On Time Starts in the Operating Room

Rebecca Nappi
Bon Secours Memorial College of Nursing

Introduction Project Goals Project Description Conclusion

Every minute in an operating room After close observation of the The staff just needed to be
Our aim was to improve the
is expensive. A study that staff’s morning routine and informed about the data and
collected data from 2005 to 2014 percentage of 50% for on time processes for getting started given a suggestion on how to
averaged the per minute cost of a starts for all patients requiring an obvious barrier to getting fix the problem. We were able
surgical suite to be estimated at
surgery at Bon Secours St. started on time was identified to identify other barriers once
$36 (Kaitlynn, 2018). After
receiving complaints from Francis Eastside operating room and communicated to the we opened the door for
surgeons and patients about to a minimum of 85% by staff in both posted communication from the staff
delays and poor performance communication within the
st
December 1 , 2018. to leadership.
getting the day started in our 8 OR department and at staff
department, we conducted data meetings. Leadership asked
collection and found that our first References
each team member to report
surgeries of the day were only
starting on time about 50% of the
to their room for the day by Kaitlynn, E. (2018). What Are the
Implications of the Costs of Operating
time. 7am each morning. They Room Time? The American Journal of
Results were incentivized to get their Managed Care. Retrieved from
https://www.ajmc.com/newsroom/what-
60%
Percentage of “On-Time” starts 8/27-8/31
surgery started on time by a are-the-implications-of-the-costs-of-
50%
We improved our on time rewards program that was operating-room-time
Macario, A. (2010). What does one minute
starts by 25% on average and implemented picking one on of operating room time cost? Journal of
40%

achieved 100% on several time start team each month Clinical Anesthesia , 233-236. Retrieved
from
30%

days. Our feedback from and presenting them with a http://ether.stanford.edu/asc/documents/ma

gift nagement2.pdf
20%
patients, staff and surgeons is 120%
Percentage of “On-Time” starts 9/17-9/21

Special Thank you to:

10% increased organization and 100%

smoother day overall as per a 80% Stephanie Van Vamp – Department Manager
0%
27-Aug 28-Aug 29-Aug 30-Aug 31-Aug

survey.
60%
On time starts

40%
I pledge
20%

0%
17-Sep 18-Sep 19-Sep 20-Sep 21-Sep

On time starts