113. On Surgery Ward Resilience: Quantitative Concepts, Evaluation, and Analysis
Invited abstract in session ME-1: Access to care, stream Sessions.
Monday, 15:30-17:00Room: NTNU, Realfagbygget R5
Authors (first author is the speaker)
| 1. | Gabriela Ciolacu
|
| Karlsruhe Institute of Technology | |
| 2. | Siamak Khayyati
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| HEC Liege, University of Liege | |
| 3. | Emilia Grass
|
Abstract
Effective surgical ward management in the context of disasters is especially challenging. It requires balancing meeting uncertain and increasing patient demand with limited and costly resources for prolonged periods. To evaluate if the ward can meet the demand for surgical care without straining medical resources, hospital decision-makers introduced resilience to dynamically assess the disaster’s impact, considering that the ward is the costliest medical unit. Resilience is the surgical ward’s capacity to prepare (1), withstand (2), absorb (3), and recover (4) from disasters, implying multiple phases.
This study examines quantitative resilience indicators and their application to surgical wards following disasters. While reviewing 30 healthcare resilience publications, we noticed that quantitative evaluation heavily depends on the definition of performance indicator. To the best of our knowledge, the current healthcare state of the art excludes surgical care, focuses on engineering performance assumptions, and relies on cumulative resilience indicators, neglecting the four aforementioned phases. To account for such shortcomings and guided by literature, this study proposes a quantitative resilience evaluation that provides a granular view of each phase and tailors its performance and interpretation to the surgical ward. We illustrate the usefulness of the proposed evaluation in a simulation that models the surgical ward and adjacent units as a queueing network.
Keywords
- Disaster management
- Operating room planning and scheduling
- Healthcare management
Status: accepted
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