The Devil Is in the Details: Sustaining First-Case On-Time Starts at a Quaternary Care Center

Key Points

• To assess the effectiveness of a perioperative checklist and behavior modification in achieving on-time surgical starts.
• Implemented a perioperative checklist to guide surgical procedures.
• Focused on behavior modification among the surgical team.
• Monitored and evaluated on-time start rates before and after intervention.
• Achieved a significant increase in first-case on-time starts.
• Demonstrated sustained improvement over the initiative duration.
• Showed positive feedback from surgical teams on checklist utility.