... these methodologies can optimize resource allocation and improve cost efficiency. Design/methodology/approach A mixed-methods approach was used, combining quantitative analysis of cost structures through ABC with qualitative assessments of operational inefficiencies using Lean principles. Findings...

... of surgery. Findings – The scheduled utilization, case cancellation and add-on cases were the most important factors identified in all models. The larger the case duration variation, the lower the OR cost efficiency and utilization, the longer the patient wait time. First-case delay and turnover times...