SOLVED943

Four Lenses Are improvements in the workflow possible that could reduce patient flow times and increase the number of hip and knee replacement surgeries that can be completed in a 9.5-hour day? Using simulation models to estimate and contrast the surgery rate and average patient flow time, consider improvements using the following four lenses: 1. Does utilization matter? For example, should some registrars, anaesthesiologists, surgeons, and/or EVS staff members be hired or fired? Should the number of ORs be increased? 2. Does pooling matter? For example, should the surgeons be pooled (so that the two surgeons can work in all four ORs)? Should the anaesthesiologists be pooled? 3. Does variance hurt? For example, would reductions of say 10 or 20% in the variance of durations make any real difference? 4. Does psychology matter? Is the difference between actual and perceived waiting time important in this application for the patients, their family members, and hospital staff? How can perceived waiting be reduced? Note that some patients whose surgeries are bumped to the next day perceive that night to be waiting time.
SCIENCE
HEALTH SCIENCE
NURSING

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