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Productive Operating Theatre goes global


The Productive Operating Theatre: Gynae TheatreHealth services around the UK and the world are following the RD&E lead, including New Zealand, Canada, America and Australia.


The Royal Devon & Exeter has started a two year roll out of The Productive Operating Theatre (TPOT) programme across all the theatres it manages at Wonford, Heavitree and the four community hospitals (Axminster, Tiverton, Sidmouth & Exmouth).


Frontline RD&E staff played a key role in testing the TPOT programme. The Trust was one of three pilot sites for the NHS Institute for Innovation and Improvement project which was launched at the RD&E in September 2008. After the pilot development of this project, TPOT was launched nationally across the NHS in November 2009 and now it is being promoted internationally.


The focus of this initiative is to improve staff and patient experience, including leadership, team work, patient safety and theatre efficiency. TPOT is relevant to all staff working in theatres including consultant surgeons, anaesthetists, theatre matrons, theatre and recovery nurses, managers and operating department practitioners. TPOT also links wards and services outside theatres to ensure improvement across the whole patient journey. 


TPOT provides a comprehensive package of support for NHS organisations wishing to improve patient experience and the reliability and safety of care, team performance, staff wellbeing and improve efficiency and value for money. It includes films featuring RD&E theatres staff and their patients.


Significant improvements which can be achieved include: improved start time and turnaround, better theatre use and staff wellbeing, reduced time spent searching for equipment and ‘real time’ operational status boards help co-ordinate staff and lists, improved rates of pain control in recovery and an improved safety culture and smoother running of theatre lists with the use of briefing and debriefing before and after the theatre lists are done.

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