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Theses

GESTION PREDICTIVE DES BLOCS OPERATOIRES

Abstract : Due to the shortage of the human and financial resources, the Operating Theatre Management is nowadays a major concern, on the short term as well as on the medium term. Indeed, all these structures in the eastern countries share the major problem of limited human and financial support. In this respect, our study was carried out along three steps. First, we analysed the process activities of the operating room, its resources and flows. This analysis allowed us to identify the forces and weaknesses of the actual process and to define the major management issues. Second, we studied the organisational levels of the operating process. We limited our study to the pre-operative (before surgery) and the per-operative (during surgery) steps of the operating procedure. Finally, we presented the tools to solve the identified management questions and we specified their effectiveness. Four problems were actually identified : intervention programming adjusted operating theatre staffing, operating theatre planning and operating theatre schedule. We have developed an heuristic method based on the extended Hungarian method to solve the intervention programming as well as the operating theatre planning. The operating staffing was solved modelling to a linear program. The operating theatre scheduling was identified as a three-stage hybrid flow-shop organisation with no-wait and precedence constraints. This problem was solved by well known scheduling and assignment methods.
These works lead us to conclude that analysis methods and management tools from manufacturing systems can be used to hospitals systems.
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https://tel.archives-ouvertes.fr/tel-00008835
Contributor : Sondes Chaabane <>
Submitted on : Monday, March 21, 2005 - 2:22:18 PM
Last modification on : Friday, October 23, 2020 - 4:49:27 PM
Long-term archiving on: : Friday, April 2, 2010 - 10:07:48 PM

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  • HAL Id : tel-00008835, version 1

Citation

Sondès Chaabane. GESTION PREDICTIVE DES BLOCS OPERATOIRES. Sciences de l'ingénieur [physics]. INSA de Lyon, 2004. Français. ⟨tel-00008835⟩

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