Download or read book To Determine the Method of Scheduling Surgery to Optimize Utilization of Surgical Resources at Landstuhl Army Regional Medical Center written by Glade R. Hamilton and published by . This book was released on 1984 with total page 125 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study was conducted to determine the optimum method of scheduling surgery to make maximum use of the surgical facilities at Landstuhl Army Regional Medical Center. Current scheduling methods were assessed. Other Army medical facilities were surveyed to establish alternative methods of scheduling and compare use rates. A need for an improved method of surgery scheduling was established. The author recommended a central surgery scheduling office. Keywords: Medical facilities; Surgery facilities scheduling; Scheduling; Management. (kt).
Download or read book Government Reports Announcements Index written by and published by . This book was released on 1990-08 with total page 898 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Government Reports Annual Index written by and published by . This book was released on 1990 with total page 1316 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book An Analysis of the Surgery Scheduling Process at Madigan Army Medical Center Tacoma Washington written by Ethan J. Stansbury and published by . This book was released on 1986 with total page 151 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study was performed to show a more efficient/effective means of scheduling surgeries at Madigan Army Medical Center. The concept of a surgery scheduling process using predictive data should be disseminated throughout the military health care system. This systematic approach to operating room scheduling management has a demonstrated potential to increase utilization, decrease cancellations, improve staff efficiency and increase patient satisfaction. (sdw).
Download or read book Advance Surgery Scheduling with Consideration of Downstream Capacity Constraints and Multiple Sources of Uncertainty written by Jian Zhang and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This thesis deals with the advance scheduling of elective surgeries in an operating theatre that is composed of operating rooms and downstream recovery units. The arrivals of new patients in each week, the duration of each surgery, and the length-of-stay of each patient in the downstream recovery unit are subject to uncertainty. In each week, the surgery planner should determine the surgical blocks to open and assign some of the surgeries in the waiting list to the open surgical blocks. The objective is to minimize the patient-related costs incurred by performing and postponing surgeries as well as the hospital-related costs caused by the utilization of surgical resources. Considering that the pure mathematical programming models commonly used in literature do not optimize the long-term performance of the surgery schedules, we propose a novel two-phase optimization model that combines Markov decision process (MDP) and stochastic programming to overcome this drawback. The MDP model in the first phase determines the surgeries to be performed in each week and minimizes the expected total costs over an infinite horizon, then the stochastic programming model in the second phase optimizes the assignments of the selected surgeries to surgical blocks. In order to cope with the huge complexity of realistically sized problems, we develop a reinforcement-learning-based approximate dynamic programming algorithm and several column-generation-based heuristic algorithms as the solution approaches. We conduct numerical experiments to evaluate the model and algorithms proposed in this thesis. The experimental results indicate that the proposed algorithms are considerably more efficient than the traditional ones, and that the resulting schedules of the two-phase optimization model significantly outperform those of a conventional stochastic programming model in terms of the patients' waiting times and the total costs on the long run.
Download or read book Prediction and Optimization Techniques to Streamline Surgical Scheduling written by Ryan Matthew Graue and published by . This book was released on 2013 with total page 81 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract We have created a set of decision support tools to streamline the surgical case scheduling process by allowing surgical wait list cases (elective cases that cannot be assigned a slot on the operating room schedule at the time of booking) to be confirmed onto the operating room schedule up to three weeks in advance of the day of surgery. Prior to our research, wait list cases could not be confirmed more than a few days prior to the desired day of surgery due to uncertainty about available time prior to the release of dedicated OR capacity. Earlier confirmation of wait list cases serves three purposes: (1) to improve patients' ability to plan logistics to prepare for their visits, (2) to reduce wait list case backlogs for surgeons' offices, and (3) to reduce variability in the total daily caseload through proactive decision making. Our contributions assist scheduling personnel in confirming wait list case dates sooner to help medical institutions achieve these benefits. We have developed two Excel-based pieces of software: a prediction tool and a schedule optimization tool. The prediction tool predicts time that is available each day between one and three weeks in advance to accommodate wait list cases, and the schedule optimization tool automates the consolidation process for all cases that are currently booked on a future date so that rooms and equipment are used as efficiently as possible. Our platform lets users interact with simple GUIs in which they make selections to generate prediction results and optimized daily case schedules. Specifically, our prediction algorithm employs a multiple linear regression model over historical data to forecast unused time, and the optimization tool uses a mixed integer linear program to optimize the daily schedule by consolidating cases into a minimum number of rooms and closing any gaps between cases, subject to constraints that are specific to the facility and the date in question. We have achieved our desired outcome of maximizing operating room resource utilization by giving human schedulers a set of tools to use on a daily basis that simplifies the scheduling process and confirms wait list cases with more advance notice. This system is generalizable to other areas within healthcare delivery environments and any other industry where tasks are scheduled in advance into a fixed set of resources with a record of historical demand over time.
