Reducing Tardiness from Scheduled Start Times by Making Adjustments to the Operating Room Schedule

Abstract

Interventions which involve small numbers of cases have little potential to reduce overall tardiness. Generating a modified or auxiliary OR schedule that compensates for known causes of tardiness can significantly reduce patient and "to follow" surgeon waiting times. Modifying the OR schedule to create revised start times for patients and "to follow" surgeons involves interventions that are simple to perform. The official schedule is not changed and case sequencing is not altered. Results do not depend on changing surgeon, anesthesia provider, or nursing behavior.