Skip to main content

Improving Operation Rooms and Planning to Reduce Surgery Cancelations and Inpatient Length of Stay

  • Conference paper
  • First Online:
Operations Management for Social Good (POMS 2018)

Abstract

We apply process modeling and simulation to improve surgery planning, through the coordination of operation rooms and intensive care unit (ICU). A case study was carried out in a Brazilian hospital. With the proposed changes, we obtained a 39% reduction in surgery cancelations and a 61% decrease in preoperative length of stay.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Allen, R.W., Taaffe, K.M., Ritchie, G.: Surgery rescheduling using discrete event simulation: a case study. In: Proceedings of the 2014 Winter Simulation Conference. IEEE Computer Society, Savannah, GA, USA (2014)

    Google Scholar 

  2. Blake, J.T., Carter, M.W.: Surgical process scheduling: a structured review. J. Health Syst. 5(3), 17–30 (1997)

    Google Scholar 

  3. Cardoen, B., Demeulemeester, E., Beliën, J.: Operating room planning and scheduling: a literature review. Eur. J. Oper. Res. 201(3), 921–932 (2010)

    Article  Google Scholar 

  4. Fei, H., Meskens, N., El-Darzi, E.: Evaluating alternative surgery plans with discrete event simulation model. In: Workshop on Health Care Management. https://doi.org/10.1109/whcm.2010.5441241 (2012)

  5. Guinet, A., Chaabane, S.: Operating theatre planning. Int. J. Prod. Econ. 85(1), 69–81 (2003)

    Article  Google Scholar 

  6. Harper, P.R.: A framework for operational modelling of hospital resources. Health Care Manag. Sci. 5, 165–173 (2002)

    Article  Google Scholar 

  7. Harper, P.R., Gamlin, H.M.: Reduced outpatient waiting times with improved appointment scheduling: a simulation modelling approach. OR Spectrum 25, 207–222 (2003)

    Article  Google Scholar 

  8. Lebowitz, P.: Schedule the short procedure first to improve or efficiency. AORN J. 78(4), 651–659 (2003)

    Article  Google Scholar 

  9. Marcon, E., Dexter, F.: Impact of surgical sequencing on post anesthesia care unit staffing. Health Care Manag. Sci. 9, 87–98 (2006)

    Article  Google Scholar 

  10. Marcon, E., Dexter, F.: An observational study of surgeons’ sequencing of cases and its impact on postanesthesia care unit and holding area staffing requirements at hospitals. Anesth. Analg. 105, 119–126 (2007)

    Article  Google Scholar 

  11. Object Management Group: Documents associated with Business Process Model and Notationâ„¢ (BPMNâ„¢): version 2.0. Available at http://www.omg.org/spec/BPMN/2.0/ (2011). Accessed 15 Mar 2015

  12. Palisade: Risk Analysis and Simulation Add-In for Microsoft® Excel. Available at https://www.palisade.com/downloads/manuals/6/EN/RISK6_EN.pdf (2012). Accessed 1 Mar 2016

  13. Paoletti, X., Marty, J.: Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. Brit. J. Anaesth. 98(4), 462–469 (2007)

    Article  Google Scholar 

  14. Rockwell Automation: Arena® simulation software. Available at https://www.arenasimulation.com/ (2016). Accessed 30 Apr 2016

  15. Sciomachen, A., Tanfani, E., Testi, A.: Simulation models for optimal schedules of operating theatres. Int. J. Simul. 6, 26–34 (2005)

    Google Scholar 

  16. Shultz, J., Claudio, D.: Variability based surgical scheduling: a simulation approach. In: Proceedings of the 2014 Winter Simulation Conference. IEEE Computer Society, Savannah, GA, USA (2014)

    Google Scholar 

  17. Steins, K., Persson, F., Holmer, M.: Increasing utilization in a hospital operating department using simulation modeling. Simulation 86(8–9), 463–480 (2010)

    Article  Google Scholar 

Download references

Acknowledgements

This work was supported by the CNPq, CAPES, FAPERJ and PUC-Rio.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Silvio Hamacher .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Marchesi, J.F., Hamacher, S., Cyrino Oliveira, F.L. (2020). Improving Operation Rooms and Planning to Reduce Surgery Cancelations and Inpatient Length of Stay. In: Leiras, A., González-Calderón, C., de Brito Junior, I., Villa, S., Yoshizaki, H. (eds) Operations Management for Social Good. POMS 2018. Springer Proceedings in Business and Economics. Springer, Cham. https://doi.org/10.1007/978-3-030-23816-2_14

Download citation

Publish with us

Policies and ethics