The public space in medieval towns and cities was shaped and influenced by the private spaces that surrounded it. The private was, like the public, a complex domain; many interests coexisted there. The pressures of population gowth and commercial development fragmented individual holdings and created overlapping layers of claims to particular spaces. Neighbors' interests also impinged; the enjoyment of the private was far from exclusive. Elaborate codes of property rights and legal procedures evolved as a fundamental part of urban custom. When the property market declined in the later Middle Ages, however, practices changed, and new ways of defining and describing private property emerged.
Improving efficiency within the operating theatre is always a key concern when running a successful operating list. However, with robotic surgery, this can become paramount. Robotic procedures require a more technical set up, additional planning, and good solid communication within the multidisciplinary team. Efficiency needs to be at the forefront of everyone's mind. Forward planning requires knowledge of the procedures being carried out and adequate training with the robot. Trouble shooting will also improve efficiency in robotic surgery, as being able to expect the unexpected can be a major advantage. This article looks at the hurdles encountered by the theatre team at Royal Wolverhampton Trust at the implementation of the robotic programme, and how the theatre team made adjustments to working practice in order to minimise disruption and maximise efficiency.
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