 2010 43rd Winter Simulation Conference, WSC'10, Baltimore, MD, United States, 12/5/10. https://doi.org/10.1109/WSC.2010.5678933
Ferrand Y, Magazine M, Rao U. Comparing two operating-room-allocation policies for elective and emergency surgeries. In Proceedings of the 2010 Winter Simulation Conference, WSC'10. 2010. p. 2364-2374. 5678933. (Proceedings - Winter Simulation Conference). https://doi.org/10.1109/WSC.2010.5678933
Ferrand, Yann ; Magazine, Michael ; Rao, Uday. / Comparing two operating-room-allocation policies for elective and emergency surgeries. Proceedings of the 2010 Winter Simulation Conference, WSC'10. 2010. pp. 2364-2374 (Proceedings - Winter Simulation Conference).
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