Making Efficiency a Team Priority in Cardiothoracic Surgery

Efficiency in the operating room isn't just about working faster—it's about making every movement count, communicating clearly so needs are understood, and simplifying systems to support the team.

True efficiency is a collective achievement that the surgeon can lead by understanding team needs and fostering coordinated, high-performing teamwork.

When the team focuses on efficient processes and clear communication, the ultimate result is improved workflow and the highest quality patient care.

Episode Transcript

(00:00):
When people talk about efficiency in the operating room,

they often equate it with speed (00:03):
finishing cases faster,
turning over rooms quicker.
That’s a narrow view.
True efficiency is subtler and more meaningful — it’s about doing the right things well, every time.
In this short piece I’ll unpack what real efficiency looks like and why it matters for surgeons,

(00:23):
teams,and most importantly,patients.
Efficiency isn’t simply working faster;
it’s making every movement count.
That means thoughtful, intentional actions rather than hurried ones.
A deliberate approach reduces wasted motion,minimizes distractions,
and preserves focus — all of which improve safety and outcomes.

(00:46):
Clear communication is another cornerstone.

Efficiency depends on being understood the first time (00:49):
precise requests,
anticipatory language,and closed-loop confirmations.
When everyone knows what’s needed and why, the team moves in sync instead of reacting in fragments.
Understanding the needs of the team is equally important.
Surgeons who recognize the roles,constraints,and expertise of nurses,

(01:13):
anesthetists,and techs can coordinate more effectively.
This mutual awareness creates an environment where people feel supported and empowered to contribute their best.
Simplifying the system ties these elements together.
Streamlined workflows,standardized protocols,and sensible checklists reduce complexity and cognitive load.

(01:34):
When the system is simple and predictable,teams can focus on problem-solving rather than firefighting.
Efficiency is ultimately a collective achievement,
and the surgeon is uniquely positioned to lead that effort.
Leadership in the OR means setting expectations,modeling calm and clarity,
and fostering a culture where every team member’s input is valued.

(01:56):
A coordinated,high-performing team doesn’t happen by accident — it’s built through consistent practice and mutual respect.

When we prioritize team efficiency,the payoff is clear (02:03):
better coordination,
fewer errors,and the highest quality patient care.
That’s the point of all this work — not to be faster for its own sake,
but to deliver safer,more effective care for the people who depend on us.
Thanks for listening.