Skip to main content
Log in

Stochastic weekly operating room planning with an exponential number of scenarios

  • Original Research
  • Published:
Annals of Operations Research Aims and scope Submit manuscript

Abstract

In this paper, we consider a two-stage stochastic weekly operating room planning problem with an exponential number of scenarios. The objective function is to minimize the sum of the fixed opening cost of operating rooms and the expected overtime costs that are computed in the second stage. We propose a state-variable model to formulate the two-stage stochastic operating room planning problem and prove its validity. The main advantage of the proposed state-variable model is that it has a pseudo-polynomial number of variables and constraints that are significantly fewer than the number of variables and constraints in an equivalent scenario-based stochastic programming model. We improve the quality of the proposed model by developing an enhanced model that includes remarkably fewer variables and constraints. We also strengthen the model by developing several valid inequalities, including worst-case scenario and symmetry-breaking cuts. We carried out extensive computational experiments to evaluate the performance of the proposed model. The computational results show that the proposed model is capable of finding optimal solutions of instances with 50 surgeries and 1.55E+40 scenarios that is a significant improvement over the state-of-the-art models. The results revealed that the model finds feasible solutions with an average optimality gap of 0.78% for instances with 80 surgeries and 1.48E+64 scenarios.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Addis, B., Carello, G., Grosso, A., & Tànfani, E. (2016). Operating room scheduling and rescheduling: A rolling horizon approach. Flexible Services and Manufacturing Journal, 28(1–2), 206–232.

    Article  Google Scholar 

  • Aghighi, A., Alireza, G., Behnam, M., Erfan Babaee, T. (2021). The stochastic location-routing-inventory problem of perishable products with reneging and balking. Journal of Ambient Intelligence and Humanized Computing 1–20.

  • Alinezhad, M., Iraj, M., Milad, H., Erfan Babaee, T. (2021). A fuzzy multi-objective optimization model for sustainable closed-loop supply chain network design in food industries. Environment, Development and Sustainability 1–28.

  • Atighehchian, A., Sepehri, M. M., Shadpour, P., & Kianfar, K. (2020). A two-step stochastic approach for operating rooms scheduling in multi-resource environment. Annals of Operations Research, 292(1), 191–214.

    Article  Google Scholar 

  • Bandi, C., & Gupta, D. (2020). Operating room staffing and scheduling. Manufacturing and Service Operations Management, 22(5), 958–974.

    Article  Google Scholar 

  • Breuer, D. J., Lahrichi, N., Clark, D. E., & Benneyan, J. C. (2020). Robust combined operating room planning and personnel scheduling under uncertainty. Operations Research for Health Care, 27, 100276.

    Article  Google Scholar 

  • Cardoen, B., Demeulemeester, E., & Beliën, J. (2010). Operating room planning and scheduling: A literature review. European Journal of Operational Research, 201(3), 921–932.

    Article  Google Scholar 

  • Choi, S., & Wilhelm, W. E. (2014). On capacity allocation for operating rooms. Computers and Operations Research, 44, 174–184.

    Article  Google Scholar 

  • Denton, B. T., Miller, A. J., Balasubramanian, H. J., & Huschka, T. R. (2010). Optimal allocation of surgery blocks to operating rooms under uncertainty. Operations Research, 58(4–part–1), 802–816.

    Article  Google Scholar 

  • Doulabi, H., Hossein, L.-M.R., & Pesant, G. (2016). A constraint-programming-based branch-and-price-and-cut approach for operating room planning and scheduling. INFORMS Journal on Computing, 28(3), 432–448.

    Article  Google Scholar 

  • Erekat, A., Servis, G., Madathil, S. C., & Khasawneh, M. T. (2020). Efficient operating room planning using an ensemble learning approach to predict surgery cancellations. IISE Transactions on Healthcare Systems Engineering, 10(1), 18–32.

    Article  Google Scholar 

  • Fei, H., Chengbin, C., Meskens, N., & Artiba, A. (2008). Solving surgical cases assignment problem by a branch-and-price approach. International Journal of Production Economics, 112(1), 96–108.

    Article  Google Scholar 

  • Fei, H., Chu, C., & Meskens, N. (2009). Solving a tactical operating room planning problem by a column-generation-based heuristic procedure with four criteria. Annals of Operations Research, 166(1), 91.

