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A robust estimation model for surgery durations with temporal, operational, and surgery team effects.

Enis Kayış1, Taghi T Khaniyev, Jaap Suermondt

  • 1Department of Industrial Engineering, Bogazici University, Istanbul, Turkey, enis.kayis@ozyegin.edu.tr.

Health Care Management Science
|December 16, 2014
PubMed
Summary

Accurate surgery duration estimation is vital for operating room (OR) planning. This study introduces a statistical model using temporal, operational, and staff factors to improve OR time predictions and reduce errors.

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Area of Science:

  • Healthcare Operations Research
  • Medical Informatics
  • Surgical Planning

Background:

  • Effective operating room (OR) planning hinges on accurate surgery duration estimation.
  • Overestimation of surgery time leads to resource underutilization, while underestimation causes delays and increased patient waiting times.

Purpose of the Study:

  • To develop a statistical model that refines existing surgery duration estimates by incorporating additional factors.
  • To enhance the accuracy of OR time predictions, thereby optimizing resource allocation and patient flow.

Main Methods:

  • A statistical model was developed to adjust current surgery duration estimates.
  • The model incorporates temporal, operational, and staff-related factors, including team experience and frequency of collaboration.
  • The model's performance was evaluated on 8093 surgical cases.

Main Results:

  • The proposed model decreased the mean absolute deviation (MAD) of scheduled OR durations by 1.98 ± 0.28 minutes.
  • Significant reductions in large negative errors were observed (20.35 ± 0.74 minutes MAD decrease).
  • Combining the model with existing methods, such as Dexter et al., further improved accuracy, reducing MAD by an additional 1.02 ± 0.21 minutes.

Conclusions:

  • Temporal, operational, and medical staff experience factors significantly improve surgery duration estimates.
  • The developed statistical model offers a practical approach to enhance OR planning accuracy.
  • Integration with other prediction models presents a pathway for further optimization of surgical scheduling.