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An IP-based healthcare provider shift design approach to minimize patient handoffs

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Listed:
  • Pooyan Kazemian
  • Yue Dong
  • Thomas Rohleder
  • Jonathan Helm
  • Mark Van Oyen

Abstract

The new Accreditation Council for Graduate Medical Education (ACGME) duty-hour standards for residents and fellows went into effect in 2011. These regulations were designed to reduce fatigue-related medical errors and improve patient safety. The new shift restrictions, however, have led to more frequent transitions in patient care (handoffs), resulting in greater opportunity for communication breakdowns between caregivers, which correlate with medical errors and adverse events. Recent research has focused on improving the quality of these transitions through standardization of the handoff protocols; however, no attention has been given to reducing the number of transitions in patient care. This research leverages integer programming methods to design a work shift schedule for trainees that minimizes patient handoffs while complying with all ACGME duty-hour standards, providing required coverage, and maintaining physician quality of life. In a case study of redesigning the trainees’ schedule for a Mayo Clinic Medical Intensive Care Unit (MICU), we show that the number of patient handoffs can be reduced by 23 % and still meet all required and most desired scheduling constraints. Furthermore, a 48 % reduction in handoffs could be achieved if only the minimum required rules are satisfied. Copyright Springer Science+Business Media New York 2014

Suggested Citation

  • Pooyan Kazemian & Yue Dong & Thomas Rohleder & Jonathan Helm & Mark Van Oyen, 2014. "An IP-based healthcare provider shift design approach to minimize patient handoffs," Health Care Management Science, Springer, vol. 17(1), pages 1-14, March.
  • Handle: RePEc:kap:hcarem:v:17:y:2014:i:1:p:1-14
    DOI: 10.1007/s10729-013-9237-z
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    References listed on IDEAS

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    1. Egon Balas & Clarence H. Martin, 1980. "Pivot and Complement--A Heuristic for 0-1 Programming," Management Science, INFORMS, vol. 26(1), pages 86-96, January.
    2. Amy Cohn & Sarah Root & Carisa Kymissis & Justin Esses & Niesha Westmoreland, 2009. "Scheduling Medical Residents at Boston University School of Medicine," Interfaces, INFORMS, vol. 39(3), pages 186-195, June.
    3. Lokketangen, Arne & Glover, Fred, 1998. "Solving zero-one mixed integer programming problems using tabu search," European Journal of Operational Research, Elsevier, vol. 106(2-3), pages 624-658, April.
    4. Huguette Beaulieu & Jacques Ferland & Bernard Gendron & Philippe Michelon, 2000. "A mathematical programming approach for scheduling physicians in the emergency room," Health Care Management Science, Springer, vol. 3(3), pages 193-200, June.
    5. Ernst, A. T. & Jiang, H. & Krishnamoorthy, M. & Sier, D., 2004. "Staff scheduling and rostering: A review of applications, methods and models," European Journal of Operational Research, Elsevier, vol. 153(1), pages 3-27, February.
    6. Viviane Gascon & Sophie Villeneuve & Philippe Michelon & Jacques Ferland, 2000. "Scheduling the flying squad nurses of a hospital using a multi-objective programming model," Annals of Operations Research, Springer, vol. 96(1), pages 149-166, November.
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    Cited by:

    1. Renata Mansini & Roberto Zanotti, 2020. "Optimizing the physician scheduling problem in a large hospital ward," Journal of Scheduling, Springer, vol. 23(3), pages 337-361, June.
    2. Erhard, Melanie & Schoenfelder, Jan & Fügener, Andreas & Brunner, Jens O., 2018. "State of the art in physician scheduling," European Journal of Operational Research, Elsevier, vol. 265(1), pages 1-18.

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