Efficiency of an endoscopy suite in a teaching hospital: delays, prolonged procedures, and hospital waiting times

Yong, Elaine; Zenkova, Olga; Saibil, Fred; Cohen, Lawrence B.; Rhodes, Kay; Rabeneck, Linda

doi:10.1016/j.gie.2006.02.047

Cited by 39 publications

(31 citation statements)

References 14 publications

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“…Concerns about the median wait-times for inpatient endoscopy in emergency CRC patients mirror the concerns for outpatients with CRC [37]. While we observed a trend toward reduced wait-times for inpatient colonoscopy in the post-ACCESS group, future cost-benefit analyses are necessary to determine the ideal balance for allocating endoscopy resources towards outpatient and inpatient procedures within the constraints of a publicly-funded healthcare system [38]. …”

Section: Discussionmentioning

confidence: 89%

An acute care surgery service expedites the treatment of emergency colorectal cancer: a retrospective case–control study

et al. 2014

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IntroductionEmergency colorectal cancer (CRC) is a complex disease that requires multidisciplinary approaches for management. However, it is unclear whether acute care surgery (ACS) services can expedite the workup and treatment of complex surgical diseases such as emergency CRC. We sought to assess the impact of an Acute Care and Emergency Surgery Service (ACCESS) on wait-times for inpatient colonoscopy and surgical resection among emergency CRC patients.MethodsThis retrospective case–control study was conducted at a tertiary-care, university-affiliated, cancer centre in London, Ontario, Canada. All patients aged 18 or older who presented to the emergency department with a recent (within 48 hours) diagnosis of CRC, or were diagnosed with CRC after admission, were included in the study. Patients were either in the pre-ACCESS (July 1, 2007-June 31, 2010) or post-ACCESS (July 1, 2010-June 30, 2012) groups. A third group of emergency CRC patients treated at an adjacent cancer centre that lacked ACCESS (non-ACCESS) was evaluated separately. The primary outcome was time from admission to colonoscopy and surgery.ResultsA total of 149 patients (47 pre-ACCESS, 37 post-ACCESS, and 65 non-ACCESS) were identified. Only 19% (n = 9) of pre-ACCESS patients underwent inpatient colonoscopy, compared to 38% (n = 14) in the post-ACCESS group (p = 0.023). Additionally, 100% of patients in the post-ACCESS era underwent inpatient colonoscopy and surgery during the same admission, compared to only 44% of pre-ACCESS patients (p = 0.006). Median wait-times for inpatient colonoscopy (2.0 and 1.8 days for pre- and post-ACCESS groups respectively, p = 0.08) and surgical resection (1.6 and 2.3 days for pre- and post-ACCESS groups respectively, p = 0.40) were similar.ConclusionsPatients admitted to ACCESS underwent more inpatient colonoscopies and were more likely to have definitive surgery on that admission. ACS services can facilitate the workup and management of complex surgical diseases such as emergency CRC without delaying treatment.

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Section: Discussionmentioning

confidence: 89%

An acute care surgery service expedites the treatment of emergency colorectal cancer: a retrospective case–control study

et al. 2014

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“…2 More recently, Schembre et al 6 reported (in abstract form) their experience with an improvement model called a rapid process improvement workshop designed around Plan-Do-Study-Act. Twoweek workshops examined endoscopy patient travel patterns, nurse and patient walking distances, resource allocation, and equipment standardization.…”

Section: Discussionmentioning

confidence: 99%

Improving the Timeliness of Procedures in a Pediatric Endoscopy Suite

Tomer¹,

Choi

Montalvo³

et al. 2014

Pediatrics

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“…Some have argued that procedure time constitutes a small and insignificant component of the overall time spent in endoscopy unit activities, and that modification in procedure time alone will not provide additional procedural space (2,3). However, using the results of the current study in similarly organized units, it can be projected that, on average, for every two colonoscopies undertaken with trainees, the additional time expended is equivalent to one expert colonoscopy procedure.…”

Section: Discussionmentioning

confidence: 86%