title: A COMIT model utilization to improve first-case start time.
abstract: 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.
authors.affiliation: 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.
authors.forename: P E
authors.initials: PE
authors.lastname: Windle
authors.forename: K
authors.initials: K
authors.lastname: Barron
authors.forename: D
authors.initials: D
authors.lastname: Walker
authors.forename: J
authors.initials: J
authors.lastname: Cormier
mesh_terms: D000704:Analysis of Variance; D019090:Case Management / Q000458:organization & administration; D003142:Communication; D003299:Cooperative Behavior; D017598:Efficiency, Organizational; D016519:Hospitals, Religious; D006801:Humans; D007400:Interprofessional Relations; D016294:Models, Nursing; D009718:Nurse Administrators / Q000458:organization & administration / Q000523:psychology; D015403:Nursing Evaluation Research / Q000458:organization & administration; D009745:Nursing, Supervisory / Q000458:organization & administration; D009871:Operating Room Nursing / Q000458:organization & administration; D016530:Orthopedic Nursing / Q000458:organization & administration; D019637:Orthopedic Procedures / Q000451:nursing / Q000592:standards*; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration; D019990:Perioperative Care / Q000451:nursing / Q000458:organization & administration*; D010934:Planning Techniques; D011340:Problem Solving; D011367:Professional Staff Committees / Q000458:organization & administration; D013781:Texas; D017748:Time Management / Q000458:organization & administration; D017749:Total Quality Management / Q000458:organization & administration*