title: Introducing the productive operating theatre programme in urology theatre suites.
abstract: BACKGROUND
  The Productive Operating Theatre (TPOT) is a theatre improvement programme designed by the UK National Health Service. The aim of this study was to evaluate the implementation of TPOT in urology operating theatres and identify obstacles to running an ideal operating list.
  
  
  METHODS
  TPOT was introduced in two urology operating theatres in September 2010. A multidisciplinary team identified and audited obstacles to the running of an ideal operating list. A brief/debrief system was introduced and patient satisfaction was recorded via a structured questionnaire. The primary outcome measure was the effect of TPOT on start and overrun times.
  
  
  RESULTS
  Start times: 39-41% increase in operating lists starting on time from September 2010 to June 2011, involving 1,365 cases. Overrun times: Declined by 832 min between March 2010 and March 2011. The cost of monthly overrun decreased from September 2010 to June 2011 by GBP 510-3,030. Patient experience: A high degree of satisfaction regarding level of care (77%), staff hygiene (71%) and information provided (72%), while negative comments regarding staff shortages and environment/facilities were recorded.
  
  
  CONCLUSIONS
  TPOT has helped identify key obstacles and shown improvements in efficiency measures such as start/overrun times.
authors.affiliation: Department of Urology, MRC Centre for Transplantation, Guy's Hospital, King's College London, London, UK. k.ahmed@imperial.ac.uk
authors.forename: Kamran
authors.initials: K
authors.lastname: Ahmed
authors.forename: Nuzhath
authors.initials: N
authors.lastname: Khan
authors.forename: Deirdre
authors.initials: D
authors.lastname: Anderson
authors.forename: Jonathan
authors.initials: J
authors.lastname: Watkiss
authors.forename: Ben
authors.initials: B
authors.lastname: Challacombe
authors.forename: Mohammed Shamim
authors.initials: MS
authors.lastname: Khan
authors.forename: Prokar
authors.initials: P
authors.lastname: Dasgupta
authors.forename: Declan
authors.initials: D
authors.lastname: Cahill
mesh_terms: D001071:Appointments and Schedules; D003362:Cost-Benefit Analysis; D004526:Efficiency; D017721:Hospital Costs; D006801:Humans; D033183:Interdisciplinary Communication; D010535:Laparoscopy; D017146:Models, Organizational; D009870:Operating Room Information Systems / Q000191:economics; D009873:Operating Rooms / Q000191:economics / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration; D017060:Patient Satisfaction; D010561:Personnel Staffing and Scheduling; D010562:Personnel Staffing and Scheduling Information Systems / Q000191:economics; D015397:Program Evaluation; D012371:Robotics; D025321:Surgery, Computer-Assisted; D011795:Surveys and Questionnaires; D017748:Time Management; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000191:economics; D014572:Urology / Q000191:economics / Q000458:organization & administration*; D016526:Workload