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Hospital
- Program: Center for Leadership Education
- Course: EN.662.692 Strategies for Innovation & Growth
- Year: 2026
Project Description:
This project examined prolonged turnover time in the cardiac operating rooms at Johns Hopkins Medicine. Through 7 weeks of field observation, including at least 8 turnover observations and 4 full cardiac surgery turnovers, the team timestamped each workflow step and analyzed role ownership, staffing, and coordination patterns. The study found that limited standardization, unclear ownership, and coordination gaps were the primary drivers of delay. Based on these findings, the team proposed a three-step implementation plan focused on clarifying ownership, improving coordination through pre-scheduling, and supporting long-term continuous improvement. Under a conservative estimate, the proposed approach could reduce average turnover time from 67 minutes to below 45 minutes.
Project Photo:
Group 2 presenting its cardiac OR turnover improvement project at Johns Hopkins Medicine.
