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Resilience in the Surgical Scheduling to Support Adaptive Scheduling Systemopen access

Authors
Wiyartanti, LisaLim, Choon HakPark, Myon WoongKim, Jae KwanKwon, Gyu HyunKim, Laehyun
Issue Date
May-2020
Publisher
Multidisciplinary Digital Publishing Institute (MDPI)
Keywords
surgical scheduling; uncertainties; resilience; situation awareness; patient safety
Citation
International Journal of Environmental Research and Public Health, v.17, no.10, pp.1 - 19
Indexed
SCIE
SSCI
SCOPUS
Journal Title
International Journal of Environmental Research and Public Health
Volume
17
Number
10
Start Page
1
End Page
19
URI
https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/145755
DOI
10.3390/ijerph17103511
ISSN
1661-7827
Abstract
Operating Room (OR) managers frequently encounter uncertainties related to real-time scheduling, especially on the day of surgery. It is necessary to enable earlier identification of uncertainties occurring in the perioperative environment. This study aims to propose a framework for resilient surgical scheduling by identifying uncertainty factors affecting the real-time surgical scheduling through a mixed-methods study. We collected the pre- and post-surgical scheduling data for twenty days and a one-day observation data in a top-tier general university hospital in South Korea. Data were compared and analyzed for any changes related to the dimensions of uncertainty. The observations in situ of surgical scheduling were performed to confirm our findings from the quantitative data. Analysis was divided into two phases of fundamental uncertainties categorization (conceptual, technical and personal) and uncertainties leveling for effective decision-making strategies. Pre- and post-surgical scheduling data analysis showed that unconfirmed patient medical conditions and emergency cases are the main causes of frequent same-day surgery schedule changes, with derived factors that affect the scheduling pattern (time of surgery, overtime surgery, surgical procedure changes and surgery duration). The observation revealed how the OR manager controlled the unexpected events to prevent overtime surgeries. In conclusion, integrating resilience approach to identifying uncertainties and managing event changes can minimize potential risks that may compromise the surgical personnel and patients' safety, thereby promoting higher resilience in the current system. Furthermore, this strategy may improve coordination among personnel and increase surgical scheduling efficiency.
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GRADUATE SCHOOL OF TECHNOLOGY & INNOVATION MANAGEMENT (DEPARTMENT OF TECHNOLOGY MANAGEMENT)
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