An agent-based model of patient flow to improve operating room efficiency

Purpose: High efficiency in the operating room may significantly improve the overall performance of the hospital and the service quality provided to patients. The operating room is the de facto financial hub of the hospital and maximizing its efficiency may lead to considerable improvements. To this...

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Main Authors: Seyedeh Raahil Mousavi, Mohammad Mehdi Sepehri, Esmaeil Najafi
Format: Article
Language:fas
Published: Ayandegan Institute of Higher Education, Tonekabon, 2023-09-01
Series:تصمیم گیری و تحقیق در عملیات
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Online Access:https://www.journal-dmor.ir/article_153076_d55ef8fb38422ae455878f9fb2b53def.pdf
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author Seyedeh Raahil Mousavi
Mohammad Mehdi Sepehri
Esmaeil Najafi
author_facet Seyedeh Raahil Mousavi
Mohammad Mehdi Sepehri
Esmaeil Najafi
author_sort Seyedeh Raahil Mousavi
collection DOAJ
description Purpose: High efficiency in the operating room may significantly improve the overall performance of the hospital and the service quality provided to patients. The operating room is the de facto financial hub of the hospital and maximizing its efficiency may lead to considerable improvements. To this end, we seek ways of accelerating the patient flow in order to save time and cost in healthcare facilities.Methodology: In this study, we use agent-based simulation to simulate patient care in the operating room. After performing the required validations, a number of improvement scenarios were developed and evaluated.Findings: A hybrid scenario including modifications to the referral time of the patient by the surgeon, transfer time of the surgical set and supplies to the operating room, and the timing of anesthesia proved to have the most positive impact on the criteria i.e. activities, reducing the average Length of Stay (LOS) by 9.69 minutes. The second-most effective scenario involved modifying the referral time of the patient by the surgeon, reduced the LOS by 7.31 minutes.Originality/Value: Through this research, it became apparent that minimizing the patients' LOS improves the efficiency of the operating room as it helps reduce the overall idle time and increases the number of operations carried out in each shift. Making time even for one additional operation per day significantly increases the operating room income. Moreover, a shorter LOS means less fatigue for the medical staff and reduces the total cost of running the operating room by reducing the staff's overtime hours.
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institution Kabale University
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publishDate 2023-09-01
publisher Ayandegan Institute of Higher Education, Tonekabon,
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series تصمیم گیری و تحقیق در عملیات
spelling doaj-art-5f4968f74dfa4e11a546b2fa8479761e2025-01-30T15:03:21ZfasAyandegan Institute of Higher Education, Tonekabon,تصمیم گیری و تحقیق در عملیات2538-50972676-61592023-09-018247849110.22105/dmor.2022.331167.1576153076An agent-based model of patient flow to improve operating room efficiencySeyedeh Raahil Mousavi0Mohammad Mehdi Sepehri1Esmaeil Najafi2Department of Industrial Engineering, Science and Research Branch, Islamic Azad University, Tehran, Iran.Department of Industrial Engineering, Faculty of Industrial and Systems Engineering, Tarbiat Modares University, Tehran, Iran.Department of Industrial Engineering, Science and Research Branch, Islamic Azad University, Tehran, Iran.Purpose: High efficiency in the operating room may significantly improve the overall performance of the hospital and the service quality provided to patients. The operating room is the de facto financial hub of the hospital and maximizing its efficiency may lead to considerable improvements. To this end, we seek ways of accelerating the patient flow in order to save time and cost in healthcare facilities.Methodology: In this study, we use agent-based simulation to simulate patient care in the operating room. After performing the required validations, a number of improvement scenarios were developed and evaluated.Findings: A hybrid scenario including modifications to the referral time of the patient by the surgeon, transfer time of the surgical set and supplies to the operating room, and the timing of anesthesia proved to have the most positive impact on the criteria i.e. activities, reducing the average Length of Stay (LOS) by 9.69 minutes. The second-most effective scenario involved modifying the referral time of the patient by the surgeon, reduced the LOS by 7.31 minutes.Originality/Value: Through this research, it became apparent that minimizing the patients' LOS improves the efficiency of the operating room as it helps reduce the overall idle time and increases the number of operations carried out in each shift. Making time even for one additional operation per day significantly increases the operating room income. Moreover, a shorter LOS means less fatigue for the medical staff and reduces the total cost of running the operating room by reducing the staff's overtime hours.https://www.journal-dmor.ir/article_153076_d55ef8fb38422ae455878f9fb2b53def.pdfoperating roomlength of staypatient flowagent based simulation
spellingShingle Seyedeh Raahil Mousavi
Mohammad Mehdi Sepehri
Esmaeil Najafi
An agent-based model of patient flow to improve operating room efficiency
تصمیم گیری و تحقیق در عملیات
operating room
length of stay
patient flow
agent based simulation
title An agent-based model of patient flow to improve operating room efficiency
title_full An agent-based model of patient flow to improve operating room efficiency
title_fullStr An agent-based model of patient flow to improve operating room efficiency
title_full_unstemmed An agent-based model of patient flow to improve operating room efficiency
title_short An agent-based model of patient flow to improve operating room efficiency
title_sort agent based model of patient flow to improve operating room efficiency
topic operating room
length of stay
patient flow
agent based simulation
url https://www.journal-dmor.ir/article_153076_d55ef8fb38422ae455878f9fb2b53def.pdf
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