TY - GEN A1 - Borndörfer, Ralf A1 - Tesch, Alexander A1 - Sagnol, Guillaume T1 - Algorithmen unterstützen OP-Planung T2 - Management & Krankenhaus N2 - Mathematische Algorithmen können durch Vorhersage von Unsicherheiten optimierte OP-Pläne berechnen, sodass mehrere Zielkriterien wie Überstunden, Wartezeit und Ausfälle im OP minimiert werden. Y1 - 2019 IS - 12 SP - 20 PB - Wiley ER - TY - JOUR A1 - Sagnol, Guillaume A1 - Barner, Christoph A1 - Borndörfer, Ralf A1 - Grima, Mickaël A1 - Seeling, Mathes A1 - Spies, Claudia A1 - Wernecke, Klaus T1 - Robust Allocation of Operating Rooms: a Cutting Plane Approach to handle Lognormal Case Durations JF - European Journal of Operational Research N2 - The problem of allocating operating rooms (OR) to surgical cases is a challenging task, involving both combinatorial aspects and uncertainty handling. We formulate this problem as a parallel machines scheduling problem, in which job durations follow a lognormal distribution, and a fixed assignment of jobs to machines must be computed. We propose a cutting-plane approach to solve the robust counterpart of this optimization problem. To this end, we develop an algorithm based on fixed-point iterations that identifies worst-case scenarios and generates cut inequalities. The main result of this article uses Hilbert's projective geometry to prove the convergence of this procedure under mild conditions. We also propose two exact solution methods for a similar problem, but with a polyhedral uncertainty set, for which only approximation approaches were known. Our model can be extended to balance the load over several planning periods in a rolling horizon. We present extensive numerical experiments for instances based on real data from a major hospital in Berlin. In particular, we find that: (i) our approach performs well compared to a previous model that ignored the distribution of case durations; (ii) compared to an alternative stochastic programming approach, robust optimization yields solutions that are more robust against uncertainty, at a small price in terms of average cost; (iii) the \emph{longest expected processing time first} (LEPT) heuristic performs well and efficiently protects against extreme scenarios, but only if a good prediction model for the durations is available. Finally, we draw a number of managerial implications from these observations. Y1 - 2018 U6 - https://doi.org/10.1016/j.ejor.2018.05.022 VL - 271 IS - 2 SP - 420 EP - 435 ER - TY - GEN A1 - Tesch, Alexander A1 - Borndörfer, Ralf T1 - Mathematische Optimierung in der OP-Planung T2 - OP-Management up2date N2 - Deutsche Krankenhäuser sehen sich derzeit mit enormen Schwierigkeiten konfrontiert. Ungefähr jede 2. Klinik muss drastische Sparmaßnahmen ergreifen, was auch die Allgemeinversorgung beeinträchtigt. Die Gründe dafür sind vielschichtig: stark gestiegene Sach- und Personalkosten bei gleicher Finanzierung, teilweiser Patientenrückgang, starke regionale Unterschiede in der Versorgung, Fachkräftemangel und fehlende Investitionen in Kern- und Zukunftsbereiche, insbesondere der Digitalisierung. Das belastet die Haushalte der Kliniken. Insbesondere die Digitalisierung und die Anwendung von Methoden der künstlichen Intelligenz und der mathematischen Optimierung könnten eine Schlüsselrolle spielen, um die komplexen Krankenhausprozesse mit Kennzahlen qualitativ zu bewerten und zu verbessern. In diesem Artikel stellen wir vier Praxisprobleme aus der OP-Planung vor und benennen welche Entscheidungen, Nebenbedingungen und Zielkriterien mit mathematischen Entscheidungsmodellen dargestellt und optimiert werden können. Hierzu erläutern wir das erweiterte Potenzial einer umfassenden Anwendung von mathematischer Optimierung im OP-Bereich. Y1 - 2025 U6 - https://doi.org/10.1055/a-2322-2124 VL - 5 IS - 1 SP - 21 EP - 34 PB - Thieme ER - TY - GEN A1 - Sagnol, Guillaume A1 - Barner, Christoph A1 - Borndörfer, Ralf A1 - Grima, Mickaël A1 - Seeling, Matthes A1 - Spies, Claudia A1 - Wernecke, Klaus T1 - Robust Allocation of Operating Rooms: a Cutting Plane Approach to handle Lognormal Case Durations N2 - The problem of allocating operating rooms (OR) to surgical cases is a challenging task, involving both combinatorial aspects and uncertainty handling. We formulate this problem as a parallel machines scheduling problem, in which job durations follow a lognormal distribution, and a fixed assignment of jobs to machines must be computed. We propose a cutting-plane approach to solve the robust counterpart of this optimization problem. To this end, we develop an algorithm based on fixed-point iterations that identifies worst-case scenarios and generates cut inequalities. The main result of this article uses Hilbert's projective geometry to prove the convergence of this procedure under mild conditions. We also propose two exact solution methods for a similar problem, but with a polyhedral uncertainty set, for which only approximation approaches were known. Our model can be extended to balance the load over several planning periods in a rolling horizon. We present extensive numerical experiments for instances based on real data from a major hospital in Berlin. In particular, we find that: (i) our approach performs well compared to a previous model that ignored the distribution of case durations; (ii) compared to an alternative stochastic programming approach, robust optimization yields solutions that are more robust against uncertainty, at a small price in terms of average cost; (iii) the \emph{longest expected processing time first} (LEPT) heuristic performs well and efficiently protects against extreme scenarios, but only if a good prediction model for the durations is available. Finally, we draw a number of managerial implications from these observations. T3 - ZIB-Report - 16-18 KW - robust optimization KW - lognormal duration KW - Hilbert's projective metric Y1 - 2016 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:0297-zib-58502 SN - 1438-0064 ER -