Surgeons’ nontechnical skills directly enhance operating room efficiency.

• For every unit increase in nontechnical skills score, first case on-time starts increase by 28.1%.
• Actual to expected operational length improves by 22.1%.
• Case turnover within expected time rises by 74.8%.

Effective communication and preoperative planning are crucial. Focusing on these skills can streamline processes and improve patient outcomes.