ArticleJournal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases2019
Assessing Unwanted Variations in Rheumatology Clinic Previsit Rooming.
Article in Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The trial behind it
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Who cites it
4 citing papers in PubMed.
- Implementing a Staff-Led Smoking Cessation Intervention in a Diverse Safety-Net Rheumatology Clinic: A Pre-Post Scalability Study in a Low-Resource Setting.Arthritis care & research · 2024Article
- Impact of a Rheumatology Clinic Protocol on Tobacco Cessation Quit Line Referrals.Arthritis care & research · 2022Article
- CancelRx implementation: Observed changes to medication discontinuation workflows over time.Exploratory research in clinical and social pharmacy · 2022Article
- Using quality improvement methodology and tools to reduce patient wait time in a paediatric subspecialty rheumatology clinic.BMJ open quality · 2021Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundRheumatologists face time pressures similar to primary care but have not generally benefitted from optimized team-based rooming during the time from the waiting room until the rheumatologist enters the room.
objectiveThe aim of this study was to assess current capacity for population management in rheumatology clinics; we aimed to measure the tasks performed by rheumatology clinic staff (medical assistants or nurses) during rooming.
methodsWe performed a cross-sectional time-study and work-system analysis to measure rooming workflows at 3 rheumatology clinics in an academic multispecialty practice during 2014-2015. We calculated descriptive statistics and compared frequencies and durations using Fisher exact test and analysis of variance.
resultsObserving 190 rheumatology clinic previsit rooming sequences (1419 minutes), we found many significant variations. Total rooming duration varied by clinic (median, 6.75-8.25 minutes; p < 0.001). Vital sign measurement and medication reconciliation accounted for more than half of rooming duration. Among 3 clinics, two of 15 tasks varied significantly in duration, and 9 varied in frequency. Findings led clinic leaders to modify policies and procedures regarding 6 high-variation tasks streamlining assessment of weight, height, pain scores, tobacco use, disease activity, and refill needs.
conclusionsAssessing rheumatology rooming tasks identified key opportunities to improve quality and efficiency without burdening providers. This project demonstrated user-friendly methods to identify opportunities to standardize rooming and support data-driven decisions regarding rheumatology clinic practice changes to improve population management in rheumatology.
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