In this work, the surgical theater of a local hospital in
KSA was analyzed using simulation. The focus was on attempting to
answer questions related to how many Operating Rooms (ORs) to
open and to analyze the performance of the surgical theater in
general and mainly the Post Anesthesia Care Unit (PACU) to assist
making decisions regarding PACU staffing. The surgical theater
consists of ten operating rooms and the PACU unit which has a
maximum capacity of fifteen beds. Different sequencing rules to
sequence the surgical cases were tested and the Longest Case First
(LCF) were superior to others. The results of the different
alternatives developed and tested can be used by the manager as a
tool to plan and manage the OR and PACU
[1] Arena Version 13.5 - Year 2010 Rockwell Automation Solutions.
[2] Barnoon S, Wolfe H (1968) Scheduling a multiple operating room
system. Health Services Research 3:272-285.
[3] Bowers J, Mould G (2004) Managing uncertainty in orthopedic trauma
theaters. European Journal of Operational Research 154:599-608.
[4] Cardoen B, Demeulemeester E, Beliën J (2010) Operating room
planning and scheduling: A literature review. European Journal of
Operational Research 201:921-932.
[5] Cardoen B, Demeulemeester E, Beliën J (2009) Optimizing a multiple
objective surgical case sequencing problem. International Journal of
Production Economics 119:354-366.
[6] Cardoen B, Demeulemeester E, Beliën J (2009) Sequencing surgical
cases in a daycare environment: An exact branch-and-price approach.
Computers and Operations Research 36:2660-2669.
[7] Charnetski JR (1984) Scheduling operating room surgical procedures
with early and late completion penalty cost. Journal of Operations
Management 5:91-102.
[8] Denton B, Viapiano J, Vogl A (2007) Optimization of surgery
sequencing and scheduling decisions under uncertainty. Health Care
Manage Science 10:13-24.
[9] Dexter F, MacarioA, Traub R, Hopwood M, Lubarsky D (1999) An
operating room scheduling strategy to maximize the use of operating
room bock time. The Journal of the American Society of
Anesthesiologists 89:1:7-20.
[10] Dexter F, Tinker J (1995) Analysis of strategies to decrease post
anesthesia care unit costs. Anesthesiology 82:94-101.
[11] Dexter F, Traub R (2000) Statistical method for predicting when patients
should be ready on the day of surgery. The Journal of the American
Society of Anesthesiologists 93:4:1107-114.
[12] Ernst E, Lasdon L, Ostrander L, Dwell S (1973) Anesthesiologist
scheduling using a set partitioning algorithm. Computer and Biomedical
Research 6:561-569.
[13] Gul S, Denton B, Fowler J, Huschka T (2011) Bi-Criteria scheduling of
surgical services for an outpatient procedure center. Production and
Operations management 20:406-417.
[14] Hsu V, Matta R, Lee C (2003) Scheduling patients in an ambulatory
surgical center. Naval Research Logistics 50:218-238.
[15] Huschka T, Denton B, Gul S, Fowler J (2007) Bi-criteria evaluation of
an outpatient procedure center via simulation. Proceedings of the 2007
Winter Simulation Conference 1510-1518.
[16] Jebali A, Alouane A, Ladet P (2006) Operating rooms scheduling.
International Journal of Production Economics 99:52-62.
[17] Jones A, Sahney V, Kurtoglu A (1978) A discrete event simulation for
the management of surgical suite scheduling. Proceeding of the Annual
Symposium on Simulation 263-278.
[18] Lowery J (1992) Simulation of a hospital's surgical suite and critical care
area. Proceedings of the 1992 Winter Simulation Conference 1071-1078.
[19] Macario A, Dexter F (1999) Estimating the duration of a case when the
surgeon has not recently scheduled the procedure at the surgical suite.
Anesthesia and Analgesia 89:1241-1245.
[20] Marcon E, Dexter F (2006) Impact of surgical sequencing on post
anesthesia care unit staffing. Health Care Management Science 9:87-98
[21] Murphy D, Sigal E (1985) Evaluating surgical block schedules using
computer simulation. Proceedings of the 1985 winter Simulation
Conference 551-557.
[22] Spangler W, Strum D, Vargas L, May J (2004) Estimating procedure
times for surgeries by determining location parameters for the lognormal
model. Health Care Management Science 7:97-104.
[23] Weissman C (2005) ,The enhanced postoperative care system. Journal of
Clinical Anesthesia 17:314-322.
[1] Arena Version 13.5 - Year 2010 Rockwell Automation Solutions.
[2] Barnoon S, Wolfe H (1968) Scheduling a multiple operating room
system. Health Services Research 3:272-285.
