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Appointment scheduling of outpatient surgical services in a multistage operating room department

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  • Saremi, Alireza
  • Jula, Payman
  • ElMekkawy, Tarek
  • Wang, G. Gary

Abstract

This article addresses the appointment scheduling of outpatient surgeries in a multistage operating room (OR) department with stochastic service times serving multiple patient types. We discuss many challenges, such as the limited availability of multiple resources (e.g., staff, operating rooms, surgeons, and recovery beds), and the compatibility of patient and surgeon types. In addition, availability of surgeons is restricted by time window constraints. Three simulation-based optimization methods have been proposed to minimize the patients’ wait time, patients’ completion time, and number of surgery cancellations. The first method is simulation-based tabu search (STS). It combines discrete-event simulation and tabu search to schedule surgery cases. The second and third methods are integer programming enhanced tabu search (IPETS) and binary programming enhanced tabu search (BPETS). IPETS and BPETS improve on STS by incorporating integer programming and binary programming models, respectively. This article includes a case study of an OR department in a major Canadian hospital. We further expand the actual data obtained in the case study to cover a wide range of parameters in sets of test problems, and provide analysis on the efficiency and effectiveness of the proposed methods in comparison with several scheduling rules. Finally, comments on the applications of the proposed methods are provided.

Suggested Citation

  • Saremi, Alireza & Jula, Payman & ElMekkawy, Tarek & Wang, G. Gary, 2013. "Appointment scheduling of outpatient surgical services in a multistage operating room department," International Journal of Production Economics, Elsevier, vol. 141(2), pages 646-658.
    • Handle: RePEc:eee:proeco:v:141:y:2013:i:2:p:646-658
    DOI: 10.1016/j.ijpe.2012.10.004
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    References listed on IDEAS

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    1. Guinet, Alain & Chaabane, Sondes, 2003. "Operating theatre planning," International Journal of Production Economics, Elsevier, vol. 85(1), pages 69-81, July.
    2. Lamiri, Mehdi & Grimaud, Frédéric & Xie, Xiaolan, 2009. "Optimization methods for a stochastic surgery planning problem," International Journal of Production Economics, Elsevier, vol. 120(2), pages 400-410, August.
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    6. Payman Jula & Robert C. Leachman, 2010. "Coordinated Multistage Scheduling of Parallel Batch-Processing Machines Under Multiresource Constraints," Operations Research, INFORMS, vol. 58(4-part-1), pages 933-947, August.
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    Cited by:

