===== ⏱️ Operative Time Metrics =====

**Operative time metrics** are standardized time intervals recorded during surgical procedures. They are used to evaluate **efficiency**, **workflow**, and **resource utilization** in the operating room.

==== ✅ Common Metrics ====
^ Metric                 ^ Description                                                                      ^
| **Skin-to-skin time**   | Time from initial incision to final closure                                     |
| **Total OR time**       | From patient entry to exit from the operating room                              |
| **Setup time**          | Includes patient positioning, draping, and equipment preparation                |
| **Anesthesia time**     | From anesthesia induction to emergence/extubation                               |
| **Robot docking time**  | Specific to robotic surgery; time to align and prepare robotic system           |
| **Intraoperative imaging time** | Time dedicated to CT, MRI, or fluoroscopy during the procedure         |
| **Procedure-specific steps** | Time for key tasks (e.g., burr hole to DBS lead fixation)                  |

==== 📌 Applications ====
  * Compare techniques (e.g., frame-based vs. frameless DBS)
  * Track impact of new technology or workflow optimization
  * Identify causes of OR delays or prolonged procedures
  * Justify resource allocation and efficiency audits

==== ⚠️ Notes ====
  * All times should be recorded using **synchronized time points**
  * Ensure consistency across teams and procedures