Improving the Timeliness of Procedures in a Pediatric Endoscopy Suite

Tomer, Gitit; Choi, Soo‐Hyung; Montalvo, Andrea; Sutton, Sheila; Thompson, John M. D.; Rivas, Yolanda

doi:10.1542/peds.2013-2316

Cited by 14 publications

(25 citation statements)

References 4 publications

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“…In our study, we demonstrated that FIRST was delayed (any time after scheduled start) in 54.2 % (142/262) of the cases by an average of 13.6 minutes. Nonetheless, the majority of the cases (222/262; 85 %) started within 15 minutes of the scheduled start time, which is in line with the improved FIRST (79 % within 15 minutes) reported in an endoscopy suite after specific interventions were undertaken to reduce gastroenterologist and anesthesia-related causes 16 . Thus, while efforts should be placed on minimizing delays in FIRST, a reasonably prompt FIRST as a surrogate marker for a “good start” does not necessarily translate into EU efficiency and should be coupled with many other performance parameters.…”

Section: Discussionsupporting

confidence: 71%

Evaluation of interventional endoscopy unit efficiency metrics at a tertiary academic medical center

Yang¹,

Summerlee²,

Suarez

et al. 2015

Endosc Int Open

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Background and study aims: There is an increasing demand for interventional endoscopic services and the need to develop efficient endoscopic units. The aim of this study was to analyze performance data and define metrics to improve efficiency in a single academic interventional endoscopy center. ]Patients and methods: The prospective operations performance data (6-month period) of our interventional endoscopy unit (EU) was analyzed. First-case start time (FIRST) delay was defined as any time the first patient of the day entered the endoscopy room after the scheduled time. Non-endoscopy time (NET) and total time (TT) were defined as non-procedural and total time elapsed in the EU, respectively. Time-interval between successive patients (TISP) was defined as the time from one patient departure from the room until the time of arrival of the next patient in the room. Results: A total of 1421 patients underwent 1635 endoscopic procedures. FIRST was delayed (54.2 % cases) by 13.6 min (range 1 – 53), but started within 15 min of the scheduled time in 85 % of the cases. NET accounted for 9.1 hours (67.2 %) of 13.5 hours TT/day. TISP (37.1 min, range 5 – 125) comprised 54.2 % of the NET, and was delayed (> 30 min) in 49.8 % of cases. “Patient flow” processes (registration, admission, transportation, scheduling) accounted for 50.1 % of TISP delays. Conclusions: Delays in NET, specifically TISP, rather than FIRST, were identified as a cause for decreased efficiency. “Patient flow” processes were the main reasons for delays in TISP. This study identifies potential process measures that can be used as benchmarks to improve efficiency in the EU.

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Section: Discussionsupporting

confidence: 71%

Evaluation of interventional endoscopy unit efficiency metrics at a tertiary academic medical center

Yang¹,

Summerlee²,

Suarez

et al. 2015

Endosc Int Open

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Section: Discussionmentioning

confidence: 99%

“…The field of pediatric gastrointestinal endoscopy has continued to evolve over the past decade [ 1 , 2 ]. It is critical to enhance efficiency and deliver high quality patient-centered care through QI initiatives [ 2 ]. The QI study carried out in our endoscopy unit resulted in a significant decrease in no-show rate with implementation of a comprehensive no-show checklist and pre-procedure phone call.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Pediatric endoscopy has evolved into an indispensable tool in the diagnosis and management of gastrointestinal diseases in children [ 1 , 2 ]. However, there is limited literature focusing on quality improvement initiatives in pediatric endoscopy [ 2 ]. An essential aspect of health care is to maintain optimal utilization of time and resources by ensuring patients keep scheduled appointments [ 3 , 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Impact of Pre-Procedure Interventions on No-Show Rate in Pediatric Endoscopy

2015

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Pediatric endoscopy has evolved into an indispensable tool in the diagnosis and management of gastrointestinal diseases in children. However, there is limited literature focusing on quality improvement initiatives in pediatric endoscopy. The primary goal of this project was to reduce the no-show rate in the pediatric endoscopy unit. Also, we aimed to improve patient and family satisfaction with the procedure by identifying opportunities for improvement. A checklist was designed based on the potential causes of no-show. The endoscopy nurse coordinator reviewed the checklist when scheduling the procedure to identify patients at high risk for non-compliance. Once a risk factor was identified, appropriate actions were taken. She also made a pre-procedure phone call as a reminder and to address any of these risks for non-compliance if present. A patient satisfaction survey was used to identify potential areas for improvement. The no-show rate decreased from an average of 7% in the pre-intervention phase to 2% in the post-intervention phase (p = 0.009). 91% of the patients/family recorded an overall satisfaction of 4 or 5 on a scale of 1–5 (5 being best). Quality improvement strategies decreased the no-show rate in the pediatric endoscopy unit. A patient satisfaction survey helped in identifying areas for improvement.

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The endoscopy unit

Pall¹

2021

Practical Pediatric Gastrointestinal Endoscopy

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Improving the Timeliness of Procedures in a Pediatric Endoscopy Suite

Abstract: Although many of the readers of PEDIATRICS do not provide endoscopic procedures, this Quality Report provides important information about how to improve timeliness and utilization of a limited resource.

Cited by 14 publications

References 4 publications

Evaluation of interventional endoscopy unit efficiency metrics at a tertiary academic medical center

Evaluation of interventional endoscopy unit efficiency metrics at a tertiary academic medical center

Impact of Pre-Procedure Interventions on No-Show Rate in Pediatric Endoscopy

The endoscopy unit

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