Maximizing Efficiency in the Operating Room for Total Joint Artroplasty.

Developing a high-efficiency operating room (OR) is both a challenging and rewarding goal for any healthcare system. The OR is traditionally a high-cost/high-revenue environment and operative efficacy has been correlated with low complication rates and surgical success. An efficient OR is one that maximizes utilization while providing safe, reproducible, cost-effective, high-quality care. Total joint arthroplasty (TJA) has occupied the center stage for OR efficiency research, in part due to increasing demands from our aging population and economic pressures related to high implant costs, decreased reimbursement, and competition for market shares when OR time and space are limited.