Frank and Lillian Gilbreth did many studies using time and motion procedures, but the study that caught my attention was their impact on the flow of operating rooms. This idea started in 1914 when the Gilbreth’s wrote an article about improvement strategies for nurses. Hospital design, medical equipment, and patient records were areas that the Gilbreth’s first focused on. In 1916, Frank noticed that practices and instrumentation varied across the country in operating rooms (Baumgart & Neuhauser, 2009). In 1910, the couple observed operating rooms and the way surgical procedures were conducted. During their observations, they noticed many actions they could eliminate to make the work more efficient. The couple also noticed the physician spent