The operating theatre is a high-risk, multidisciplinary environment where precision, communication, and teamwork are critical for achieving optimal surgical outcomes. This paper explores the interconnected roles of operation technicians, anesthesia technicians, and nursing staff in maintaining safety, quality, and efficiency within surgical services. Emphasis is placed on their collective contributions to quality improvement (QI) projects and compliance with Joint Commission International (JCI) accreditation standards.

Through a structured review of literature and international guidelines, the study identifies how each professional discipline contributes to patient safety goals, infection control, anesthesia safety, and documentation accuracy. Operation technicians ensure the readiness and functionality of surgical instruments and equipment; anesthesia technicians support safe anesthesia delivery and post-procedure monitoring; and nurses provide direct patient care, communication, and continuous evaluation of perioperative processes.

The integration of quality improvement frameworks — including the Plan-Do-Study-Act (PDSA) cycle, root cause analysis, and performance benchmarking — supports sustained compliance with JCI standards. Despite the ongoing challenges of staff shortages, documentation inconsistencies, and communication barriers, interprofessional collaboration remains the cornerstone of safe and effective surgical care.

Ultimately, the findings highlight that sustaining JCI accreditation requires continuous education, leadership engagement, and a culture of accountability. By embracing quality as a shared responsibility, healthcare institutions can ensure safer surgeries, improved patient satisfaction, and long-term excellence in perioperative care.