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dc.contributor.authorJeunet, Jully
dc.contributor.authorVissers, Jan
dc.contributor.authorAdan, Ivo
dc.contributor.authorBekkers, Jos
dc.contributor.authorDellaert, Nico
dc.date.accessioned2010-04-28T10:04:13Z
dc.date.available2010-04-28T10:04:13Z
dc.date.issued2011
dc.identifier.urihttps://basepub.dauphine.fr/handle/123456789/4022
dc.language.isoenen
dc.subjectcancellation rulesen
dc.subjectoverplanningen
dc.subjectemergency and elective patientsen
dc.subjectintensive and medium careen
dc.subjectoperation theatre planningen
dc.subjectmaster surgical scheduleen
dc.subjectoperational schedule of patientsen
dc.subject.ddc003en
dc.titleImproving operational effectiveness of tactical master plans for emergency and elective patients under stochastic demand and capacitated resourcesen
dc.typeArticle accepté pour publication ou publié
dc.description.abstractenThis paper develops a two-stage planning procedure for master planning of elective and emergency patients while allocating at best the available hospital resources. Four types of resources are considered: operating theatre, beds in the medium and in the intensive care units, and nursing hours in the intensive care unit. A tactical plan is obtained by minimizing the deviations of the resources consumption to the target levels of resources utilization. Some capacity is reserved for emergency care. To deal with the deviation between actually arriving patients and the average number of patients on which the tactical plan is based, we consider the option of planning a higher number of patients (overplanning). To adapt the tactical plan to the actual stream of elective patients, we also consider flexibility rules. Overplanning and flexibility leads to a weekly schedule of elective patients. This schedule is modified to account for emergency patients. Scheduled elective patients may be cancelled and emergency patients may be sent to other hospitals. Cancellations rules for both types of patients rely on the possibility to exceed the available capacities. Several performance indicators are defined to assess patient service/dissatisfaction and hospital efficiency. Simulation results show a trade-off between hospital efficiency and patient service. We also obtain a rank of the different strategies: overplanning, flexibility and cancellation rules.en
dc.relation.isversionofjnlnameEuropean Journal of Operational Research
dc.relation.isversionofjnlvol213
dc.relation.isversionofjnlissue1
dc.relation.isversionofjnldate2011
dc.relation.isversionofjnlpages290-308
dc.relation.isversionofdoihttp://dx.doi.org/10.1016/j.ejor.2011.02.025
dc.description.sponsorshipprivateouien
dc.relation.isversionofjnlpublisherElsevier
dc.subject.ddclabelRecherche opérationnelleen


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