Abstract
This study examines the factors influencing the quality of operating theatres in Indian multispeciality hospitals, focusing on key managerial and infrastructural components. The study investigates the influence of automated doors and scrub stations, HEPA filters, medical waste management, operating theatre management, pathology services in the operating theatre, and unidirectional workflow on the quality of the operating theatre, as well as the moderating role of operating theatre management between medical waste management and the quality of the operating theatre. This study employed the Donabedian quality of care framework, combined with partial least squares structural equation modeling (PLS-SEM), to analyze data from 483 respondents, including theatre staff, nurses, and surgeons. The findings reveal that all factors significantly influence the quality of operating theatres, with operating theatre management having the strongest effect. This study offers critical insights for healthcare policymakers and hospital administrators seeking to optimize workflow and surgical infrastructure. Therefore, this study contributes to the growing literature on the quality of surgical environments in emerging economies.