A Constraint-Programming-Based Branch-and-Price-and-Cut Approach for Operating Room Planning and Scheduling

This paper presents an efficient algorithm for an integrated operating room planning and scheduling problem. It combines the assignment of surgeries to operating rooms and scheduling over a short-term planning horizon. This integration results in more stable planning through consideration of the operational details at the scheduling level, and this increases the chance of successful implementation. We take into account the maximum daily working hours of surgeons, prevent the overlapping of surgeries performed by the same surgeon, allow time for the obligatory cleaning when switching from infectious to noninfectious cases, and respect the surgery deadlines. We formulate the problem using a mathematical programming model and develop a branch-and-price-and-cut algorithm based on a constraint programming model for the subproblem. We also develop dominance rules and a fast infeasibility-detection algorithm based on a multidimensional knapsack problem to improve the efficiency of the constraint programming model. The computational results show that our method has an average optimality gap of 2.81% and significantly outperforms a compact mathematical formulation in the literature.