Decreasing Operating Room Turnover Time: A Resource Neutral Initiative

  • Shawne Olson
  • Stephanie Jaross
  • Gail S. Rebischke-Smith
  • Frank Chivers
  • Stephanie K. Covel
  • Carolyn E. Millen
Patient Facing Systems
Part of the following topical collections:
  1. Patient Facing Systems


Important to leaders in healthcare organizations is the ability to deliver safe quality care to patients and support provider satisfaction, in a cost effective manner. Care of the patient in the operating room is one area in which leaders can assess these elements. In a 281 bed community hospital, affiliated with a large academic medical center, a process improvement project was undertaken to improve efficiency in the operating room. The facility has 12 operating rooms that support continued surgical growth. A need exists to maximize operating room utilization as surgical volume increases.

The creation of an effective strategy to increase access to the operating room may improve accessibility of the operating room for the care of surgical patients. Understanding the flow in the operating room provides the foundation for addressing this issue. The reduction of time between surgical cases is an important component that may improve access to care for patients and surgeons.




We would like to acknowledge the expertise, leadership, and support from Sue Manfredi, DNP, MBA, RN, FACHE, our Vice President for Patient Care Services and Chief Nursing Officer. Sue supports continued innovation, through the change process and problem solving to enhance the delivery of care to our patients. She encourages us to be creative and try new ideas that lead to improved efficiency and resource allocation.


The authors for this article have no conflicts of interest.

Compliance with Ethical Standards

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.


  1. 1.
    Gabriel, R. A., Gimlich, R., Ehrenfeld, J. M., and Urman, R. D., Operating room metrics score card-creating a prototype for individualized feedback. J. Med. Syst. 38(11):144–149, 2014. Scholar
  2. 2.
    Sokolovic, E., Biro, P., Wyss, P., Werthemann, C., Haller, U., et al. (2002). Impact of the reduction of anesthesia turnover time on operating room efficiency. Eur. J. Anesthesiol. 19(8), 560–563. Retrieved from http://www.european.journal.anesthesiology
  3. 3.
    Cendan, J. C., and Good, M., Interdisciplinary work flow assessment and redesign decreases operating room turnover time and allows for additional caseload. (2006). Arch. Surg. 141(1):65–69, 2006 Retrieved from Scholar
  4. 4.
    Kumar, M., and Malhotra, S., Reasons for delay in turnover time in operating room-an observational study. Banglad. J. Med. Sci. 16(2):245–251, 2017 Retrieved from http://www.bangladesh.journal.medical.sciences.CrossRefGoogle Scholar
  5. 5.
    Mercereau, P., Lee, B., Head, S. J., and Schwarz, S. K. W., A regional anesthesia-based “swing” operating room model reduces non-operative time in a mixed orthopedic inpatient/outpatient population. Can. J. Anesthesia 59(10):943–949, 2012. Scholar
  6. 6.
    Beaule, P. E., Frombach, A. A., and Ryu, J. J., Working toward benchmarks in orthopedic OR efficiency for joint replacement surgery in an academic center. Can. J. Surg. 58(6):408–413, 2015. Scholar
  7. 7.
    Jerico, M. C., Perroca, M. G., and da Penha, V. C., Measuring quality indicators in the operating room: Cleaning and turnover time. Latino-Am. Enfermagem 19(5):1239–1246, 2011 Retrieved from Scholar
  8. 8.
    Bhatt, A. S., Carlson, G. W., and Deckers, P. J., Improving operating room turnover time: A systems based approach. J. Med. Syst. 38(12):148–155, 2014. Scholar
  9. 9.
    Mercario, A., Are your hospital operating rooms “efficient”?: A scoring system with eight performance indicators. Anesthesiology 8(105):237–240, 2006 Retrieved from Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.University of Washington/Northwest HospitalSeattleUSA
  2. 2.ProlianceEdmondsUSA
  3. 3.University of Washington/Northwest Hospital and Seattle AnesthesiologistsSeattleUSA

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