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Record W2615048424

Scheduling Elective Surgeries with Emergency Arrivals in Operating Rooms

2017· dissertation· en· W2615048424 on OpenAlexaboutno aff
Yao Xiao

Bibliographic record

VenueBrock University Digital Repository (Brock University) · 2017
Typedissertation
Languageen
FieldHealth Professions
TopicHealthcare Operations and Scheduling Optimization
Canadian institutionsnot available
Fundersnot available
KeywordsScheduling (production processes)Computer scienceMedicineOperations managementOperations researchMedical emergencyEngineering
DOInot available

Abstract

fetched live from OpenAlex

With the growing rate of surgical expenditures, improving operating room efficiency has become one of the most important targets for health care providers. Any delays, cancellations, or no-shows, result in increased costs for a hospital. In addition, it is difficult to predict the length of surgery procedures due to the variability inherent in surgery procedure times and account for emergency cases. Effective appointment schedules, which minimize the costs of patient waiting time and surgeon idle time and overtime, play an important role in terms of improving efficiency in hospital operating rooms. This research is to develop scheduling policies for elective and emergency surgeries with the objective of reducing waiting time, idle time and overtime. Simulation-based modeling is used to formulate and evaluate different scheduling policies under different operating conditions including different distributions for surgery duration, multiple types of surgical procedures, the arrival of emergency cases and different levels of cost coefficients for idle time and overtime. These factors have not been simultaneously studied in prior studies. The modeling framework is able to account for the significant uncertainty and complexity present in this problem setting. Historical surgery procedure data over a two-year period from the Canadian Institute for Health Information (CIHI) database is used to provide empirical support for the input parameters of the model and validate the efficiency of the different scheduling policies.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Science and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.805
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0040.000
Scholarly communication0.0000.002
Open science0.0010.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.026
GPT teacher head0.298
Teacher spread0.272 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2017
Admission routes1
Has abstractyes

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