Patient throughput times for orthopedic outpatients in a department of radiology: results of an interdisciplinary quality management program

被引:5
作者
Hodler, J
Strehle, J
Schilling, J
Zanetti, M
Gerber, C
机构
[1] Univ Zurich, Balgrist Hosp, Dept Radiol, CH-8008 Zurich, Switzerland
[2] Univ Zurich, Balgrist Hosp, Dept Orthoped Surg, CH-8008 Zurich, Switzerland
[3] Univ Zurich, Dept Social & Prevent Med, CH-8006 Zurich, Switzerland
关键词
quality assurance; radiology and radiologists; departmental management; design of radiological facilities; socioeconomic issues; medical economics;
D O I
10.1007/s003300050852
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The purpose of this project was to employ quality management methods in order to decrease throughput times for orthopedic outpatients sent to the department of radiology. The following intervals were measured at the onset of the study and after 6 and 12 months: (a) between arrivals at outpatient clinic and radiology counter; (b) between arrival at radiology counter and time of last radiograph; and (c) between time of last radiograph and radiology report printing time. After the initial measurement, numerous changes were initiated both in radiology and in orthopedic surgery. The mean interval between arrival at the outpatient clinic and in radiology decreased by one third from 60 min during the first.: measurement to 40 (p < 0.001) and 41 min during the second and third measurement. The proportion : of patients with total radiology times of more than 30 min decreased from 41 to 29% between the first and third measurements (p < 0.001). The corresponding results for radiology times of more than 45 min were 17 and 11% (p = 0.03). A standard type of quality management program can be employed successfully in order to reduce radiology throughput times; for orthopedic outpatients.
引用
收藏
页码:1381 / 1384
页数:4
相关论文
共 15 条
[1]   11 WORTHY AIMS FOR CLINICAL LEADERSHIP OF HEALTH SYSTEM REFORM [J].
BERWICK, DM .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 272 (10) :797-802
[2]   IMPROVING REPORT TURNAROUND TIME - AN INTEGRATED METHOD USING DATA FROM A RADIOLOGY INFORMATION-SYSTEM [J].
CRABBE, JP ;
FRANK, CL ;
NYE, WW .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1994, 163 (06) :1503-1507
[3]  
Deming W. E., 1986, Out Of The Crisis
[4]   QUALITY OF MEDICAL-CARE [J].
DONABEDIAN, A .
SCIENCE, 1978, 200 (4344) :856-864
[5]   EMERGENCY DEPARTMENT PATIENTS WHO LEAVE WITHOUT SEEING A PHYSICIAN - THE TORONTO HOSPITAL EXPERIENCE [J].
FERNANDES, CMB ;
DAYA, MD ;
BARRY, S ;
PALMER, N .
ANNALS OF EMERGENCY MEDICINE, 1994, 24 (06) :1092-1096
[6]  
GEITUNG JT, 1994, EUR RADIOL, V4, P172
[7]  
ISHIKAWA K, 1987, WHAT IS TOTAL QUALIT, P63
[8]  
Nolan T., 1996, REDUCING DELAYS WAIT
[9]  
Perros P, 1996, DIABETIC MED, V13, P669, DOI 10.1002/(SICI)1096-9136(199607)13:7<669::AID-DIA135>3.0.CO
[10]  
2-K