Asymmetric surge optimization during peak seasons: a discrete-event simulation of centralized fast-track operating rooms at a China National Children's Medical Center - Scorecard - MDSpire

Asymmetric surge optimization during peak seasons: a discrete-event simulation of centralized fast-track operating rooms at a China National Children's Medical Center

  • By

  • Yu Chen

  • Weihong Xu

  • Nanping Shen

  • Jiwen Sun

  • Bin Ji

  • Siyuan Wang

  • Wei Chen

  • July 8, 2026

  • 0 min

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Clinical Scorecard: Optimizing Asymmetric Surgical Demand During Peak Seasons: A Discrete-Event Simulation of Centralized Fast-Track Operating Rooms at a Pediatric Medical Center in China

At a Glance

CategoryDetail
ConditionPediatric Surgery Demand Management
Key MechanismsDiscrete-event simulation for optimizing operating room allocation and throughput.
Target PopulationPediatric patients requiring elective surgeries.
Care SettingPediatric medical center during peak surgical demand periods.

Key Highlights

  • Surge in pediatric surgeries during summer holidays is asymmetric, with short elective procedures increasing significantly.
  • Centralized fast-track OR allocation improves throughput while protecting complex surgery access.
  • Optimized turnover times can increase surgical case throughput by over 38% compared to historical baselines.

Guideline-Based Recommendations

Diagnosis

    Management

    • Implement centralized fast-track ORs to manage surgical demand effectively.

    Monitoring & Follow-up

    • Utilize discrete-event simulation to assess OR capacity and throughput.

    Risks

    • Capacity fragmentation may penalize low-volume specialties if not managed properly.

    Patient & Prescribing Data

    Children undergoing elective surgical procedures.

    Fast-track procedures should be separated from complex surgeries to optimize OR utilization.

    Clinical Best Practices

    • Employ dynamic safety-buffer policies in OR scheduling.
    • Conduct sensitivity analyses to evaluate turnover time reductions.

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