Evidence map›Paper›PMID 29450261›Full record

ArticleBMJ open quality2017

Improving time efficiency gathering equipment in the treatment room.

Yesim Karapinar, Ali Habib, Hannah Sawyerr

Open access · goldAbstract read
In one paragraph

Article in BMJ open quality, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact, top 75% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Yesim KarapinarDepartment of Medicine, Northampton General Hospital NHS Trust, Northampton, UK.
Ali HabibDepartment of Medicine, Northampton General Hospital NHS Trust, Northampton, UK.
Hannah SawyerrDepartment of Medicine, Northampton General Hospital NHS Trust, Northampton, UK.
Northampton General Hospital NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Each junior doctor spends on average 29 hours a year just accessing treatment rooms and approximately 4 working days per year collecting equipment. We identified areas where time efficiency could be improved: accessing treatment room door codes, standardising access to equipment in treatment rooms throughout the hospital, implementing the 'procedure-specific' tray (one tray per procedure which includes all needed equipment in one place) and indexing equipment. Our aim was to reduce the time taken to collect equipment, promote best practice and aid timely medical intervention. We collected data from 24 junior doctors with a Likert scale questionnaire, which confirmed the problem. We then designed an experiment where we timed healthcare professionals accessing treatment rooms with no prior knowledge of the codes and then with codes provided securely on our hospital-issued iPad. We project a time saving of 703 hours (88 working days) at Northampton General Hospital (NGH) over 1 year. We then implemented our prototype 'procedure-specific trays' for common procedures (cannulation, lumbar puncture, catheter). We calculated how much time was saved when collecting equipment using our indexed 'procedure-specific' tray method compared with current practice. Based on our piloted trays, we project to save a total of 802 hours (100 working days) at NGH over 1 year. To finalise our project, we trialled our custom design trays based on our prototype for cannulation and demonstrated a time saving of 97% relative improvement: from 225 s to 7 s. According to these results, once full roll of 'procedure-specific tray' is achieved, the trust will save projected £30 100 per year (based on average junior doctor salary of £20 per hour).

Indexed as

cost-effectivenessduty hourspatient-centred carePDSAquality improvement

Identifiers

PMID29450261
PMCPMC5699155
OpenAlexW2766973756

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.