Analyses of the phase I postanesthesia care unit baseline capacity and effect of disruptions to its beds or nurse availability on operating room workflow
by Danial Khorasanian; Franklin Dexter; Ghasem Moslehi
International Journal of Planning and Scheduling (IJPS), Vol. 2, No. 4, 2018

Abstract: When there is not a free bed or nurse in the postanesthesia care unit (PACU), the patient recovers in the operating room, preventing the start of the subsequent case(s), until capacity is available in the PACU. We report some real examples of situations in which the capacity of the PACU decreases unexpectedly, and analyse their implications on the operating room workflow. For this purpose, first, different surgical suite sizes are simulated, considering the important factors observed in real time. The baseline capacities of PACU beds and nurses are determined. Then, the characteristics of some situations with less capacity than the baseline are investigated, caused by disruptions of either decreasing the number of beds or nursing hours in the PACU. For example, when the number of PACU beds in 8-OR surgical suites decreases to half of the baseline, the percentage of days with delay increases from 0.22% to 86.79%.

Online publication date: Thu, 04-Oct-2018

The full text of this article is only available to individual subscribers or to users at subscribing institutions.

Existing subscribers:
Go to Inderscience Online Journals to access the Full Text of this article.

Pay per view:
If you are not a subscriber and you just want to read the full contents of this article, buy online access here.

Complimentary Subscribers, Editors or Members of the Editorial Board of the International Journal of Planning and Scheduling (IJPS):
Login with your Inderscience username and password:

    Username:        Password:         

Forgotten your password?

Want to subscribe?
A subscription gives you complete access to all articles in the current issue, as well as to all articles in the previous three years (where applicable). See our Orders page to subscribe.

If you still need assistance, please email