Download or read book Scheduling Operative Surgical Services to Recover CHAMPUS Surgical Procedures at Blanchfield Army Community Hospital Fort Campbell Kentucky written by James M. Lineberger and published by . This book was released on 1993 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Soldier s manual written by United States Department of the Army and published by . This book was released on 1977 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book An Analysis of the Surgery Scheduling Process at Madigan Army Medical Center written by Ethan J. Stansbury and published by . This book was released on 1986 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Expertise in the Operating Room written by Michael Yaremchuk and published by Springer Nature. This book was released on 2023-09-27 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides the logistics, fundamentals, and nuances for all involved in surgery to optimize performance and results in the operating room. A surgical operation is a detailed coordination of a complex procedure involving the integration of many people, facilities, and supplies. The efficiency and success of an operation foremost depends on the professionalism of its staff. These medical professionals must understand the tasks of the operating room milieu of individuals. The surgeon, surgeon’s assistant, anesthesiologist, scrub nurse, circulating and recovery room nurses all determine an operation’s success and efficiency. Medical professional education too often focuses on senior level preparatory education or capstone projects rather than mastering day to day practical information or techniques. A reflection of this quandary is the establishment of surgical intern “boot camps.” These industry subsidized courses taken after medical school graduation are one- or two-week courses whose curriculum is to train recent medical school graduates how to function as surgeons. Patients deserve the work of professionals in and out of the operating room. Expertise in the Operating Room: Logistics, Fundamentals and Nuances presents a thorough understanding of the coordination of all members of a surgical team as well as the commonly used equipment and peri-procedural equipment necessary, serving all participating professionals including medical, nursing, physician associates, nurse practitioners, certified registered nurse anesthetists, other healthcare professional students, as well as surgery and anesthesia resident physicians, operating room staff members, and senior level surgeons.
Download or read book Integrated Staff and Room Scheduling for Surgeries written by Sandeep Rath and published by . This book was released on 2017 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: We consider the problem of minimizing daily expected resource usage and overtime costs across multiple parallel resources such as anesthesiologists and operating rooms, which are used to conduct a variety of surgical procedures at large multi-specialty hospitals. To address this problem, we develop a two-stage mixed-integer stochastic dynamic programming model with recourse. The first stage allocates these resources across multiple surgeries with uncertain durations and prescribes the sequence of surgeries to these resources. The second stage determines actual start times to surgeries based on realized durations of preceding surgeries and assigns overtime to resources to ensure all surgeries are completed using the allocation and sequence determined in the first stage. We develop a data driven robust optimization method that solves large-scale real-sized versions of this model close to optimality. We validate and implement this model as a decision support system at the UCLA Ronald Reagan Medical Center. This system effectively incorporates the flexibility in the resources and uncertainty in surgical durations, and explicitly trades off resource usage and overtime costs. This has increased the average daily utilization of the anesthesiologists by 3.5% and of the operating rooms by 3.8%. This has led to an average daily cost savings of around 7% or estimated to be $2.2 million on an annual basis. In addition, the insights based on this model have significantly influenced decision making at the operating services department at this hospital.
