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Reducing Boarding in a Post‐Anesthesia Care Unit
Author(s) -
Price Carter,
Golden Bruce,
Harrington Michael,
Konewko Ramon,
Wasil Edward,
Herring William
Publication year - 2011
Publication title -
production and operations management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.279
H-Index - 110
eISSN - 1937-5956
pISSN - 1059-1478
DOI - 10.1111/j.1937-5956.2011.01225.x
Subject(s) - pacu , operations management , post anesthesia care unit , intensive care unit , unit (ring theory) , medicine , patient care , medical emergency , computer science , business , anesthesia , nursing , intensive care medicine , psychology , engineering , mathematics education
When operating room schedules in hospitals are produced, the constraints and preferences of surgeons and hospital workers are a primary consideration. The downstream impact on post‐operative bed availability is often ignored. This can lead to the boarding of patients overnight in the post‐anesthesia care unit (PACU) because intensive care unit beds are unavailable. In this paper, we apply integer programming and simulation to develop improved surgical scheduling assignments. We want to balance new surgeries with hospital discharges in order to reduce the variability of occupied beds from one day to the next and, as a result, to reduce boarding in the PACU.