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Appears in Collections:Management, Work and Organisation Journal Articles
Peer Review Status: Refereed
Title: Balancing operating theatre and bed capacity in a cardiothoracic centre
Authors: Bowers, John
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Keywords: OR in health services
Intensive care
Staff scheduling
Issue Date: Sep-2013
Publisher: Springer
Citation: Bowers J (2013) Balancing operating theatre and bed capacity in a cardiothoracic centre, Health Care Management Science, 16 (3), pp. 236-244.
Abstract: Cardiothoracic surgery requires many expensive resources. This paper examines the balance between operating theatres and beds in a specialist facility providing elective heart and lung surgery. Without both operating theatre time and an Intensive Care bed a patient's surgery has to be postponed. While admissions can be managed, there are significant stochastic features, notably the cancellation of theatre procedures and patients' length of stay on the Intensive Care Unit. A simulation was developed, with clinical and management staff, to explore the interdependencies of resource availabilities and the daily demand. The model was used to examine options for expanding the capacity of the whole facility. Ideally the bed and theatre capacity should be well balanced but unmatched increases in either resource can still be beneficial. The study provides an example of a capacity planning problem in which there is uncertainty in the demand for two symbiotic resources.
Type: Journal Article
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Rights: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. Publisher policy allows this work to be made available in this repository. Published in Health Care Management Science, September 2013, Volume 16, Issue 3, pp 236-244 by Springer. The final publication is available at
Affiliation: Management Work and Organisation

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