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The aim of this paper is to describe the factors that contribute to understanding how collaboration improves performance in operating rooms (ORs) after introducing the concept of cross‐functional OR scheduling teams.

The concept was investigated at Radboud University Nijmegen Medical Center (RUNMC) in The Netherlands and used on an innovative path based on socio‐technical systems (STS) principles designed to address non‐routine tasks, variety, interferences and errors related to OR scheduling, with the aim of increasing both staff productivity and patient safety. The effects of implementing preoperative cross‐functional teams in the OR were compared qualitatively. The researcher observed all of the team meetings, available data and documentation, and 13 semi‐structured interviews were performed with team members for collecting additional data.

In the literature, it was found that the theory of socio‐technical systems and the fields of group dynamics and self‐managing teams fit the OR setting. The author applied six elements of these theories (setting common goals, cohesion, openness, single‐loop and double‐loop learning, feedback, and control options) to the aspects found in the study. The qualitative findings revealed that high‐performing teams were able to identify bottlenecks in order to improve continuity of care. The cross‐functional teams used several performance indicators to gain insight into their own performance. Consequently, through collaboration, these teams were able to minimise interference and therefore learn. Cross‐functional teams learned how to address interferences and improve their quality of service through improved collaboration and the improved use of control mechanisms.

This research highlights the importance of team‐based approaches and the need to improve collaboration between healthcare professionals.

The paper confirms the value of implementing the socio‐technical systems theory to improve collaboration between healthcare professionals. This case study is a valuable contribution, as it focuses on team‐based organisation in preparing an OR schedule.

The purpose of this paper is to present the effect of the introduction of cross-functional team (CFT)-based organization, rather than, on planning and performance of OR teams.

In total, two surgical departments of the Radboud University Nijmegen Medical Center (RUNMC) in the Netherlands were selected to illustrate the effect on performance. Data were available for a total of seven consecutive years from 2005 until 2012 and consisted of 4,046 OR days for surgical Department A and 1,154 OR days for surgical Department B on which, respectively 8,419 and 5,295 surgical cases were performed. The performance indicator “raw utilization” of the two surgical Departments was presented as box-and-whisker plots per year (2005-2011). The relationship between raw utilization (y) and years (x) was analyzed with linear regression analysis, to observe if performance changed over time.

Based on the linear regression analysis, raw utilization of surgical Department A showed a statistically significant increase since 2006. The variation in raw utilization reduced from IQR 33 percent in 2005 to IQR 8 percent in 2011. Surgical Department B showed that raw utilization increased since 2005. The variation in raw utilization reduced from IQR 21 percent in 2005 to IQR 8 percent in 2011.

Hospitals need to improve their productivity and efficiency in response to higher societal demands and rapidly escalating costs. The RUNMC increased their OR performance significantly by introduction of CFT-based organization in the operative process and abandoning the so called functional silos.

The stepwise reduction of variation – a decrease of IQR during the years – indicates an organizational learning effect. This study demonstrates that introducing CFTs improve OR performance by working together as a team.

Distinguishes two different forms of team: the han and the self‐directed work team. The main differences between these forms relate to autonomy and the number of hierarchical levels. Argues that the ideal typical conditions under which both forms flourish are different. Whereas the han form is typically applied in a highly repetitive production process in a country with a number of specific national conditions, namely Japan, the self‐directed work team seems preferable in a dynamic environment in western countries. Implementing and developing such teams is by no means an automatic process. Presents a heuristic model to guide these processes.