More cases start on time after nurses change workflow

Among the many variables that influence on-time starts of surgical cases are the arrival times of patients and staff, as well as the verifications and documentation required before patients are brought to the OR. Increasing on-time starts was a key initiative at Fox Chase Cancer Center. By exploring the influences of nursing performance related to first case on-time starts (FCOTS), Fox Chase nurses identified the barriers contributing to the delays. Revising and implementing new workflows increased FCOTS from 36% to 79% within a few months.