Download or read book Handbook for the Military Surgeon written by Charles Stuart Tripler and published by . This book was released on 1861 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Emergency War Surgery written by Miguel A. Cubano and published by Government Printing Office. This book was released on 2014-01-31 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: War surgery and treatment of combat casualties at far-forward locations, frequently under austere conditions, continue tosave lives. Military medical personnel provide outstanding health support to those who serve in harm’s way. As war hasevolved, so has our medical support to those who fight. Today, American service members face a new terrain of mobile urbanconflict. Despite advances in personal and force protection, our forces remain vulnerable to blast wounds, burns, and multiplepenetrating injuries not usually or routinely encountered in civilian settings. This publication expertly addresses the appropriate medicalmanagement of these and other battle and nonbattle injuries. This updated resource provides state-of-the-art principles and practices of forward trauma surgery practiced by the US military medical personnel.
Download or read book Utilization of Surgical Resources University Hospital Ann Arbor Michigan written by Paul Samuel Boulis and published by . This book was released on 1973 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Simulation Analysis of Capacity and Scheduling Methods in the Hospital Surgical Suite written by Sarah M. Ballard and published by . This book was released on 2007 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: "With health-care costs rising and an aging population, the health-care industry is progressively faced with the problem of growing demand and diminishing reimbursements. Hospital administration is often faced with a lack of quantifiable data regarding surgical suite capacity and the impact of adding new surgical procedures. With the inherent variation in surgery due to unique procedures and patients, accurately measuring maximum capacity in the surgical suite through mathematical models is difficult to do without making simplifying assumptions. Several hospitals calculate their operating room (OR) efficiencies by comparing total OR time available to total surgical time used. This metric fails to account for the required non-value added tasks between surgeries and the balance necessary for patients to arrive at the OR as soon as possible without compromising patient satisfaction. Since surgical suites are the financial engine for many hospitals and the decisions made with regard to the surgical suite can significantly impact a hospital's success, this thesis develops a methodology through simulation to more accurately define current and potential capacity levels within the surgical suite. Additionally, scheduling policies, which schedule patients based on the variability of their surgical time as well as the implementation of flexible ORs capable of servicing multiple operation genres, are examined for individual and interaction effects with regard to surgical suite capacity, patient waiting times, and resource utilization. Through verification and validation, the model is shown to be an effective tool in representing patient flow and testing policies and procedures within the surgical suite. An application to the surgical suite at Chenango Memorial Hospital (Norwich, NY) illustrates the methodology and potential impacts of this research"--Abstract.
Download or read book Activities of Surgical Consultants Surgical consultants in the Office of the Surgeon General Service Commmands in the Zone of the Interior US field armies written by and published by . This book was released on 1962 with total page 660 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Coordinated and Priority based Surgical Care written by Esmaeil Keyvanshokooh and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: We study a Coordinated clinic and surgery Appointment Scheduling (CAS) problem for advance scheduling of surgical patients. Our models seek to provide timely access to care by coordinating clinic and surgery appointments to ensure that patients can see a surgeon in the clinic and (if needed) schedule their surgery within a maximum wait time target based on patient classes. There are different types of uncertainty including the number of appointment requests, whether a patient requires surgery, and surgery durations. We develop an Integrated Multi-stage Stochastic and Distributionally Robust Optimization (IMSDRO) approach to determine the optimal clinic and surgery dates for patients such that the access target constraints are satisfied, and the clinical and surgical overtimes are minimized. The IMSDRO approach synergizes multi-stage stochastic optimization with distributionally robust optimization to simultaneously incorporate multiple types of uncertainties by including stochastic scenarios for appointment request arrivals and ambiguity sets for surgery durations. Several new transformations are introduced to turn the nonlinear model derived from the IMSDRO approach to a tractable one, and a constraint generation algorithm is developed to solve it efficiently. We propose a data-driven Rolling Horizon Procedure (RHP) to facilitate implementation. We use case data to assess the performance of our policies. The results suggest our policy can significantly improve surgical access delay times compared to the current practice. Our methodology is not limited to a particular setting and can be applied to other service industries where access delay matters.
