Wiyartanti, Lisa Lim, Choon Hak Park, Myon Woong Kim, Jae Kwan Kwon, Gyu Hyun Kim, Laehyun 2024-01-19T17:33:12Z 2024-01-19T17:33:12Z 2022-01-10 2020-05 1661-7827 https://pubs.kist.re.kr/handle/201004/118656 Operating Room (OR) managers frequently encounter uncertainties related to real-time scheduling, especially on the day of surgery. It is necessary to enable earlier identification of uncertainties occurring in the perioperative environment. This study aims to propose a framework for resilient surgical scheduling by identifying uncertainty factors affecting the real-time surgical scheduling through a mixed-methods study. We collected the pre- and post-surgical scheduling data for twenty days and a one-day observation data in a top-tier general university hospital in South Korea. Data were compared and analyzed for any changes related to the dimensions of uncertainty. The observations in situ of surgical scheduling were performed to confirm our findings from the quantitative data. Analysis was divided into two phases of fundamental uncertainties categorization (conceptual, technical and personal) and uncertainties leveling for effective decision-making strategies. Pre- and post-surgical scheduling data analysis showed that unconfirmed patient medical conditions and emergency cases are the main causes of frequent same-day surgery schedule changes, with derived factors that affect the scheduling pattern (time of surgery, overtime surgery, surgical procedure changes and surgery duration). The observation revealed how the OR manager controlled the unexpected events to prevent overtime surgeries. In conclusion, integrating resilience approach to identifying uncertainties and managing event changes can minimize potential risks that may compromise the surgical personnel and patients' safety, thereby promoting higher resilience in the current system. Furthermore, this strategy may improve coordination among personnel and increase surgical scheduling efficiency. English MDPI OPERATING-ROOM SURGERY CANCELLATION UNCERTAINTY CARE SAFETY COMMUNICATION TECHNOLOGY CULTURE DESIGN IMPACT Resilience in the Surgical Scheduling to Support Adaptive Scheduling System Article 10.3390/ijerph17103511 1 INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, v.17, no.10 INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 17 10 scie ssci scopus 000539300900168 2-s2.0-85085191157 Environmental Sciences Public, Environmental & Occupational Health Environmental Sciences & Ecology Public, Environmental & Occupational Health Article OPERATING-ROOM SURGERY CANCELLATION UNCERTAINTY CARE SAFETY COMMUNICATION TECHNOLOGY CULTURE DESIGN IMPACT surgical scheduling uncertainties resilience situation awareness patient safety