A Study of Operating Room Scheduling That Integrates Multiple Quantitative and Qualitative Objectives
Rattachement africain : jp, us, tw. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Most operating room (OR) scheduling is done by scheduling personnel based on experience or heuristics. Such often results in excessive overtime for medical personnel and poor resource-use efficiencies. PURPOSE: This study was designed to employ an integrated OR scheduling performance evaluation model (IOSPEM), which integrates quantitative and qualitative multiple objectives, to the improvement of OR scheduling quality. METHODS: The fuzzy Delphi method was used to obtain the weight values of time factor, cost factor, and risk factor. The fuzzy set theory was applied to transform qualitative risk measures into quantitative values. The desirability function was utilized to integrate time, cost, and risk factors to develop the IOSPEM. The simulated annealing algorithm was used to develop the scheduling system and test proposed model performance. RESULTS: The proposed IOSPEM successfully integrated the quantitative and qualitative indices into a sole quantitative index. Experiment results show that the IOSPEM incorporating the simulated annealing algorithm is able to obtain the most efficient OR schedule and is helpful in reducing costs and fatigue risks. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Operating room scheduling will be made more objective and efficient if OR scheduling personnel can simultaneously consider the cost, fatigue risk, and other factors in scheduling. Cost of each OR room should be considered to set appropriate cost coefficients in practical application of the IOSPEM. It is also suggested that other indices (e.g., OR overtime costs and OR nurse fatigue risks) also be considered in the proposed model so as to better reflect the actual scheduling environment. The procedure and methods implemented in this study may be used as the basis for further developing more effective and efficient OR scheduling systems.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- A Study of Operating Room Scheduling That Integrates Multiple Quantitative and Qualitative Objectives
- Date Crossref
- 01/03/2010
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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College of Healthcare Management pays non établi dans la noticeUniversité ou école supérieure
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St. Joseph Hospital Operating Room pays non établi dans la noticeÉtablissement de santé
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National Taiwan University Hospital Colon and Rectal Surgeons pays non établi dans la noticeÉtablissement de santé
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National Yunlin University of Science and Technology Graduate Institute of Healthcare Industrial Management pays non établi dans la noticeUniversité ou école supérieure
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Graduate School of Management Doctoral Candidate pays non établi dans la noticeUniversité ou école supérieure
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E-mail: [email protected] pays non établi dans la noticeInstitution
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Fax: +886 (5) 531-2029 pays non établi dans la noticeInstitution
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Received: September 18 pays non établi dans la noticeInstitution
College of Healthcare Management, Operating Room — St. Joseph Hospital et Colon and Rectal Surgeons — National Taiwan University Hospital, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.