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The use of simulation to determine maximum capacity in the surgical suite operating room

Published: 03 December 2006 Publication History

Abstract

Utilizing ambulatory care units at optimal levels has become increasingly important to hospitals from both service and business perspectives. With the inherent variation in hospitals due to unique procedures and patients, performing capacity analysis through analytical models is difficult without making simplifying assumptions. Many hospitals calculate efficiency by comparing total operating room minutes available to total operating minutes used. This metric both fails to account for the required non-value added tasks between surgeries and the delicate balance necessary between having patients ready for surgery when an operating room becomes available, which can result in increased waiting times, and maximizing patient satisfaction. We present a general methodology for determining the maximum capacity within a surgical suite through the use of a discrete-event simulation model. This research is based on an actual hospital concerned with doctor/resource acquisition decisions, patient satisfaction improvements, and increased productivity.

References

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Carty, S. S. (2005, October 18). GM hopes turnaround plan can help it heal. USA Today. Available via <http://www.usatoday.com> {accessed July 14, 2006}.
[2]
Kaiser Commission. (2004). The Uninsured: A Primer. Washington: Kaiser Family Foundation, 4--6.
[3]
National Center for Health Statistics. (2004). Health, United States, 2004: with Chartbook on Trends in the Health of Americans. Hayattsville, Maryland: U.S. Government Printing Office, 55--64.
[4]
Stiles, D. (2003, March 3). The breaking point. Fortune, 104--112.

Cited By

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  • (2017)Modeling and simulating hospital operations in a 3D environmentProceedings of the 2017 Winter Simulation Conference10.5555/3242181.3242435(1-12)Online publication date: 3-Dec-2017
  • (2016)Scheduling operating roomsJournal of Scheduling10.1007/s10951-016-0489-619:5(493-525)Online publication date: 1-Oct-2016
  • (2015)Simulation modeling to optimize healthcare delivery in an outpatient clinicProceedings of the 2015 Winter Simulation Conference10.5555/2888619.2888771(1355-1366)Online publication date: 6-Dec-2015
  • Show More Cited By
  1. The use of simulation to determine maximum capacity in the surgical suite operating room

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      cover image ACM Conferences
      WSC '06: Proceedings of the 38th conference on Winter simulation
      December 2006
      2429 pages
      ISBN:1424405017

      Sponsors

      • IIE: Institute of Industrial Engineers
      • ASA: American Statistical Association
      • IEICE ESS: Institute of Electronics, Information and Communication Engineers, Engineering Sciences Society
      • IEEE-CS\DATC: The IEEE Computer Society
      • SIGSIM: ACM Special Interest Group on Simulation and Modeling
      • NIST: National Institute of Standards and Technology
      • (SCS): The Society for Modeling and Simulation International
      • INFORMS-CS: Institute for Operations Research and the Management Sciences-College on Simulation

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      Winter Simulation Conference

      Publication History

      Published: 03 December 2006

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      WSC06
      Sponsor:
      • IIE
      • ASA
      • IEICE ESS
      • IEEE-CS\DATC
      • SIGSIM
      • NIST
      • (SCS)
      • INFORMS-CS
      WSC06: Winter Simulation Conference 2006
      December 3 - 6, 2006
      California, Monterey

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      Cited By

      View all
      • (2017)Modeling and simulating hospital operations in a 3D environmentProceedings of the 2017 Winter Simulation Conference10.5555/3242181.3242435(1-12)Online publication date: 3-Dec-2017
      • (2016)Scheduling operating roomsJournal of Scheduling10.1007/s10951-016-0489-619:5(493-525)Online publication date: 1-Oct-2016
      • (2015)Simulation modeling to optimize healthcare delivery in an outpatient clinicProceedings of the 2015 Winter Simulation Conference10.5555/2888619.2888771(1355-1366)Online publication date: 6-Dec-2015
      • (2014)Variability based surgical schedulingProceedings of the 2014 Winter Simulation Conference10.5555/2693848.2694023(1353-1364)Online publication date: 7-Dec-2014
      • (2012)A simulation study of patient flow for day of surgery admissionProceedings of the Winter Simulation Conference10.5555/2429759.2429880(1-7)Online publication date: 9-Dec-2012
      • (2009)Toward simulation-based real-time decision-support systems for emergency departmentsWinter Simulation Conference10.5555/1995456.1995737(2042-2053)Online publication date: 13-Dec-2009
      • (2009)Modeling and simulation of cataract surgery processesWinter Simulation Conference10.5555/1995456.1995723(1937-1945)Online publication date: 13-Dec-2009

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