Multi-objective integrated planning and scheduling model for operating rooms under uncertainty
Bibliographic record
Abstract
This article formulates the operating rooms considering several constraints of the real world, such as decision-making styles, multiple stages for surgeries, time windows for resources, and specialty and complexity of surgery. Based on planning, surgeries are assigned to the working days. Then, the scheduling part determines the sequence of surgeries per day. Moreover, an integrated fuzzy possibilistic-stochastic mathematical programming approach is applied to consider some sources of uncertainty, simultaneously. Net revenues of operating rooms are maximized through the first objective function. Minimizing a decision-making style inconsistency among human resources and maximizing utilization of operating rooms are considered as the second and third objectives, respectively. Two popular multi-objective meta-heuristic algorithms including Non-dominated Sorting Genetic Algorithm and Multi-Objective Particle Swarm Optimization are utilized for solving the developed model. Moreover, different comparison metrics are applied to compare the two proposed meta-heuristics. Several test problems based on the data obtained from a public hospital located in Iran are used to display the performance of the model. According to the results, Non-dominated Sorting Genetic Algorithm-II outperforms the Multi-Objective Particle Swarm Optimization algorithm in most of the utilized metrics. Moreover, the results indicate that our proposed model is more effective and efficient to schedule and plan surgeries and assign resources than manual scheduling.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
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".