The purpose of this article is to review the problems and processes impacting the deviation in first-case actual start times when compared to first-case scheduled start times. This article will also discuss the Continuous Outcomes Measurement and Improvement Technique (COMIT) model for problem resolution and share the experiences encountered by a group of collaborative nurse manager leaders in their outcome improvement efforts. The overall process improvements are discussed using the eight-step COMIT model, which showed the overall success of the project.
Day Surgery Center Preoperative Area and Phase II Recovery, PreAdmission Testing and Postanesthesia Care Unit, St. Luke's Episcopal Hospital, 6720 Bertner Avenue, Houston, TX 77030, USA.