    Article  Google Scholar 

  • Freeman, N. K., Melouk, S. H., & Mittenthal, J. (2015). A scenario-based approach for operating theater scheduling under uncertainty. Manufacturing and Service Operations Management, 18(2), 245–261.

    Article  Google Scholar 

  • Guerriero, F., & Guido, R. (2011). Operational research in the management of the operating theatre: A survey. Health Care Management Science, 14(1), 89–114.

    Article  Google Scholar 

  • Guo, C., Merve, B., Aleman, D. M., Urbach, D. R. (2021). Logic-based benders decomposition and binary decision diagram based approaches for stochastic distributed operating room scheduling. INFORMS Journal on Computing .

  • Hans, E., Wullink, G., Van Houdenhoven, M., & Kazemier, G. (2008). Robust surgery loading. European Journal of Operational Research, 185(3), 1038–1050.

    Article  Google Scholar 

  • Hashemi Doulabi, H., Shabbir, A., George, N. (2020). State-variable modeling for a class of two-stage stochastic optimization problems. Accepted in INFORMS Journal on Computing, available on https://bit.ly/3hMEwTO .

  • Jafarzadeh Ghoushchi, S., Ramin, R., Saeed Aghasoleimani, N., Elnaz, O., Erfan Babaee, T. (2021). An extended approach to the diagnosis of tumour location in breast cancer using deep learning. Journal of Ambient Intelligence and Humanized Computing 1–11.

  • Jebali, A., & Diabat, A. (2015). A stochastic model for operating room planning under capacity constraints. International Journal of Production Research, 53(24), 7252–7270.

    Article  Google Scholar 

  • Kropat, E., Weber, G.-W., & Tirkolaee, E. B. (2020). Foundations of semialgebraic gene-environment networks. Journal of Dynamics and Games, 7(4), 253.

    Article  Google Scholar 

  • Lamiri, M., Xie, X., Dolgui, A., & Grimaud, F. (2008). A stochastic model for operating room planning with elective and emergency demand for surgery. European Journal of Operational Research, 185(3), 1026–1037.

    Article  Google Scholar 

  • Lotfi, R., Kargar, B., Gharehbaghi, A., and Weber, G-W. (2021a). Viable medical waste chain network design by considering risk and robustness. Environmental Science and Pollution Research, 1–16.

  • Lotfi, R., Zahra, Y., Seyed Hossein, H., Amir Hossein, K., Erfan Babaee, T., Gerhard-Wilhelm, W. (2020). A robust time-cost-quality-energy-environment trade-off with resource-constrained in project management: A case study for a bridge construction project. Journal of Industrial and Management Optimization.

  • Lotfi, R., Mardani, N., & Weber, G.-W. (2021b). Robust bi-level programming for renewable energy location. International Journal of Energy Research, 45(5), 7521–7534.

    Article  Google Scholar 

  • Lotfi, R., Mehrjerdi, Y. Z., Pishvaee, M. S., Sadeghieh, A., & Weber, G.-W. (2021c). A robust optimization model for sustainable and resilient closed-loop supply chain network design considering conditional value at risk. Numerical Algebra, Control and Optimization, 11(2), 221.

    Article  Google Scholar 

  • Marques, I., & Eugénia Captivo, M. (2017). Different stakeholders’ perspectives for a surgical case assignment problem: Deterministic and robust approaches. European Journal of Operational Research, 261(1), 260–278.

    Article  Google Scholar 

  • Marques, I., Eugénia Captivo, M., & Pato, M. V. (2012). An integer programming approach to elective surgery scheduling. OR Spectrum, 34(2), 407–427.

    Article  Google Scholar 

  • Mateus, C., Inês Marques, M. C. (2017). Local search heuristics for a surgical case assignment problem. Operations Research for Health Care .

  • Min, D., & Yih, Y. (2010). Scheduling elective surgery under uncertainty and downstream capacity constraints. European Journal of Operational Research, 206(3), 642–652.

    Article  Google Scholar 

  • Molina-Pariente, J. M., Fernandez-Viagas, V., & Framinan, J. M. (2015). Integrated operating room planning and scheduling problem with assistant surgeon dependent surgery durations. Computers and Industrial Engineering, 82, 8–20.

