Reducing Boarding in a Post-Anesthesia Care Unit
Article first published online: 11 FEB 2011
© 2011 Production and Operations Management Society
Production and Operations Management
Volume 20, Issue 3, pages 431–441, May/June 2011
How to Cite
Price, C., Golden, B., Harrington, M., Konewko, R., Wasil, E. and Herring, W. (2011), Reducing Boarding in a Post-Anesthesia Care Unit. Production and Operations Management, 20: 431–441. doi: 10.1111/j.1937-5956.2011.01225.x
- Issue published online: 13 MAY 2011
- Article first published online: 11 FEB 2011
- History: Received: December 2008; Accepted: May 2010, after 2 revisions.
- integer programming;
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.