Long-term integrated surgery room optimization and recovery ward planning, with a case study in the Brazilian National Institute of Traumatology and Orthopedics (INTO)

摘要

Highlights?We introduce a unified approach to surgery scheduling and recovery ward planning.?It accounts for the downstream process at the recovery ward.?It is the downstream process which determines the patient output rate.?Recovery ward is planned for long-term input–output balance.?This is to assure timely service for patients, regardless of their specialties.AbstractThis paper proposes an integrated approach for the long-term planning and surgery allocation problem with downstream constraints. It is motivated by a case study in the Brazilian National Institute of Traumatology and Orthopedics, which provides elective high complexity surgeries for patients from the Brazilian public health system. We introduce an optimization problem that designs a