This quality improvement initiative at Wake Med North aimed to reduce operating room turnover time by redesigning processes based on a study done at Emory University Hospital. The summary is: The initiative identified high variability, linear processing, and interaction lapses as contributing to long turnover times. A redesigned process using parallel processing, consistent definitions of room readiness, moving the call to order earlier, and establishing core staff roles reduced turnover time by 21 minutes on average. This allowed for increased surgical volume and cost savings while improving patient and staff experiences.