    Article  Google Scholar 

  • Naderi, B., Vahid, R., Begen, M. A., Aleman, D. A., Urbach, D. R. (2021). Increased surgical capacity without additional resources: Generalized operating room planning and scheduling. Production and Operations Management.

  • Neyshabouri, S., & Berg, B. P. (2017). Two-stage robust optimization approach to elective surgery and downstream capacity planning. European Journal of Operational Research, 260(1), 21–40.

    Article  Google Scholar 

  • Ogulata, S. N., & Erol, R. (2003). A hierarchical multiple criteria mathematical programming approach for scheduling general surgery operations in large hospitals. Journal of Medical Systems, 27(3), 259–270.

    Article  Google Scholar 

  • Ozkarahan, I. (2000). Allocation of surgeries to operating rooms by goal programing. Journal of Medical Systems, 24(6), 339–378.

    Article  Google Scholar 

  • Park, J., Kim, B.-I., Eom, M., & Choi, B. K. (2021). Operating room scheduling considering surgeons’ preferences and cooperative operations. Computers and Industrial Engineering, 157, 107306.

    Article  Google Scholar 

  • Roshanaei, V., Booth, K. E. C., Aleman, D. M., Urbach, D. R., & Christopher Beck, J. (2020). Branch-and-check methods for multi-level operating room planning and scheduling. International Journal of Production Economics, 220, 107433.

    Article  Google Scholar 

  • Roshanaei, V., Luong, Curtiss, Aleman, D. M., & Urbach, D. (2017). Propagating logic-based benders’ decomposition approaches for distributed operating room scheduling. European Journal of Operational Research, 257(2), 439–455.

    Article  Google Scholar 

  • Roshanaei, V., & Naderi, B. (2021). Solving integrated operating room planning and scheduling: Logic-based benders decomposition versus branch-price-and-cut. European Journal of Operational Research, 293(1), 65–78.

    Article  Google Scholar 

  • Shehadeh, K. S., & Padman, R. (2021). A distributionally robust optimization approach for stochastic elective surgery scheduling with limited intensive care unit capacity. European Journal of Operational Research, 290(3), 901–913.

    Article  Google Scholar 

  • Tirkolaee, E. B., Abbasian, P., & Weber, G.-W. (2021). Sustainable fuzzy multi-trip location-routing problem for medical waste management during the covid-19 outbreak. Science of the Total Environment, 756, 143607143607.

    Article  Google Scholar 

  • Vijayakumar, B., Parikh, P. J., Scott, R., Barnes, A., & Gallimore, J. (2013). A dual bin-packing approach to scheduling surgical cases at a publicly-funded hospital. European Journal of Operational Research, 224(3), 583–591.

    Article  Google Scholar 

  • Vinden, C., Malthaner, R., Jacob McGee, J., McClure, A., Winick-Ng, J., Liu, Kuan, et al. (2016). Teaching surgery takes time: The impact of surgical education on time in the operating room. Canadian Journal of Surgery, 59(2), 87.

    Article  Google Scholar 

  • Wang, S., Jinlin, L., Chun, P. (2017). Distributionally robust chance-constrained program surgery planning with downstream resource. Service Systems and Service Management (ICSSSM), 2017 International Conference on. IEEE, 1–6.

  • Wang, Y., Tang, J., & Fung, R. Y. K. (2014). A column-generation-based heuristic algorithm for solving operating theater planning problem under stochastic demand and surgery cancellation risk. International Journal of Production Economics, 158, 28–36.

    Article  Google Scholar 

  • Zhang, J., Dridi, M., & El Moudni, A. (2020). Column-generation-based heuristic approaches to stochastic surgery scheduling with downstream capacity constraints. International Journal of Production Economics, 229, 107764.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hossein Hashemi Doulabi.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file 1 (pdf 70 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hashemi Doulabi, H., Khalilpourazari, S. Stochastic weekly operating room planning with an exponential number of scenarios. Ann Oper Res 328, 643–664 (2023). https://doi.org/10.1007/s10479-022-04686-4

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10479-022-04686-4

Keywords

Navigation