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How to improve operating room efficiency

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Nataly Palienko
How to improve operating room efficiency

The operating room (OR) is the epicenter of any surgical facility. Although it is the most expensive resource, it also generates the most revenue. Inefficient use of the OR negatively impacts patients’ health, staff morale, and the facility’s revenue. Surgery cancellations are the primary reason for operating room underutilization. So how can you decrease cancellations and improve operating room efficiency?

To understand what operating room efficiency best practices will work for you, you first have to figure out the main causes of your facility’s surgery cancellations. Based on statistics from numerous sources and our own experience, we know the most widespread reasons.

Why don’t your patients show up for surgery?

Across the board, the main causes of surgery cancellation are:

  • Medical reasons. A patient may have decided to switch to non-operative management, or they may have recovered and no longer need the surgery, or perhaps they have gotten worse and now can’t have the surgery without major health implications.
  • Inadequate patient communication. This may entail poor communication with patients about pre-operative measures, the surgery process, or costs. Patients who aren’t clear on the steps before, during, and after surgery can forget to submit crucial documentation (e.g. lab tests) or, worse, lose confidence in the facility, cancel the operation, and seek care elsewhere. 
  • Booking issues. A facility can be overbooked, or there can be incorrect bookings caused by system errors or miscommunication in the facility.
  • Personal and financial reasons may block patients from having surgery on the intended day.

What is operating room efficiency?

Operating room efficiency is a term that describes the time and effort necessary to conduct a surgical procedure. 

Facilities with a high OR efficiency are able to successfully perform high-quality surgeries with minimal waste, effort, and cost. 

Steps to improve your OR efficiency

The cost of an operating room varies depending on multiple factors: facility location, procedure type, surgery complexity, and equipment and staff required. This is why the cost can range from a few hundred to several thousand dollars per hour. A study by JAMA Surgery used financial data from California’s short-term general and specialty hospitals in 2014 and determined that the average cost of OR time was $36 to $37 per minute. Knowing the approximate cost of OR time, you can realize how expensive every delay, error, and cancellation is.

There are many obstacles that may stop your surgical processes from going smoothly from A to Z. However, operating room inefficiencies (which many surgical facilities struggle with) are the root cause. Let’s discuss how your facility can start improving OR efficiency.


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