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Related Experiment Video

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Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model
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Operations Research for Pediatric Elective Surgery Planning: Example of a Mathematical Model.

Martina Doneda1, Sara Costanzo2, Giuliana Carello3

  • 1Department of Information, Management and Production Engineering, University of Bergamo, 24044 Dalmine, Italy.

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Summary

This study developed a mathematical model for optimizing operating room (OR) scheduling in pediatric hospitals. The model effectively manages disruptions like emergencies and cancellations, ensuring timely patient care and efficient waiting list management.

Keywords:
disruption/restorationpediatric surgerysurgery schedulingteaching hospital

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Area of Science:

  • Operations Research
  • Healthcare Management
  • Mathematical Modeling

Background:

  • Operating room (OR) management is a critical area in healthcare operations research.
  • Scheduling elective surgeries in pediatric and teaching hospitals presents unique challenges due to frequent disruptions.

Purpose of the Study:

  • To develop a mathematical programming model for scheduling day hospital (DH) patients in a pediatric setting.
  • To address disruptions such as emergencies and same-day cancellations.
  • To define an optimal rescheduling process.

Main Methods:

  • Developed an Integer Linear Programming (ILP) based approach.
  • Created a nominal schedule considering waiting lists and clinical priorities.
  • Designed backup schedules for rapid recovery from disruptions.
  • Enumerated potential disruption scenarios (emergencies, no-shows) and developed corresponding backup plans.

Main Results:

  • The proposed model effectively manages disruptions, minimizing deviations from the nominal schedule.
  • An as-soon-as-possible policy was implemented for emergency situations to ensure timely patient care.
  • The approach demonstrated effectiveness in managing waiting lists with a balanced mix of patient urgency.

Conclusions:

  • The mathematical model provides an effective solution for OR patient scheduling in pediatric hospitals.
  • The approach successfully balances efficiency with the need for timely care amidst disruptions.
  • This method ensures proper management of waiting lists and patient priorities in complex healthcare environments.