• Kamran Ahmed, Nuzhath Khan, Deirdre Anderson, Jonathan Watkiss, Ben Challacombe, Mohammed Shamim Khan, Prokar Dasgupta, and Declan Cahill.
• Department of Urology, MRC Centre for Transplantation, Guy's Hospital, King's College London, London, UK. k.ahmed@imperial.ac.uk
• Urol. Int. 2013 Jan 1;90(4):417-21.

BackgroundThe 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.MethodTPOT 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.ResultsStart 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.ConclusionsTPOT has helped identify key obstacles and shown improvements in efficiency measures such as start/overrun times.Copyright © 2013 S. Karger AG, Basel.

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