Improving operating theatre efficiency: An intervention to significantly reduce changeover time

Bishoy A B Soliman, Raymond Stanton, Steven Sowter, Warren Matthew Rozen, Shekib Shahbaz

Research output: Contribution to journalArticleResearchpeer-review

19 Citations (Scopus)


Background: Operating theatre inefficiency and changeover delays are not only a significant source of wasted resources, but also a familiar source of frustration to patients and health-care providers. This study aimed to prove that the surgical registrar through active involvement in patient changeover can significantly improve operating room efficiency and minimize delays. Methods: A two-phase prospective cohort study was undertaken, conducted over the course of 4 weeks at a single institution. The only inclusion criteria comprised patients to undertake endoscopic urological day surgery cases and require general anaesthesia. There were no exclusions. In the first phase (observational, with no intervention), changeover times between cases were documented. The second phase followed a structured intervention, involving the surgical registrar being actively involved in the patient's operative journey. Outcome measures were qualitative measures of operative efficiency. Statistical analysis was undertaken. Results: There were 42 patients included in this study, with 21 patients in each of its arms. A 48% (P-value

Original languageEnglish
Pages (from-to)545-548
Number of pages4
JournalANZ Journal of Surgery
Issue number7-8
Publication statusPublished - Jul 2013
Externally publishedYes


  • changeover time
  • Operating theatre efficiency
  • Productivity
  • Utilization

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