[3] Bowers J, Mould G (2004) Managing uncertainty in orthopedic trauma
theaters. European Journal of Operational Research 154:599-608.
[4] Cardoen B, Demeulemeester E, Beliën J (2010) Operating room
planning and scheduling: A literature review. European Journal of
Operational Research 201:921-932.
[5] Cardoen B, Demeulemeester E, Beliën J (2009) Optimizing a multiple
objective surgical case sequencing problem. International Journal of
Production Economics 119:354-366.
[6] Cardoen B, Demeulemeester E, Beliën J (2009) Sequencing surgical
cases in a daycare environment: An exact branch-and-price approach.
Computers and Operations Research 36:2660-2669.
[7] Charnetski JR (1984) Scheduling operating room surgical procedures
with early and late completion penalty cost. Journal of Operations
Management 5:91-102.
[8] Denton B, Viapiano J, Vogl A (2007) Optimization of surgery
sequencing and scheduling decisions under uncertainty. Health Care
Manage Science 10:13-24.
[9] Dexter F, MacarioA, Traub R, Hopwood M, Lubarsky D (1999) An
operating room scheduling strategy to maximize the use of operating
room bock time. The Journal of the American Society of
Anesthesiologists 89:1:7-20.
[10] Dexter F, Tinker J (1995) Analysis of strategies to decrease post
anesthesia care unit costs. Anesthesiology 82:94-101.
[11] Dexter F, Traub R (2000) Statistical method for predicting when patients
should be ready on the day of surgery. The Journal of the American
Society of Anesthesiologists 93:4:1107-114.
[12] Ernst E, Lasdon L, Ostrander L, Dwell S (1973) Anesthesiologist
scheduling using a set partitioning algorithm. Computer and Biomedical
Research 6:561-569.
[13] Gul S, Denton B, Fowler J, Huschka T (2011) Bi-Criteria scheduling of
surgical services for an outpatient procedure center. Production and
Operations management 20:406-417.
[14] Hsu V, Matta R, Lee C (2003) Scheduling patients in an ambulatory
surgical center. Naval Research Logistics 50:218-238.
[15] Huschka T, Denton B, Gul S, Fowler J (2007) Bi-criteria evaluation of
an outpatient procedure center via simulation. Proceedings of the 2007
Winter Simulation Conference 1510-1518.
[16] Jebali A, Alouane A, Ladet P (2006) Operating rooms scheduling.
International Journal of Production Economics 99:52-62.
[17] Jones A, Sahney V, Kurtoglu A (1978) A discrete event simulation for
the management of surgical suite scheduling. Proceeding of the Annual
Symposium on Simulation 263-278.
[18] Lowery J (1992) Simulation of a hospital's surgical suite and critical care
area. Proceedings of the 1992 Winter Simulation Conference 1071-1078.
[19] Macario A, Dexter F (1999) Estimating the duration of a case when the
surgeon has not recently scheduled the procedure at the surgical suite.
Anesthesia and Analgesia 89:1241-1245.
[20] Marcon E, Dexter F (2006) Impact of surgical sequencing on post
anesthesia care unit staffing. Health Care Management Science 9:87-98
[21] Murphy D, Sigal E (1985) Evaluating surgical block schedules using
computer simulation. Proceedings of the 1985 winter Simulation
Conference 551-557.
[22] Spangler W, Strum D, Vargas L, May J (2004) Estimating procedure
times for surgeries by determining location parameters for the lognormal
model. Health Care Management Science 7:97-104.
[23] Weissman C (2005) ,The enhanced postoperative care system. Journal of
Clinical Anesthesia 17:314-322.
@article{"International Journal of Business, Human and Social Sciences:50088", author = "Abdulrahim Shamayleh", title = "Surgical Theater Utilization and PACU Staffing", abstract = "In this work, the surgical theater of a local hospital in
KSA was analyzed using simulation. The focus was on attempting to
answer questions related to how many Operating Rooms (ORs) to
open and to analyze the performance of the surgical theater in
general and mainly the Post Anesthesia Care Unit (PACU) to assist
making decisions regarding PACU staffing. The surgical theater
consists of ten operating rooms and the PACU unit which has a
maximum capacity of fifteen beds. Different sequencing rules to
sequence the surgical cases were tested and the Longest Case First
(LCF) were superior to others. The results of the different
alternatives developed and tested can be used by the manager as a
tool to plan and manage the OR and PACU", keywords = "Operating room, post anesthesia care unit, PACUstaffing, sequencing, healthcare", volume = "7", number = "5", pages = "1105-8", }
