Abstract: A method to optimize and prioritize video routing operations in conjunction with multiple integrated device controls in an integrated operating room system is presented. The method comprises initializing a routing having a source and a destination for routable devices, displaying the routing and a device menu including routable and non-routable devices, requesting a change in the devices, and for each of the devices for which a change is requested, opening a device control window for the device using the device menu, changing the device according to the change request, and closing the device control window, wherein for every device for which a change is requested, when the device control window is opened, all other devices remain accessible. In one embodiment, displaying is performed using a touch screen. In one embodiment, when a change is requested for a routable device, a small video preview window replaces the normal video preview window.