Lots to do!! I think the bullets might have gotten a little off-set. But the detail is excellent, and you are spot-on with distinguishing the process and outcome indicators. You “intermediate” outcomes are good counter-balancing measures for the safety of the reduced OR turnover time. If you take a step back, some of the key mediating (intermediate outcome) variables might also include perioperative team attitudes about Pre-Op set-up, and other survey data.