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Running head: LITERATURE REVIEW1Literature ReviewStephanie GreenGrand Canyon UniversityProfessional Capstone and PracticumNRS 490October 21, 2019
LITERATURE REVIEW2Literature ReviewThe importance of productivity in the operating room is vital to hospitals both in improving access for patients and financially to boost revenues. There are many research articles regarding on-time first case starts, operating room turnover times, and case cancellations on the day of surgery (Coffey Jr et al., 2018). The majority of these articles outline performance improvement initiatives to increase the percentages of on-time starts, decrease the number of turnover minutes between each surgical case and identify the factors that lead to case cancellation on the day of surgery. This literature review will compare the eight articles outlined in the previous literature evaluation that support the PICOT question. Included in this comparison will be a discussion of the research questions, sample populations, study limitations, and conclude with the recommendations of each article.Research QuestionsUpon reviewing the eight articles from the literature evaluation, seven articles are quantitative in nature and one is qualitative. Four of the articles focus the research question on turnover time. Two articles, one qualitative, one quantitative, ask what are the barriers to efficientoperating room turnover (Kumar & Malhotra, 2017) (Pimental, Flanagan, Philip, & Urman, 2015), while the other two ask will the implementation of an improvement process improve operating room turnover time. Specifically, the processes identified are implementation of parallel processing or the implementation of a system-based approach (Bhatt, Carlson, & Decker,2014, Mizumoto, Cristaudo, & Hendahewa, 2016). The two articles with a focus on first case on-time starts are both quantitative in nature and focus on processes in workflow. The first article questions the workflow patterns that effect on-time starts and how these inefficiencies affect the organization financially (Cox Bauer, Greer,
LITERATURE REVIEW3Vander Wyst, & Kamelle, 2016). Analysis of the second article reveals the question of

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