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HOSPITAL-ADMINISTRATION6 MIN READ

RACI for OR Turnover

Apply RACI logic to clarify responsibility and accountability in a hospital improvement project.

OR turnover is averaging 51 minutes, and every department sees a different cause. The project needs role clarity before the team can improve the interval. RACI-style role clarity: Responsible does the work, Accountable owns the outcome, Consulted provides required input, Informed receives updates. The common trap is assigning accountability to a committee. A committee can sponsor or review, but a handoff still needs one accountable owner who can make the next decision. Define the work slice Break turnover into handoffs: wheels out, room release, cleaning start, cleaning complete, setup start, setup complete, patient in. RACI works better on specific work…

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