Operating room schedules that surgeons follow
Operating room scheduling and planning appear on 16 recent papers in the operations research journals, among 52 surgery-related papers, most of which are AI work on surgical images. Hospitals rarely implement the optimized schedules. What stops them, and do the schedules survive surgeons' preferences and emergencies?
What prompted this#
Since October 2025, 52 papers carry a surgery or operating-room keyword (32 in AI journals, 14 in operations research): "operating room scheduling" on 13, "surgical navigation" on 7, "surgical planning" on 4, "operating room planning" on 3. The scheduling papers are methods papers; implementation and its obstacles are rarely their subject.
Questions#
- In hospitals that implemented optimized block schedules, how much did utilization and overtime change, and how much of the gain survived after a year?
- How do surgeon preferences, emergency cases and turnover times, which the models simplify, erode the plans?
- Would models that schedule for robustness against duration uncertainty be adopted more readily than those that maximize utilization?
Data that could help#
Operating room logs with planned and actual times from hospitals that adopted scheduling tools, and interviews with surgical managers.
Next step#
Partner with a hospital that adopted a scheduling tool and compare planned and actual utilization in the year before and after adoption.