As with most busy ORs, we were looking to improve our efficiency. Consultants were brought in and gave recommendations, but it did not change our culture or improve our on-time starts. We had meetings with anesthesia providers, surgeons, and nurses. The results were differing opinions on the definition of an "on-time start," the lack of credibility of the data, who determined the cause of the delay, potential bias, and lack of accountability.
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