دورية أكاديمية
Improving Staff Workflow in Urology Procedure Clinic Using the Model for Improvement.
| العنوان: | Improving Staff Workflow in Urology Procedure Clinic Using the Model for Improvement. |
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| المؤلفون: | Nortey G; Department of Urology, University of North Carolina at Chapel Hill, Chapel Hill, NC., Koch N; Department of Urology, Atrium Health Carolinas Medical Center, Charlotte, NC., Chadwick SJ; Department of Urology, University of North Carolina at Chapel Hill, Chapel Hill, NC., Lang S; Department of Urology, University of North Carolina at Chapel Hill, Chapel Hill, NC., Parker S; Department of Urology, University of North Carolina at Chapel Hill, Chapel Hill, NC., Farmer F; Department of Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC., Mandelkehr L; Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, NC., Raynor M; Department of Urology, University of North Carolina at Chapel Hill, Chapel Hill, NC., Smith A; Department of Urology, University of North Carolina at Chapel Hill, Chapel Hill, NC. Electronic address: angela_smith@med.unc.edu. |
| المصدر: | Urology [Urology] 2023 Jul; Vol. 177, pp. 89-94. Date of Electronic Publication: 2023 Apr 11. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Science Country of Publication: United States NLM ID: 0366151 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1527-9995 (Electronic) Linking ISSN: 00904295 NLM ISO Abbreviation: Urology Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York : Elsevier Science Original Publication: Ridgewood, N.J., Professional Medical Services Co. |
| مواضيع طبية MeSH: | Urology* , Physicians*, Humans ; Workflow ; Time Factors |
| مستخلص: | Objective: To maximize procedure volume and minimize workflow inefficiency in our urological procedure clinic, we hypothesized that for staff (nurses/medical assistants) and patient teams, team workflow duration (TWD) (the time required to complete team duties for a single appointment) could be reduced by 50% with a targeted workflow intervention developed using the Model for Improvement and Plan-Do-Study-Act cycles. Workflow inefficiency leads to wasted time and workplace dissatisfaction, resulting in lost revenue due to low procedure volume and high staff turnover. Methods: A baseline time study was performed to measure TWD for clinical teams, including the front desk, physician, staff, and patient teams. Implementation of previously identified interventions was also recorded. A workflow intervention was developed in which staff duties were split among two roles: staffer and triager. TWD and intervention implementation were remeasured over six Plan-Do-Study-Act cycles. Semistructured interviews were conducted as a balance measure to assess impact on staff workflow and wellness. Results: Our workflow intervention resulted in a 44% and 42% reduction in staff and patient TWD, saving nearly 17 minutes per appointment on average. Thematic analysis revealed that time saved could be best used to protect lunch breaks and allow time to complete nonclinical duties such as patient calls, which had previously been performed after-hours. Conclusion: Introduction of staffer and triager roles to staff workflow increased clinic efficiency by reducing workflow and procedure appointment duration. Time saved was used to increase procedure volume while also supporting staff wellness. Competing Interests: DECLARATION OF COMPETING INTEREST The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Copyright © 2023 Elsevier Inc. All rights reserved.) |
| التعليقات: | Comment in: J Pediatr Urol. 2024 Apr;20(2):330-333. doi: 10.1016/j.jpurol.2024.01.039. (PMID: 38453617) |
| تواريخ الأحداث: | Date Created: 20230412 Date Completed: 20230814 Latest Revision: 20240826 |
| رمز التحديث: | 20240826 |
| DOI: | 10.1016/j.urology.2023.03.035 |
| PMID: | 37044312 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1527-9995 |
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| DOI: | 10.1016/j.urology.2023.03.035 |