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使用人工蜂群算法解决手术室调度问题。

Solving Operating Room Scheduling Problem Using Artificial Bee Colony Algorithm.

作者信息

Lin Yang-Kuei, Li Min-Yang

机构信息

Department of Industrial Engineering and Systems Management, Feng Chia University, Taichung 407, Taiwan.

出版信息

Healthcare (Basel). 2021 Feb 2;9(2):152. doi: 10.3390/healthcare9020152.

Abstract

Many healthcare institutions are interested in reducing costs and in maintaining a good quality of care. The operating room department is typically one of the most costly units in a hospital. Hospital managers are always interested in finding effective ways of using operating rooms to minimize operating costs. In this research, we study the operating room scheduling problem. We consider the use of a weekly surgery schedule with an open scheduling strategy that takes into account the availabilities of surgeons and operating rooms. The objective is to minimize the total operating cost while maximizing the utilization of the operating rooms but also minimizing overtime use. A revised mathematical model is proposed that can provide optimal solutions for a surgery size up to 110 surgical cases. Next, two modified heuristics, based on the earliest due date (EDD) and longest processing time (LPT) rules, are proposed to quickly find feasible solutions to the studied problem. Finally, an artificial bee colony (ABC) algorithm that incorporates the initial solutions, a recovery scheme, local search schemes, and an elitism strategy is proposed. The computational results show that, for a surgery size between 40 and 100 surgical cases, the ABC algorithm found optimal solutions to all of the tested problems. For surgery sizes larger than 110 surgical cases, the ABC algorithm performed significantly better than the two proposed heuristics. The computational results indicate that the proposed ABC is promising and capable of solving large problems.

摘要

许多医疗机构都希望降低成本并维持良好的护理质量。手术室部门通常是医院中成本最高的科室之一。医院管理人员一直致力于寻找有效利用手术室的方法,以尽量降低手术成本。在本研究中,我们探讨手术室调度问题。我们考虑采用每周手术排班表,并采用开放式调度策略,该策略会考虑外科医生和手术室的可用时间。目标是在使手术室利用率最大化且尽量减少加班使用的同时,使总手术成本最小化。我们提出了一个经过修订的数学模型,该模型可为多达110例手术的规模提供最优解。接下来,我们提出了两种基于最早交货日期(EDD)和最长处理时间(LPT)规则的改进启发式算法,以快速找到所研究问题的可行解。最后,我们提出了一种人工蜂群(ABC)算法,该算法结合了初始解、恢复方案、局部搜索方案和精英策略。计算结果表明,对于40至100例手术的规模,ABC算法找到了所有测试问题对应的最优解。对于超过110例手术的规模,ABC算法的表现明显优于所提出的两种启发式算法。计算结果表明,所提出的ABC算法很有前景,能够解决大型问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/255f/7913096/b58720eb8f2b/healthcare-09-00152-g001.jpg

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