    1. Wenjuan Fan & Yi Wang & Tongzhu Liu & Guixian Tong, 2020. "A patient flow scheduling problem in ophthalmology clinic solved by the hybrid EDA–VNS algorithm," Journal of Combinatorial Optimization, Springer, vol. 39(2), pages 547-580, February.
    2. Aisha Tayyab & Saif Ullah & Mohammed Fazle Baki, 2023. "An Outer Approximation Method for Scheduling Elective Surgeries with Sequence Dependent Setup Times to Multiple Operating Rooms," Mathematics, MDPI, vol. 11(11), pages 1-15, May.
    3. Gerami Farzad & Saidi Mehrabad Mohammad, 2016. "A Stochastic Surgery Sequencing Model Considering the Moral and Human Virtues," Modern Applied Science, Canadian Center of Science and Education, vol. 10(9), pages 1-68, September.
    4. Michael Samudra & Carla Van Riet & Erik Demeulemeester & Brecht Cardoen & Nancy Vansteenkiste & Frank E. Rademakers, 2016. "Scheduling operating rooms: achievements, challenges and pitfalls," Journal of Scheduling, Springer, vol. 19(5), pages 493-525, October.
    5. Golmohammadi, Davood & Radnia, Naeimeh, 2016. "Prediction modeling and pattern recognition for patient readmission," International Journal of Production Economics, Elsevier, vol. 171(P1), pages 151-161.
    6. Mohammad Mahdi Nasiri & Farzaneh Shakouhi & Fariborz Jolai, 2019. "A fuzzy robust stochastic mathematical programming approach for multi-objective scheduling of the surgical cases," OPSEARCH, Springer;Operational Research Society of India, vol. 56(3), pages 890-910, September.
    7. Alex Kuiper & Robert H. Lee, 2022. "Appointment Scheduling for Multiple Servers," Management Science, INFORMS, vol. 68(10), pages 7422-7440, October.
    8. Kamran Kianfar & Arezoo Atighehchian, 2023. "A hybrid heuristic approach to master surgery scheduling with downstream resource constraints and dividable operating room blocks," Annals of Operations Research, Springer, vol. 328(1), pages 727-754, September.
    9. Shuwan Zhu & Wenjuan Fan & Shanlin Yang & Jun Pei & Panos M. Pardalos, 2019. "Operating room planning and surgical case scheduling: a review of literature," Journal of Combinatorial Optimization, Springer, vol. 37(3), pages 757-805, April.
    10. Wang, Yu & Tang, Jiafu & Fung, Richard Y.K., 2014. "A column-generation-based heuristic algorithm for solving operating theater planning problem under stochastic demand and surgery cancellation risk," International Journal of Production Economics, Elsevier, vol. 158(C), pages 28-36.
    11. Hejer Khlif Hachicha & Farah Zeghal Mansour, 2018. "Two-MILP models for scheduling elective surgeries within a private healthcare facility," Health Care Management Science, Springer, vol. 21(3), pages 376-392, September.
    12. Wang, Kai & Qin, Hu & Huang, Yun & Luo, Mengwen & Zhou, Lei, 2021. "Surgery scheduling in outpatient procedure centre with re-entrant patient flow and fuzzy service times," Omega, Elsevier, vol. 102(C).
    13. T. Meersman & B. Maenhout, 2022. "Multi-objective optimisation for constructing cyclic appointment schedules for elective and urgent patients," Annals of Operations Research, Springer, vol. 312(2), pages 909-948, May.
    14. Kenneth J. Klassen & Reena Yoogalingam, 2019. "Appointment scheduling in multi-stage outpatient clinics," Health Care Management Science, Springer, vol. 22(2), pages 229-244, June.
    15. Huaxin Qiu & Dujuan Wang & Yanzhang Wang & Yunqiang Yin, 2019. "MRI appointment scheduling with uncertain examination time," Journal of Combinatorial Optimization, Springer, vol. 37(1), pages 62-82, January.
    16. Yuan Gao & Qian Zhang & Chun Kit Lau & Bhagwat Ram, 2022. "Robust Appointment Scheduling in Healthcare," Mathematics, MDPI, vol. 10(22), pages 1-15, November.
    17. Silva, Thiago A.O. & de Souza, Mauricio C., 2020. "Surgical scheduling under uncertainty by approximate dynamic programming," Omega, Elsevier, vol. 95(C).
    18. Jose M. Molina-Pariente & Erwin W. Hans & Jose M. Framinan, 2018. "A stochastic approach for solving the operating room scheduling problem," Flexible Services and Manufacturing Journal, Springer, vol. 30(1), pages 224-251, June.
    19. Miao Bai & Robert H. Storer & Gregory L. Tonkay, 2022. "Surgery Sequencing Coordination with Recovery Resource Constraints," INFORMS Journal on Computing, INFORMS, vol. 34(2), pages 1207-1223, March.
    20. Bing Wang & Xingbao Han & Xianxia Zhang & Shaohua Zhang, 2015. "Predictive-reactive scheduling for single surgical suite subject to random emergency surgery," Journal of Combinatorial Optimization, Springer, vol. 30(4), pages 949-966, November.
    21. Hyun-Jung Alvarez-Oh & Hari Balasubramanian & Ekin Koker & Ana Muriel, 2018. "Stochastic Appointment Scheduling in a Team Primary Care Practice with Two Flexible Nurses and Two Dedicated Providers," Service Science, INFORMS, vol. 10(3), pages 241-260, September.
    22. Ahmadi-Javid, Amir & Jalali, Zahra & Klassen, Kenneth J, 2017. "Outpatient appointment systems in healthcare: A review of optimization studies," European Journal of Operational Research, Elsevier, vol. 258(1), pages 3-34.
    23. Zhaohui Li & Haiyue Yu & Zhaowei Zhou, 2024. "Scheduling of elective operations with coordinated utilization of hospital beds and operating rooms," Journal of Combinatorial Optimization, Springer, vol. 47(5), pages 1-29, July.
    24. Yao Xiao & Reena Yoogalingam, 2021. "Reserved capacity policies for operating room scheduling," Operations Management Research, Springer, vol. 14(1), pages 107-122, June.

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