Insights

Is tomorrow’s case ready?

A late first case does not cost you seven minutes. It costs you the whole day.

Why a seven-minute slip on the first case quietly costs an OR the whole day, and the two things that actually move on-time starts.

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Tomorrow's first case gets cancelled tonight: the loaner tray problem nobody owns

A loaner tray crosses four handoffs before a 7:30 case. Every handoff has an owner but the chain has none. What ownership would look like.

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The 9pm text message that decides whether surgery starts on time

A thumbs-up text is not a confirmation. What vendor coordination looks like when it is a tracked process with states and escalation instead of a favor.

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