A ‘one-stop clinic’ for the diagnosis and management of rotator cuff pathology: Getting the right diagnosis first time

Miller, Douglas C.; Frost, AS; Hall, Anika; Barton, Chris; Bhoora, I. G.; Kathuria, Vinod

doi:10.1111/j.1742-1241.2007.01682.x

Cited by 16 publications

(10 citation statements)

References 10 publications

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“…Some physiotherapists have already developed evidence‐based care pathways (Lewis, ; O'Connaire & Lewis, ), incorporating an assessment, US scan, education and guided injection of patients within a rehabilitation framework, and have also demonstrated the value of physiotherapists using US‐guided hydrodistension for frozen shoulders. The value of one‐stop upper limb clinics utilizing US is very apparent (Miller et al, ; Seagger, Bunker, & Hamer, ), providing an immediate diagnosis, reducing the need for repeat patient attendances, making financial savings and shortening the time before definitive management. US‐guided injections performed with visual information and education, which can also be incorporated into such a clinic, can reduce the need for repeated blind injections, as well as making a positive contribution to pain and anxiety levels in patients (Karkucak et al, ).…”

Section: Discussionmentioning

confidence: 99%

Physiotherapists utilizing diagnostic ultrasound in shoulder clinics. How useful do patients find immediate feedback from the scan as part of the management of their problem?

Lumsden

Lucas-Garner

Sutherland

et al. 2017

Musculoskeletal Care

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Section: Discussionmentioning

confidence: 99%

Physiotherapists utilizing diagnostic ultrasound in shoulder clinics. How useful do patients find immediate feedback from the scan as part of the management of their problem?

Lumsden

Lucas-Garner

Sutherland

et al. 2017

Musculoskeletal Care

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“…Although sparse, studies on one-stop procedures for diagnosis, treatment, or both show that they are safe, reduce waiting time, decrease costs, and meet with excellent patient satisfaction [10][11][12][13]18].…”

Section: Discussionmentioning

confidence: 99%

A pilot study for one-stop endoscopic total extraperitoneal inguinal hernia repair

et al. 2010

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“…At the beginning of the CDSS-assisted adult ADHD process we concluded that we aimed at the ideal process in the "first time right" -principle [37,38,39]. Efficient assessment would be done accurately and thoroughly.…”

Section: Results From Applying Toc and 5fs To The Cdssassisted Adult mentioning

confidence: 99%

Improving the productivity and efficiency of an integrated mental and addiction care

Kemppinen¹,

Korpela²,

Elfvengren³

et al. 2017

FinJeHeW

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This paper suggests that the productivity and efficiency of social and health care services can be improved considerably by redesigning and streamlining the processes. The paper presents the theory of constraint (TOC) and fivefocusing step (5FS) solution to the productivity and efficiency problems of an integrated mental and addiction care outpatient clinic (MTPA-model) team. The MTPA is an integrated walk-in clinic where clinical decisions on key patient groups are supported by a clinical decision support system (CDSS). One of the critical service processes of the MTPA is a CDSS-assisted adult ADHD diagnostics process.The aim of the paper is to describe the improvement of productivity and efficiency of a typical multidiscipline team of MTPA-model. A combination of the action research approach and design science research was applied to solve the emerging service process problems and create a CDSS. The paper outlines the principles of the TOC applied for the established CDSS-assisted adult ADHD diagnostics process. The bottlenecks or constraints of an adult ADHD process are defined. The data from the designed CDSS and the currently used electronic health record provided material for applying the 5FS methodology for improving the productivity and efficiency of the adult ADHD process.We suggest that applying the 5FS-process of TOC to mental and addiction care processes generally, and to the multi-professional team especially, is an effective way to negotiate constructively about the bottlenecks or constraints of the process and improve the productivity and efficiency of integrated mental health and addiction care services and operations. Based on the results, a general framework for improving the productivity and efficiency of a multi-professional team and health care services organization by applying the 5FS methodology is proposed.

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A ‘one-stop clinic’ for the diagnosis and management of rotator cuff pathology: Getting the right diagnosis first time

Abstract: Ultrasound scan of the shoulder is an accurate and reliable method of detecting full thickness RCTs. The one-stop clinic significantly shortened the interval between GP referral and definitive management.

Cited by 16 publications

References 10 publications

Physiotherapists utilizing diagnostic ultrasound in shoulder clinics. How useful do patients find immediate feedback from the scan as part of the management of their problem?

Physiotherapists utilizing diagnostic ultrasound in shoulder clinics. How useful do patients find immediate feedback from the scan as part of the management of their problem?

A pilot study for one-stop endoscopic total extraperitoneal inguinal hernia repair

Improving the productivity and efficiency of an integrated mental and addiction care

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