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The Productive Operating Theatre (TPOT) Southern DHB


originally posted by WM Admin on 13 September 2010 and updated 14 February 2014


Southland Hospital was accepted as one of the national pilot sites in New Zealand for the TPOT Programme. It was planned that the programme would drive improvements in theatre efficiency and streamline the service to allow for further elective service delivery. With the support of the Theatre Compass Programme the areas of focus included:

  • on-time starts, 
  • decreasing variability between actual and predicated case length, 
  • theatre utilisation.
  • further improve patient turnaround times.
  • balance and manage Acute and Elective Patient demand on Theatres and staff resources.
  • upskill staff to enable cross departmental working and improve team working.
  • improve access to and standardise theatre equipment and replenishing stock items effectively within the department.

TPOT's focus was to drive improvements in theatre efficiency and streamline the service. The target population was Elective Surgery and Acute Surgery Patients in the Southland Region.

What Worked Well

The Health Quality & Safety Commission commissioned Sapere Research Group to carry out an independent assessment of the implementation of two Productive Series programmes in district health boards (Productive Ward and Productive Operating Theatre) to inform their future direction in New Zealand. The researchers used a ‘mixed method’ approach, making use of published material, site visits with qualitative interview-based research, and quantitative analysis. The report provides conclusions about the extent of implementation, identifies common success factors among exemplar sites and common barriers to implementation. It concludes with a set of practical next steps to revitalise the programmes.'

The report is available at:

Start Date

Sep 1, 2010

End Date

Jan 1, 2013





Target Population


Areas of Focus


Contact Person

Peter Bramley


(03) 214 5752