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The allocation of elective- and emergency patients to operating rooms at the UMCG

Pricker, E. (2011) The allocation of elective- and emergency patients to operating rooms at the UMCG. Master's Thesis / Essay, Industrial Engineering and Management.

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This master thesis research evaluates eighteen operating rooms (OR’s) of the operating centre of the UMC Groningen. Each year, about ten thousand patients are scheduled in one of those operating rooms. Besides these scheduled patients (i.e. elective patients), also emergency patients have to be operated at this operating centre. In order to make sure that (a) these patients can be operated shortly after their arrival and (b) the schedules of elective patients are not disturbed by the arrival of emergency patients; capacity needs to be reserved for these emergency patients. Reserving too much capacity for these patients may cause valuable OR capacity not being used. However, cancellations and overtime of the elective programme may occur if too little emergency capacity is used. The UMCG deals with the arrival of emergency patients by using two dedicated emergency rooms. No elective patients are scheduled in these rooms: the entire capacity is reserved for emergency patients. Disadvantage of this method is that the utilization of these emergency rooms is relatively low. A literature search revealed different systems to allocate capacities for elective and emergency patients to OR's. Using discrete-event simulation, these methods are compared for the situation of the UMCG. The simulation models are compared with respect to a number of key performance indicators (KPI's). Based on the KPI's of the simulation models, three alternative systems to allocate capacity for emergency and elective patients to OR's are proposed.

Item Type: Thesis (Master's Thesis / Essay)
Degree programme: Industrial Engineering and Management
Thesis type: Master's Thesis / Essay
Language: English
Date Deposited: 15 Feb 2018 07:46
Last Modified: 15 Feb 2018 07:46

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