Better utilisation of the OR with less beds : a tactical surgery scheduling approach to improve OR utilisation and the required number of beds in the wards

Bosch, J.M. (Joël) (2011) Better utilisation of the OR with less beds : a tactical surgery scheduling approach to improve OR utilisation and the required number of beds in the wards.

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Abstract:HagaZiekenhuis has an increased incentive to perform their processes more e�ciently. Since the operating room (OR) capacity is the most expensive resource, management and surgeons believe that focussing on OR planning and processes will yield the highest improvements on e�ciency problems. Also, HagaZiekenhuis faces the problem that health insurers force them to reduce the number of beds. In this research we focus on e�cient use of OR capacity and reducing the total number of required beds. In addition, we want see if it is feasible to close wards in the weekend. Our research objective is to develop a tactical surgery scheduling approach that max- imises the OR utilisation while minimising the required number of beds in the wards. To develop a tactical surgery scheduling approach, we perform a case study on the orthopaedic department. A performance analysis shows that the OR utilisation in 2010 was 78%. The wards required at most 52 beds on 95% of all the days in 2010. Only 45 beds are physically available in the wards because some patients can occupy the same bed on a day. For example, a bed from a patient who is discharged in the morning can be reused for another patient who is hospitalised in the afternoon.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:85 business administration, organizational science
Programme:Business Administration MSc (60644)
Link to this item:http://purl.utwente.nl/essays/61486
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