scholarly journals Surgical Operation Scheduling with Goal Programming and Constraint Programming: A Case Study

Mathematics ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 251 ◽  
Author(s):  
Şeyda Gür ◽  
Tamer Eren ◽  
Hacı Alakaş

The achievement of health organizations’ goals is critically important for profitability. For this purpose, their resources, materials, and equipment should be efficiently used in the services they provide. A hospital has sensitive and expensive equipment, and the use of its equipment and resources needs to be balanced. The utilization of these resources should be considered in its operating rooms, as it shares both expense expenditure and revenue generation. This study’s primary aim is the effective and balanced use of equipment and resources in hospital operating rooms. In this context, datasets from a state hospital were used via the goal programming and constraint programming methods. According to the wishes of hospital managers, three scenarios were separately modeled in both methods. According to the obtained results, schedules were compared and analyzed according to the current situation. The hospital-planning approach was positively affected, and goals such as minimization cost, staff and patient satisfaction, prevention over time, and less use were achieved.

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e042847 ◽  
Author(s):  
Sina Furnes Øyri ◽  
Geir Sverre Braut ◽  
Carl Macrae ◽  
Siri Wiig

A new regulatory framework to support local quality and safety efforts in hospitals was introduced to the Norwegian healthcare system in 2017. This study aimed to investigate hospital managers’ perspectives on implementation efforts and the resulting work practices, to understand if, and how, the new Quality Improvement Regulation influenced quality and safety improvement activities.DesignThis article reports one study level (the perspectives of hospital managers), as part of a multilevel case study. Data were collected by interviews and analysed according to qualitative content analysis.SettingThree hospitals retrieved from two regional health trusts in Norway.Participants20 hospital managers or quality advisers selected from different levels of hospital organisations.ResultsFour themes were identified in response to the study aim: (1) adaptive capacity in hospital management and practice, (2) implementation efforts and challenges with quality improvement, (3) systemic changes and (4) the potential to learn. Recent structural and cultural changes to, and development of, quality improvement systems in hospitals were discovered (3). Participants however, revealed no change in their practice solely due to the new Quality Improvement Regulation (2). Findings indicated that hospital managers are legally responsible for quality improvement implementation and participants described several benefits with the new Quality Improvement Regulation (2). This related to adaptation and flexibility to local context, and clinical autonomy as an inevitable element in hospital practice (1). Trust and a safe work environment were described as key factors to achieve adverse event reporting and support learning processes (4).ConclusionsThis study suggests that a lack of time, competence and/or motivation, impacted hospitals’ implementation of quality improvement efforts. Hospital managers’ autonomy and adaptive capacity to tailor quality improvement efforts were key for the new Quality Improvement Regulation to have any relevant impact on hospital practice and for it to influence quality and safety improvement activities.


IEEE Access ◽  
2019 ◽  
Vol 7 ◽  
pp. 71481-71492 ◽  
Author(s):  
Ayad Hendalianpour ◽  
Mahnaz Fakhrabadi ◽  
Xiaobo Zhang ◽  
Mohammad Reza Feylizadeh ◽  
Mehdi Gheisari ◽  
...  

2003 ◽  
Vol 9 (3) ◽  
pp. 125-129 ◽  
Author(s):  
Pamela Whitten ◽  
Inez Adams

We studied two rural telemedicine projects in the state of Michigan: one that enjoyed success and steady growth in activity, and one that experienced frustration and a lack of clinical utilization. Multiple data collection strategies were employed during study periods, which lasted approximately one year. Both projects enjoyed a grassroots approach and had dedicated project coordinators. However, the more successful project benefited from resources and expertise not available to the less successful project. In addition, the more successful project possessed a more formalized organizational structure for the telemedicine application. A comparison of the two projects leads to a simple conclusion. Telemedicine programmes are positioned within larger health organizations and do not operate in a vacuum. It is crucial that the organization in which it is intended to launch telemedicine is examined carefully first. Each organization operates within a larger environment, which is often constrained by fiscal, geographical and personnel factors. All these will affect the introduction of telemedicine.


Author(s):  
Abbas Al-Refaie ◽  
Mays Judeh ◽  
Ming-Hsien Li

AbstractLittle research has considered fuzzy scheduling and sequencing problem in operating rooms. Multiple-period fuzzy scheduling and sequencing of patients in operating rooms optimization models are proposed in this research taking into consideration patient‘s preference. The objective of the scheduling optimization model is obtaining minimal undertime and overtime and maximum patients' satisfaction about the assigned date. The objective of sequencing the optimization model is both to minimize overtime and to maximize patients' satisfaction about the assigned time. A real-life case study from a hospital that offers comprehensive surgical procedures for all surgical specialties is considered for illustration. Research results showed that the proposed models efficiently scheduled and sequenced patients while considering their preferences and hospitals operating costs. In conclusion, the proposed optimization models may result in improving patient satisfaction, utilizing hospital's resources efficiently, and providing assistance to decision makers and planners in solving effectively fuzzy scheduling and sequencing problems of operating rooms.


Author(s):  
F. Patania ◽  
A. Gagliano ◽  
F. Nocera ◽  
A. Galesi

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