Skip to main content

A Hierarchical Multi-objective Optimisation Model for Bed Levelling and Patient Priority Maximisation

  • Conference paper
  • First Online:

Part of the book series: Springer Proceedings in Mathematics & Statistics ((PROMS,volume 217))

Abstract

Operating Rooms (ORs) are one of the highest cost drivers of hospital budget and one of the highest source of income. Several performance criteria have been reported to lead and to evaluate the OR planning decisions. Usually, patient priority maximisation and OR utilisation maximisation are the most used objectives in literature. On the contrary, the workload balance criteria, which leads to a smooth ward stay beds occupancy seems less used in literature. In this paper we propose a hierarchical multi-objective optimisation model for bed levelling and patient priority maximisation for the combined Master Surgical Scheduling and Surgical Cases Assignment problems. The aim of this work is to develop a methodology for OR planning and scheduling capable to take into account such different performance criteria.

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

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Addis, B., Carello, G., Grosso, A., Tànfani, E.: Operating room scheduling and rescheduling: a rolling horizon approach. Flex. Serv. Manuf. J. 28(1–2), 206–232 (2016)

    Article  Google Scholar 

  2. Aringhieri, R., Duma, D.: The optimization of a surgical clinical pathway. In: M.O. et al (ed.) Simulation and Modeling Methodologies, Technologies and Applications. Advances in Intelligent Systems and Computing, vol. 402, pp. 313–331. Springer (2016)

    Google Scholar 

  3. Aringhieri, R., Landa, P., Soriano, P., Tànfani, E., Testi, A.: A two level metaheuristic for the operating room scheduling and assignment problem. Comput. Oper. Res. 54, 21–34 (2015)

    Article  MATH  MathSciNet  Google Scholar 

  4. Aringhieri, R., Landa, P., Tanfani, E.: Assigning surgery cases to operating rooms: a VNS approach for leveling ward beds occupancies. ENDM, pp. 173–180 (2015)

    Google Scholar 

  5. Beliën, J., Demeulemeester, E., Cardoen, B.: Building cyclic master surgery schedules with levelled resulting bed occupancy: a case study. Eur. J. Oper. Res. 176, 1185–1204 (2007)

    Article  MATH  Google Scholar 

  6. Bing-hai, Z., Meng, Y., Zhi-qiang, L.: An improved lagrangian relaxation heuristic for the scheduling problem of operating theatres. Comput. Ind. Eng. 101, 490–503 (2016)

    Article  Google Scholar 

  7. Bruni, M., Beraldi, P., Conforti, D.: A stochastic programming approach for operating theatre scheduling under uncertainty. IMA J. Manag. Math. 26(1), 99–119 (2015)

    Article  MathSciNet  Google Scholar 

  8. Cardoen, B., Demeulemeester, E., Beliën, J.: Operating room planning and scheduling: a literature review. Eur. J. Oper. Res. 201, 921–932 (2010)

    Article  MATH  Google Scholar 

  9. Dellaert, N., Jeunet, J.: A variable neighborhood search algorithm for the surgery tactical planning problem. Comput. Oper. Res. pp. 1–10 (2017)

    Google Scholar 

  10. Dios, M., Molina-Pariente, J.M., Fernandez-Viagas, V., Andrade-Pineda, J.L., Framinan, J.M.: A decision support system for operating room scheduling. Flex. Serv. Manuf. J. 88, 430–443 (2015)

    Google Scholar 

  11. Duma, D., Aringhieri, R.: An online optimization approach for the real time management of operating rooms. Oper. Res. Health Care 7, 40–51 (2015)

    Article  Google Scholar 

  12. Duma, D., Aringhieri, R.: The real time management of operating rooms. In: Kahraman, C., Topcu, I. (eds.) Operations Research Applications in Health Care Management. International Series in Operations Research & Management Science. Springer (2017) (To appear)

    Google Scholar 

  13. Guerriero, F., Guido, R.: Operational research in the management of the operating theatre: a survey. Health Care Manag. Sci. 14, 89–114 (2011)

    Article  Google Scholar 

  14. Hans, E., Wullink, G., van Houdenhoven, M., Kamezier, G.: Robust surgery loading. Eur. J. Oper. Res. 185, 1038–1050 (2008)

    Article  MATH  Google Scholar 

  15. Herring, W., Herrmann, J.: The single-day surgery scheduling problem: sequential decision-making and threshold-based heuristics. OR Spectr. 34, 429–459 (2012)

    Article  MATH  MathSciNet  Google Scholar 

  16. Landa, P., Aringhieri, R., Soriano, P., Tànfani, E., Testi, A.: A hybrid optimization algorithm for surgeries scheduling. Oper. Res. Health Care 8, 103–114 (2016)

    Article  MATH  Google Scholar 

  17. Leeftink, A.G., Hans, E.W.: Development of a benchmark set and instance classification system for surgery scheduling. J. Sched. (2017). https://doi.org/10.1007/s10951-017-0539-8

  18. Marques, I., Captivo, M., Pato, M.: An integer programming approach to elective surgery scheduling. OR Spectr. 34, 407–427 (2012)

    Article  MATH  Google Scholar 

  19. Meskens, N., Duvivier, D., Hanset, A.: Multi-objective operating room scheduling considering desiderata of the surgical teams. Decis. Support Syst. 2(55), 650–659 (2013)

    Article  Google Scholar 

  20. Min, D., Yih, Y.: Scheduling elective surgery under uncertainty and downstream capacity constraints. Eur. J. Oper. Res. 206, 642–652 (2010)

    Article  MATH  MathSciNet  Google Scholar 

  21. van Oostrum, J., van Houdenhoven, M., Hurink, J., Hans, E., Wullink, G., Kazemier, G.: A master surgical scheduling approach for cyclic scheduling in operating room departments. OR Spectr. 30, 355–374 (2008)

    Article  MATH  MathSciNet  Google Scholar 

  22. Siqueira, C.L., Arruda, E., Bahiense, L., Bahr, G.L., Motta, G.R.: A stochastic model for operating room planning with elective and emergency demand for surgery. Eur. J. Oper. Res. pp. 1–14 (2016)

    Google Scholar 

  23. Tànfani, E., Testi, A.: A pre-assignment heuristic algorithm for the master surgical schedule problem (mssp). Ann. Oper. Res. 178(1), 105–119 (2010)

    Article  MATH  MathSciNet  Google Scholar 

  24. Vancroonenburg, W., Smet, P., Berghe, G.V.: A variable neighborhood search algorithm for the surgery tactical planning problem. Oper. Res. Health Care 7, 27–39 (2015)

    Article  Google Scholar 

Download references

Acknowledgements

The authors would thank Greanne Leeftink and Erwin W. Hans for providing the instance generators and the manuscript of their submitted paper [17].

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Roberto Aringhieri .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Aringhieri, R., Landa, P., Mancini, S. (2017). A Hierarchical Multi-objective Optimisation Model for Bed Levelling and Patient Priority Maximisation. In: Sforza, A., Sterle, C. (eds) Optimization and Decision Science: Methodologies and Applications. ODS 2017. Springer Proceedings in Mathematics & Statistics, vol 217. Springer, Cham. https://doi.org/10.1007/978-3-319-67308-0_12

Download citation

Publish with us

Policies and ethics