NDLI: Improving surgery department performance via simulation and optimization

Content Provider	IEEE Xplore Digital Library
Author	Tanfani, E. Testi, A.
Copyright Year	2010
Description	Author affiliation: Department of Economic and Quantitative Method (DIEM), University of Genova (Italy) (Tanfani, E.; Testi, A.)
Abstract	The production process inside a hospital surgery department is made up of three distinct main sub-processes: waiting list management, operating theatre planning and scheduling, stay area sizing and organization. Overall department performance depends on how these sub-processes are managed as well as they are integrated. In the literature, they are mainly treated separately recurring to two approaches: optimization or simulation. The complexity of the system often makes the optimization models intractable, whereas simulation seems to be preferred because of its ability to evaluate what if scenarios. The novelty of this paper is to propose an integrated approach to deal with the described issues. The approach is integrated under two points of view: firstly, because it concerns all the three sub-processes together, i.e. from the moment the patient enters the system to the moment it is discharged, and, secondly, because it utilizes both the methods, i.e. simulation and optimization. The proposed holistic integrated approach can be used as a decision support tool to compare alternative operative scenarios by means of a complete set of performance indexes, regarding all the different sub-processes. The framework has been applied to the analysis of a surgical department of a university public hospital sited in Genova (Italy).
Starting Page	1
Ending Page	6
File Size	346188
Page Count	6
File Format	PDF
ISBN	9781424449972
e-ISBN	9781424449989
DOI	10.1109/WHCM.2010.5441255
Language	English
Publisher	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Publisher Date	2010-02-18
Publisher Place	Italy
Access Restriction	Subscribed
Rights Holder	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Subject Keyword	Discrete Event Simulation Optimization methods Medical services Scheduling Discrete event simulation Operating Room Planning and Scheduling Hospital Surgery Department Analytical models Hospitals Orthopedic surgery Production planning Testing Capacity planning
Content Type	Text
Resource Type	Article

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