Determining efficient scheduling approach of doctors for operating rooms: An analysis on Al-Shahid Ghazi Al-Hariri hospital in Baghdad

Government hospitals in Iraq have long been suffering from overcrowded patients, and shortages of doctors and nurses. Unstable environment with occurrences of random warrelated incidents has put further burden on hospitals’ limited resources particularly the surgical department. Large number of pre-...

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Main Author: Hasan Ali, Hussein
Format: Thesis
Language:English
English
English
Published: 2018
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Online Access:https://etd.uum.edu.my/9545/1/s95988_01.pdf
https://etd.uum.edu.my/9545/2/s95988_02.pdf
https://etd.uum.edu.my/9545/3/s95988_references.docx
https://etd.uum.edu.my/9545/
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spelling my.uum.etd.95452022-06-26T01:20:39Z https://etd.uum.edu.my/9545/ Determining efficient scheduling approach of doctors for operating rooms: An analysis on Al-Shahid Ghazi Al-Hariri hospital in Baghdad Hasan Ali, Hussein HD58.9 Organizational Effectiveness. HF5549-5549.5 Personnel Management. Employment RA410.55 Hospital Care. Government hospitals in Iraq have long been suffering from overcrowded patients, and shortages of doctors and nurses. Unstable environment with occurrences of random warrelated incidents has put further burden on hospitals’ limited resources particularly the surgical department. Large number of pre-scheduled elective surgeries has occasionally been interrupted by the incoming war-related incidents patients. This in turn has put tremendous pressure on the hospital management to maximize utilization of its operating rooms’ resources including surgeons and nurses, whilst simultaneously minimizing idle time. Al-Shahid Ghazi Al-Hariri hospital in Baghdad is presently experiencing these issues. Therefore, this study has been undertaken with the aims to identify efficient scheduling approach for elective surgeries for operating rooms in Al-Shahid Ghazi Al-Hariri hospital while considering interruptions from non-elective surgery (incoming patients from warrelated incidents). Specifically, this study intends to develop a Mixed Integer Linear Programming (MILP) model to maximize the utilizations of operating rooms, availability of surgeons as well as to minimize potential idle time. A meta-heuristic approach in the form of a Tabu Search is then employed to generate an acceptable solution and utilizing time more efficiently. Real data was collected from the hospital in the form of interviews, observations and secondary reports. The initial MILP computational results show that the proposed model has successfully produced optimal solutions by improving the utilization of operating rooms. Notwithstanding, the difficulty to produce results in reasonable time for larger problem instances has led to the application of a more efficient meta-heuristic approach. The Tabu Search results indicated better performance of the model with good quality solutions in fewer computation times. The finding is important as it determines the feasibility of the proposed model and its potential benefit to all relevant stakeholders. 2018 Thesis NonPeerReviewed text en https://etd.uum.edu.my/9545/1/s95988_01.pdf text en https://etd.uum.edu.my/9545/2/s95988_02.pdf text en https://etd.uum.edu.my/9545/3/s95988_references.docx Hasan Ali, Hussein (2018) Determining efficient scheduling approach of doctors for operating rooms: An analysis on Al-Shahid Ghazi Al-Hariri hospital in Baghdad. Doctoral thesis, Universiti Utara Malaysia.
institution Universiti Utara Malaysia
building UUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Utara Malaysia
content_source UUM Electronic Theses
url_provider http://etd.uum.edu.my/
language English
English
English
topic HD58.9 Organizational Effectiveness.
HF5549-5549.5 Personnel Management. Employment
RA410.55 Hospital Care.
spellingShingle HD58.9 Organizational Effectiveness.
HF5549-5549.5 Personnel Management. Employment
RA410.55 Hospital Care.
Hasan Ali, Hussein
Determining efficient scheduling approach of doctors for operating rooms: An analysis on Al-Shahid Ghazi Al-Hariri hospital in Baghdad
description Government hospitals in Iraq have long been suffering from overcrowded patients, and shortages of doctors and nurses. Unstable environment with occurrences of random warrelated incidents has put further burden on hospitals’ limited resources particularly the surgical department. Large number of pre-scheduled elective surgeries has occasionally been interrupted by the incoming war-related incidents patients. This in turn has put tremendous pressure on the hospital management to maximize utilization of its operating rooms’ resources including surgeons and nurses, whilst simultaneously minimizing idle time. Al-Shahid Ghazi Al-Hariri hospital in Baghdad is presently experiencing these issues. Therefore, this study has been undertaken with the aims to identify efficient scheduling approach for elective surgeries for operating rooms in Al-Shahid Ghazi Al-Hariri hospital while considering interruptions from non-elective surgery (incoming patients from warrelated incidents). Specifically, this study intends to develop a Mixed Integer Linear Programming (MILP) model to maximize the utilizations of operating rooms, availability of surgeons as well as to minimize potential idle time. A meta-heuristic approach in the form of a Tabu Search is then employed to generate an acceptable solution and utilizing time more efficiently. Real data was collected from the hospital in the form of interviews, observations and secondary reports. The initial MILP computational results show that the proposed model has successfully produced optimal solutions by improving the utilization of operating rooms. Notwithstanding, the difficulty to produce results in reasonable time for larger problem instances has led to the application of a more efficient meta-heuristic approach. The Tabu Search results indicated better performance of the model with good quality solutions in fewer computation times. The finding is important as it determines the feasibility of the proposed model and its potential benefit to all relevant stakeholders.
format Thesis
author Hasan Ali, Hussein
author_facet Hasan Ali, Hussein
author_sort Hasan Ali, Hussein
title Determining efficient scheduling approach of doctors for operating rooms: An analysis on Al-Shahid Ghazi Al-Hariri hospital in Baghdad
title_short Determining efficient scheduling approach of doctors for operating rooms: An analysis on Al-Shahid Ghazi Al-Hariri hospital in Baghdad
title_full Determining efficient scheduling approach of doctors for operating rooms: An analysis on Al-Shahid Ghazi Al-Hariri hospital in Baghdad
title_fullStr Determining efficient scheduling approach of doctors for operating rooms: An analysis on Al-Shahid Ghazi Al-Hariri hospital in Baghdad
title_full_unstemmed Determining efficient scheduling approach of doctors for operating rooms: An analysis on Al-Shahid Ghazi Al-Hariri hospital in Baghdad
title_sort determining efficient scheduling approach of doctors for operating rooms: an analysis on al-shahid ghazi al-hariri hospital in baghdad
publishDate 2018
url https://etd.uum.edu.my/9545/1/s95988_01.pdf
https://etd.uum.edu.my/9545/2/s95988_02.pdf
https://etd.uum.edu.my/9545/3/s95988_references.docx
https://etd.uum.edu.my/9545/
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score 13.211869