Everyone wants the OR to run smoothly—on-time starts, few delays, a well-managed schedule, and buy-in on quality and safety projects. To make it happen takes strong leadership and collaboration. The traditional OR committee may not be up to the task. Too often, it becomes a complaint forum, with the OR director caught in the middle. Perioperative departments need a strong governance structure to build a bridge between often competing agendas of physicians and the institution. They also need leadership to meet the growing list of patient safety and quality expectations.
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