The operating room scheduling problem based on patient priority

Publisher:
Springer
Publication Type:
Conference Proceeding
Citation:
Data and Decision Sciences in Action 2, 2021, pp. 144-166
Issue Date:
2021
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An efficient operating theatre schedule contributes significantly to enhancing the efficiency of hospital operation management and plays a critical financial role in most hospital settings. In this paper, an operating room scheduling problem based on patient priority is investigated at tactical and operational levels subject to specific strategic decisions. At the tactical level, the main goal is to generate a cyclic time table, known as the master surgical schedule (MSS) and can be repeated over the planning horizon of several months to years. Operational level concerns about allocating patients to operating rooms and determining the day of surgeries, which is called the surgical case assignment problem (SCAP). To handle the problems at both decision levels simultaneously, known as the MSS-SCAP problem, an integer linear programming (ILP) model, called MSS-SCAP model, and a heuristic approach are proposed. The objective function is to maximize the total priority scores of the patients assigned to the surgical scheduling blocks over a given planning horizon. An adaptive ILP model is also proposed to solve the SCAP, taking into consideration the dynamics of the waiting list. The computational experiments are conducted using a set of random data to evaluate the performance of the proposed MSS-SCAP model and heuristic algorithm, in terms of solution quality and computation time. Our numerical results indicate that the proposed ILP is capable of yielded optimal solutions for the small-scale instances and near-optimal solutions for medium-size instances within 3,600 seconds. The proposed heuristic algorithm can generate quality solutions within 2 seconds for large-scale instances.
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