<![CDATA[Background: The era of National Health Insurance (JKN) requires hospitals to improve service efficiency, especially in operating rooms. Logistical readiness, which includes the availability of medicines, consumables, equipment, implants, and linen, is an important factor in the smooth operations and patient safety. Objective: This study aimed to analyze the factors associated with logistical readiness in the operating room. Methods: The research design used was a cross-sectional analysis involving 125 operating room nurses from Hospitals X and Y using total sampling. Data collection was conducted using a four-point Likert scale questionnaire that had been tested for validity and reliability (r > 0.361; α = 0.879). Data analysis used descriptive statistics, Spearman's correlation test, and multiple linear regression. Results: The results uncovered that most respondents were 30 years old, had an average of 3.1 years of work experience, were female (64.8%), and were educated as nurses (60%). The level of logistical readiness was in the adequate category (66.2%). The factors of operations scheduling, logistics management, technology utilization, and nurse competence were significantly related to logistical readiness (p < 0.001). Regression analysis revealed that nurse competency was the most dominant factor (β = 0.361; p < 0.001). Conclusion: Operating room logistics readiness is influenced by logistics management, scheduling, technology, and nurse competence, with competence being the main factor in improving efficiency and patient safety. Implications: Hospitals need to strengthen nurses' technical and managerial competencies through continuous training and the implementation of e-logistics. Recommendations: Management is advised to optimize safety stock, equipment maintenance, the PDSA quality cycle, and digital EMR monitoring to support efficient surgical services.]]>
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