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1
On our way to The Productive Operating Theatre
Vancouver Coastal Health Authority
Felicia Laing – Quality and Patient SafetyAndra Grigore – RN Perioperative Services, LGH
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Key Areas of Focus
• What is The Productive Operating Theatre?• Knowing How We Are Doing• Well Organized Theatre • Team-Working• Operational Status At A Glance
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The Productive Operating Theatre
• A modular improvement program developed by NHS UK
• A structured way of approaching challenges and opportunities specific to our OR team
• Tools to improve communication between front line staff and senior leadership
Before TPOTNo common goal or visionPoor communicationDisorganized Operating RoomsMinimal team-buildingLimited quality improvement
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Knowing How We Are Doing
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• Set objectives• Measure how we
are doing across the 4 domains of quality
• PDSA and sustain
Visioning Workshop
• Staff discussed barriers to perfect work day
• Nurses, Surgeons, Anaesthetists, Periop Aides, Anaesthetic Assistant
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Themes and Dot-Voting
• Themes similar across ORs
• Essential for high functioning & reliable ORs
• Physicians voted for efficiency themes
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Vision Statement
“The LGH Perioperative Staff inspires a supportive and dedicated team environment and is committed to achieving excellence in outstanding patient care.”
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Teamwork
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• Create a calmer working environment
• Reduce hierarchies and give everyone an equal voice
• Perform the Surgical Safety Checklist
• Review the slate and identify any glitches that can be remove
Operational Status at a Glance
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• ORs ready to go
• All equipment is available & working
• Right staff in the right place
• Slate starts on time
• No cancellations, no delays
• Finish on time
Moving Forward
Increase teamwork and communication Empower the perioperative teamImprove efficiency of the OR (e.g. first case start times)Reduce waste by optimizing workflow and productivityImprove patient experience and outcome
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