Operating room relay strategy for turnover time improvement: a quality improvement project

Efrain Riveros Perez, Rebecca Kerko, Nathaniel Lever, Abigail White, Sebastian Kahf, Bibiana Avella-Molano

Research output: Contribution to journalArticlepeer-review


Introduction Operating room (OR) management plays a pivotal role in the healthcare system due to the high cash flow it yields. Enhancing communication in the OR, which is the common root problem for delays, might improve OR efficiency and revenues for healthcare. This study aims to evaluate the impact of an OR relay strategy on turnover time (TOT). Methods A quality improvement project was conducted. In the intervention group, a certified registered nurse anaesthetist (CRNA) remained outside of the OR, coordinating the steps to get the next patient ready. This CRNA communicated with the anaesthesia providers within the OR via a Microsoft Team chat. The TOT for the control group was recorded from the electronic anaesthesia record system. Results/data analysis Analysis of 636 turnovers was performed with non-parametric tests. The OR relay strategy decreased TOT for most ORs, with statistically significant results for three of the ORs and the overall ORs system. A decreased in variability between TOTs was evidenced for the overall OR and the majority of the ORs evaluated individually. Conclusion The OR relay strategy has a positive impact on TOT.

Original languageEnglish (US)
Article numbere001957
JournalBMJ Open Quality
Issue number3
StatePublished - Jul 28 2022


  • Anaesthesia
  • Efficiency, Organizational
  • Information technology

ASJC Scopus subject areas

  • Leadership and Management
  • Health Policy
  • Public Health, Environmental and Occupational Health


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