This research addresses the critical role of the Yard Utilization Rate (YUR) in the performance of container terminals, focusing on Rubber-Tyred Gantry Crane (RTG) container terminals. Existing literature reveals a gap in studies specifically targeting high YURs in RTG container terminals. The primary research question is, ”How to reduce Quay Crane (QC) productivity loss in RTG container terminals with highly utilized storage yards?” A Root Cause Analysis (RCA) identifies key factors affecting the loading and unloading processes of QCs, with a focus on the root causes "Too few TTs deployed", "Congestion", and "YUR too high". Design alternatives are proposed to address these root causes, and three design alternatives are tested through simulation: varying the number of Terminal Trucks (TTs), sacrificing driving lanes for additional storage space, and implementing an alternative shuffle policy with a different bay distribution. Results show a significant influence of the number of TTs on QC productivity, with an optimum at 8 TTs per QC. Sacrificing driving lanes for extra storage space proves counterproductive due to increased congestion. However, the alternative shuffle policy Multi-bay with Sets Shuffle Policy with a Clustered Bay Distribution shows promise, offering a potential solution to mitigate QC productivity loss in highly utilized RTG container terminals, with an average increase of 0.4 boxes per hour. In conclusion, the study successfully addresses the identified knowledge gap, providing valuable insights and proposing a practical solution for reducing QC productivity loss in RTG terminals with highly utilized storage yards. The suggested approach of Clustered Bay Distribution with a Multi-bay with Sets Shuffle Policy proves effective in maintaining terminal performance during periods of an increased YUR.