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• W2118060967 abstract "Increasing demands and complexity of endoscopic procedures coupled with a decreased reimbursement have made it imperative to improve efficiency in the endoscopy unit(EU) while maintaining quality and patient safety.EU efficiency is dependent on a variety of steps that start with patient registration and end with patient discharge. Experience suggests that frequent delays in patient throughput can lead to a significant drop in unit efficiency. In many units, this assessment is performed manually which is time consuming and frequently incomplete. Electronic time stamps (ETS) have the potential to provide ongoing seamless collection of data that is easily repeatable on a real time basis with minimal staff time commitment. The data can be collected prospectively and on an ongoing basis to identify “bottle neck” and delay causes allowing prompt identification and resolution. PENTAX's i-TRAC software package was utilized to electronically capture critical time stamps for individual patients as they flowed throughout the EU. This required the staff to use a mouse click on the workstations with minimal interference with patient care. The information captured was then stored locally on a server and could easily be extracted. In preparation for this study, interviews were conducted by a consulting group with key clinical and administrative staff to determine the most important elements in their view. Patient wait times after completion of preoperative evaluation(preop) and procedure start time were identified as important potential causes of delays and inefficiency. Time stamps indicating these steps were implemented. Pentax and consulting subcontractors provided initial staff training and education. A pilot study was initiated and data was collected over a 7 week period (1,231 outpatients). The following were the average times in minutes(M) spent by outpatients undergoing a variety of diagnostic and therapeutic procedures after arrival to registration and until a procedure was completed: Time until arrival to the preop area: 28.4M.Time until preop was completed: 29.7M. Waiting in preop area until transfered to endo room: 21.6M. Time until MD was notified: 10.6M. Time until MD was in room: 9.1M.Time until sedation was started:5.5M.Time until procedure was completed:28M. Data identified that patients were waiting a average of 21.6 minutes before they were moved to the endoscopy room. An additional 20 minutes was spent before the endoscopist was in the room. Data was also analyzed in reference to endoscopist, room used and procedure scheduled time. This data was used to provide feedback and hold the appropriate people accountable. Electronic time stamps can provide a realistic ongoing assessment of patient throughput in the EU and have the potential to be an invaluable tool for improving and tracking efficiency while maintaining quality in the EU." @default.
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• W2118060967 date "2011-04-01" @default.
• W2118060967 modified "2023-10-18" @default.
• W2118060967 title "Tu1401 Electronic Time Stamps: A Valuable Tool to Improve Efficiency in the Endoscopy Unit. A Pilot Study" @default.
• W2118060967 doi "https://doi.org/10.1016/j.gie.2011.03.893" @default.
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