Minimising the number of cancellations at the time of a severe lack of postanesthesia care unit beds or nurses

Danial Khorasanian; Franklin Dexter; Erik Demeulemeester; Ghasem Moslehi

doi:10.1080/00207543.2021.1921874

Back

Minimising the number of cancellations at the time of a severe lack of postanesthesia care unit beds or nurses

Journal article

Peer reviewed

Minimising the number of cancellations at the time of a severe lack of postanesthesia care unit beds or nurses

Danial Khorasanian, Franklin Dexter, Erik Demeulemeester and Ghasem Moslehi

International journal of production research, Vol.60(11), pp.3383-3396

2022

DOI: 10.1080/00207543.2021.1921874

Files and links (1)

url

https://figshare.com/articles/journal_contribution/Minimising_the_number_of_cancellations_at_the_time_of_a_severe_lack_of_postanesthesia_care_unit_beds_or_nurses/14605560View

Open Access

Abstract

A deficiency of the postanesthesia care unit (PACU) beds or nurses may cause delays in the operating rooms (ORs) and increase the number of cancellations. Some disruptions like the COVID-19 pandemic may cause this deficiency. This paper investigates two integrated OR and PACU scheduling problems; one with few PACU beds, and the other with few PACU nurses. For each problem, a mathematical model and a matheuristic are proposed for minimising the number of cancellations. To the best of our knowledge, it is the first study that investigates the implications of a severe lack of the PACU beds or nurses on the number of cancellations. The matheuristics hybridise the decomposition of each instance into some small-sized sub-instances with a variable neighbourhood search algorithm. The main advantages of these methods are their flexibility to incorporate many problem details (such as a step-wise demand for the PACU nurses) and to solve any large-scale problem. Numerical results for a data set with 22 ORs show that with an increasingly severe lack of PACU capacity there is progressively greater benefit of the matheuristics than their initial solutions. Moreover, these results show the influence of the overtime and the recovery in ORs on improving the situation.

Operating room scheduling

bed

post-anesthesia care unit

nurse scheduling

cancellation

Details

Title: Subtitle: Minimising the number of cancellations at the time of a severe lack of postanesthesia care unit beds or nurses
Creators: Danial Khorasanian - Department of Industrial and Systems Engineering, Isfahan University of Technology
Franklin Dexter - Department of Anesthesia, University of Iowa
Erik Demeulemeester - Faculty of Business and Economics, Research Center for Operations Management, KU Leuven
Ghasem Moslehi - Department of Industrial and Systems Engineering, Isfahan University of Technology
Resource Type: Journal article
Publication Details: International journal of production research, Vol.60(11), pp.3383-3396
DOI: 10.1080/00207543.2021.1921874
ISSN: 0020-7543
eISSN: 1366-588X
Publisher: Taylor & Francis
Language: English
Electronic publication date: 05/06/2021
Date published: 2022
Academic Unit: Health Management and Policy; Anesthesia
Record Identifier: 9984077784402771

Metrics

21 Record Views

5 Times Cited - Web of Science