Date of Award

Fall 12-1-2020

Document Type


Degree Name

Doctor of Nursing Practice (DNP)

First Advisor

Susan Steele

Second Advisor

Catherine Fowler

Third Advisor

William Wheeler


Improving efficiency to increase operating room utilization, improve turnaround time, and first case on time starts, is a goal of hospitals to increase surgical case volume. Increasing case volumes improves the hospitals bottom line by increasing reimbursement. In addition, improving the utilization will improve patient and caregiver satisfaction, show less wasted time between cases, and allowing for more timely starts. In the hospital that this study was be performed, located in Atlanta, Georgia, there is a need to improve these metrics which will improve the bottom line of the facility. This study addressed inefficiencies in processes, job duties, and preparation of the operating rooms prior to the surgery start time as well as during the case turnover process. The writer used the Process Redesign model and user-centered feedback to create a guideline that will allow the end user to develop a more efficient workflow pattern. The key metrics used in this study are nationally accepted measures that allow operating room managers to measure efficiency. The guideline developed was be based on evidence already developed and new evidence from the planned survey.