Abstract
Operating room efficiency in total joint arthroplasty involves maximizing productivity with minimal expenditure of resources. An efficient operative day increases surgeon case volume, but also improves patient and staff satisfaction. Efficiency begins preoperatively by ensuring thorough medical optimization, providing comprehensive patient education resources and clearly establishing patient expectations. Multiple protocols help improve operative day efficiencies including: time stamping, updating preference cards, streamlining instrument trays, proper staff education, and utilization of “swing” rooms. Efficiency has been shown to improve patient outcomes and contribute to cost savings. Real change is inspired by surgeon leadership and adopting an overall culture of efficiency.
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