“…The quality improvement study by Burton and colleagues highlighted adverse consequences of late start times including increased cost, delay in treatment, increase in medical errors, and patient complications. 2 Following the implementation of their multipronged intervention strategy, they were able to reduce late start times by 20% and found that adherence to on-time surgical start improved operating room (OR) efficiency, decreased cost, and improved employee satisfaction. Specifically, OR staff overtime and total time in the OR costs were reduced.…”