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Updated: Jan 9, 2026

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Improving Operating Room Access and Utilization at an Academic Ophthalmology Department.

Lyna Azzouz1, Hashem Ghoraba2, Reese D Heidenreich3

  • 1Department of Ophthalmology, Byers Eye Institute, Stanford University School of Medicine, Stanford, California.

Ophthalmic Surgery, Lasers & Imaging Retina
|December 2, 2025
PubMed
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Quality improvement initiatives enhanced operating room (OR) access and utilization for ophthalmic surgeries. Implementing targeted interventions increased monthly case volume by 20%, improving patient access and resource optimization.

Area of Science:

  • Ophthalmology
  • Healthcare Management
  • Quality Improvement Science

Background:

  • A quality improvement project focused on enhancing operating room (OR) access and utilization for elective ophthalmic procedures.
  • The study was conducted at a university-affiliated eye center to address inefficiencies in OR scheduling and workflow.

Purpose of the Study:

  • To assess operating room utilization for ophthalmic cases.
  • To identify and address key drivers of inefficiency in OR scheduling.
  • To implement targeted interventions to improve OR access and utilization.

Main Methods:

  • A prospective, interventional case series design was employed.
  • OR utilization was assessed over a 3-month baseline period across three ORs.
  • Case scheduling protocols were reviewed, and interventions were implemented based on identified barriers.

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Main Results:

  • Baseline monthly surgery volume averaged 290 cases.
  • Identified inefficiencies included lack of standardized forms, delayed tests, poor communication, and inadequate block time enforcement.
  • Post-intervention, OR utilization increased by 20%, with average monthly case volume rising to 350 (approx. 60 additional surgeries/month).
  • Use of standardized EPIC surgical orders with laterality increased more than twofold (39 to 97 cases/month).

Conclusions:

  • Targeted, multidisciplinary interventions effectively improved OR utilization by 20%.
  • Quality improvement projects are crucial for enhancing patient access and optimizing institutional resources in healthcare settings.