Multi-resource constrained elective surgical scheduling with Nash equilibrium toward smart hospitals

Abstract This paper focuses on the elective surgical scheduling problem with multi-resource constraints, including material resources, such as operating rooms (ORs) and non-operating room (NOR) beds, and human resources (i.e., surgeons, anesthesiologists, and nurses). The objective of multi-resource...

Full description

Saved in:
Bibliographic Details
Main Authors: Jun Xue, Zhi Li, Shuangli Zhang
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-87867-y
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832571751123386368
author Jun Xue
Zhi Li
Shuangli Zhang
author_facet Jun Xue
Zhi Li
Shuangli Zhang
author_sort Jun Xue
collection DOAJ
description Abstract This paper focuses on the elective surgical scheduling problem with multi-resource constraints, including material resources, such as operating rooms (ORs) and non-operating room (NOR) beds, and human resources (i.e., surgeons, anesthesiologists, and nurses). The objective of multi-resource constrained elective surgical scheduling (MESS) is to simultaneously minimize the average recovery completion time for all patients, the average overtime for medical staffs, and the total medical cost. This problem can be formulated as a mixed integer linear multi-objective optimization model, and the honey badger algorithm based on the Nash equilibrium (HBA-NE) is developed for the MESS. Experimental studies were carried out to test the performance of the proposed approach, and the performance of the proposed surgical scheduling scheme was validated. Finally, to narrow the gap between the optimal surgical scheduling solution and actual hospital operations, digital twin (DT) technology is adopted to build a physical-virtual hospital surgery simulation model. The experimental results show that by introducing a digital twin, the physical and virtual spaces of the smart hospital can be integrated to visually simulate and verify surgical processes.
format Article
id doaj-art-ba3386dc988e4e79b97038ae24d34d0c
institution Kabale University
issn 2045-2322
language English
publishDate 2025-01-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj-art-ba3386dc988e4e79b97038ae24d34d0c2025-02-02T12:20:36ZengNature PortfolioScientific Reports2045-23222025-01-0115113010.1038/s41598-025-87867-yMulti-resource constrained elective surgical scheduling with Nash equilibrium toward smart hospitalsJun Xue0Zhi Li1Shuangli Zhang2Department of General Surgery, Hebei Provincial Key Laboratory of Systems Biology and Gene Regulation, The First Affiliated Hospital of Hebei North UniversitySchool of Economics and Management, Tiangong UniversitySchool of Economics and Management, Tiangong UniversityAbstract This paper focuses on the elective surgical scheduling problem with multi-resource constraints, including material resources, such as operating rooms (ORs) and non-operating room (NOR) beds, and human resources (i.e., surgeons, anesthesiologists, and nurses). The objective of multi-resource constrained elective surgical scheduling (MESS) is to simultaneously minimize the average recovery completion time for all patients, the average overtime for medical staffs, and the total medical cost. This problem can be formulated as a mixed integer linear multi-objective optimization model, and the honey badger algorithm based on the Nash equilibrium (HBA-NE) is developed for the MESS. Experimental studies were carried out to test the performance of the proposed approach, and the performance of the proposed surgical scheduling scheme was validated. Finally, to narrow the gap between the optimal surgical scheduling solution and actual hospital operations, digital twin (DT) technology is adopted to build a physical-virtual hospital surgery simulation model. The experimental results show that by introducing a digital twin, the physical and virtual spaces of the smart hospital can be integrated to visually simulate and verify surgical processes.https://doi.org/10.1038/s41598-025-87867-yElective surgical schedulingSmart hospitalNash equilibriumHoney badger algorithm (HBA)Digital twin
spellingShingle Jun Xue
Zhi Li
Shuangli Zhang
Multi-resource constrained elective surgical scheduling with Nash equilibrium toward smart hospitals
Scientific Reports
Elective surgical scheduling
Smart hospital
Nash equilibrium
Honey badger algorithm (HBA)
Digital twin
title Multi-resource constrained elective surgical scheduling with Nash equilibrium toward smart hospitals
title_full Multi-resource constrained elective surgical scheduling with Nash equilibrium toward smart hospitals
title_fullStr Multi-resource constrained elective surgical scheduling with Nash equilibrium toward smart hospitals
title_full_unstemmed Multi-resource constrained elective surgical scheduling with Nash equilibrium toward smart hospitals
title_short Multi-resource constrained elective surgical scheduling with Nash equilibrium toward smart hospitals
title_sort multi resource constrained elective surgical scheduling with nash equilibrium toward smart hospitals
topic Elective surgical scheduling
Smart hospital
Nash equilibrium
Honey badger algorithm (HBA)
Digital twin
url https://doi.org/10.1038/s41598-025-87867-y
work_keys_str_mv AT junxue multiresourceconstrainedelectivesurgicalschedulingwithnashequilibriumtowardsmarthospitals
AT zhili multiresourceconstrainedelectivesurgicalschedulingwithnashequilibriumtowardsmarthospitals
AT shuanglizhang multiresourceconstrainedelectivesurgicalschedulingwithnashequilibriumtowardsmarthospitals