Towards a flexible work-force planning methodology: a simulation approach in the operating suite

Abstract : In hospitals, availability of human resources is highly variable: absences and non patient-care activities impact considerably the organisation of the hospital. Making cost-effective staffing decisions is thus complex and can be of high importance in a costly and highly technical area such as the operating suite. Our research question is: 'what is the impact of non patient-care activities on the surgical activity of the hospital?'A deterministic simulation of the surgery production process is developed based on 43 semi-directive interviews conducted in five French military hospitals. We apply our simulation to a case study based on the participation of military nurses and practitioners in temporary military missions abroad for two military hospitals. Two main findings arise from our study. First, medical staff has high flexibility in work organisation that favours balancing the impact of colleagues' absence. Second, respecting the equilibrium of staffing levels in the hospital appears crucial to limit the impact of non patient-care missions on the efficiency of hospitals.
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https://hal.archives-ouvertes.fr/hal-01096133
Contributor : Jane Despatin <>
Submitted on : Wednesday, December 17, 2014 - 9:46:46 AM
Last modification on : Thursday, February 28, 2019 - 5:43:12 PM
Long-term archiving on : Monday, March 23, 2015 - 2:29:38 PM

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  • HAL Id : hal-01096133, version 1

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Jane Despatin, Eric Wable, Michel Nakhla, Yves Auroy. Towards a flexible work-force planning methodology: a simulation approach in the operating suite. 2014. ⟨hal-01096133⟩

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