Development and implementation of an operating room scheduling tool: an action research study

In this study, we report the results of an action research project whose aim was to develop and implement an operating room scheduler at the Meyer University Children’s Hospital. The study offers insights into the features that make an MSS optimisation model and scheduler effective and easy to implement, and shed light on those actions facilitating their introduction and use. Specifically, it suggests that creating an effective operating room scheduler requires clustering patients in homogeneous surgery groups and developing a flexible tool that allows: scheduling surgery groups instead of actual patients, easily adding/removing constraints, changing the objective function(s) and adjusting the planning horizon. In addition, it posits that gaining the commitment of top management by showing credible preliminary results, inferring stakeholder preferences by letting them comment on tentative schedules, introducing changes gradually and involving staff at lower levels of the hospital hierarchy can significantly facilitate the scheduler development and implementation.