Why the study?
Due to high operating room costs and pressure to optimize efficiency, identifying the rates and primary causes of first case delays was needed.
Surgeon practices and preoperative processes are the primary drivers of first case on-time start delays in community hospital orthopedic departments.
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Single-center QI data on orthopedic FCOTS delays should not yet change practice; leaves open need for multicenter validation.
Saul et al. (2022) studied this question.
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