AI Article Synopsis

  • - The paper addresses a complex surgical scheduling problem, aiming to optimize start times for multiple elective surgeries in a single operating room to maximize utility value while meeting performance standards.
  • - Due to the analytical complexities involving expectations and variances, traditional optimization methods aren't suitable for this problem, making it difficult to solve directly.
  • - A new decision support algorithm is introduced, which uses a two-phase approach: first screening for variance, then applying multiple attribute utility theory to identify the best scheduling solution, showing promising results in tests.

Article Abstract

In this paper, we consider a stochastic optimization model for a surgical scheduling problem with a single operating room. The goal is to determine the optimal start times of multiple elective surgeries within a single day. The term "optimal" is defined as the largest surgically related utility value while achieving a given threshold defined by the performance variation of a reference solution. The optimization problem is analytically intractable because it involves quantities such as expectation and variance formulations. This implies that traditional mathematical programming techniques cannot be directly applied. We propose a decision support algorithm, which is a fully sequential procedure using variance screening in the first phase, and then employing multiple attribute utility theory to select the best solution in the second phase. The numerical experiments show that the proposed algorithm can find a promising solution in a reasonable amount of time.

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http://dx.doi.org/10.1007/s10729-021-09580-2DOI Listing

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