Evidence map›Paper›PMID 32339749›Full record

ArticleJournal of biomedical informatics2020

Designing and validating a low-cost real time locating system to continuously assess patient wait times.

Paula Anne Newman-Casey, John Musser, Leslie M Niziol, Kerby Shedden, David Burke, Amy Cohn

Open access · greenAbstract read
In one paragraph

Article in Journal of biomedical informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. OpenThread as a tool for localization of devices and patients in healthcare systems.International journal of computer assisted radiology and surgery · 2026
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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

6 authors at 1 institution in 1 country.

Paula Anne Newman-CaseyDepartment of Ophthalmology & Visual Sciences, University of Michigan Medical School, MI, United States. Electronic address: panewman@med.umich.edu.
John MusserDepartment of Ophthalmology & Visual Sciences, University of Michigan Medical School, MI, United States.
Leslie M NiziolDepartment of Ophthalmology & Visual Sciences, University of Michigan Medical School, MI, United States.
Kerby SheddenDepartment of Statistics, University of Michigan, Ann Arbor, MI, United States.
David BurkeDepartment of Human Genetics, University of Michigan Medical School, MI, United States.
Amy CohnDepartment of Industrial and Operations Engineering, University of Michigan, Ann Arbor, MI, United States.
University of Michigan · US

Funding

Improving glaucoma self-management with technology-supported counselorsK23EY025320 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI NEWMAN-CASEY, PAULA ANNE · 2016 to 2019
$920k
NEI NIH HHS K23 EY025320
6 · The paper itself

Abstract

objectiveOutpatient clinics lack infrastructure to easily measure and understand patient wait times. Our objective was to design a low-cost, portable passive real time locating system within an outpatient clinic setting to measure patient wait times and patient-provider interactions. MATERIALS AND

methodsDirect observation was used to determine workflow in an outpatient glaucoma clinic at the University of Michigan. We used off-the shelf, antenna-integrated ultra-high frequency (UHF) RFID readers (ThingMagic, Astra-Ex, Woburn, MA) and UHF re-useable passive RFID tags (Zebra Impinj Monza 4QT, Seattle, WA). We designed a custom RFID management application in the Java programming language that was equipped with 'live' device administration to collect time and location data from patients and providers. These hardware choices enabled low cost system installation. Hidden Markov Modeling (HMM) was used to smooth patient and provider location data. Location data were validated against direct observations and EHR evaluation.

resultsThe HMM smoothed RFID system data accurately predicted patient location 80.6% of the time and provider location 79.1% of the time, compared to direct observation locations, an improvement over the raw RFID location data (65.0% and 77.9% accurate, respectively). Patient process time was on average 42.8 min (SD = 27.5) and wait time was 47.9 min (SD = 33.1). The installation and recurring capital costs of the system are approximately 10% of available commercially-supplied patient/provider tracking systems. DISCUSSION: Passive RFID time study systems can enable real-time localization of people in clinic, facilitating continuous capture of patient wait times and patient-provider interactions. The system must be tailored to the clinic to accurately reflect patient and provider movement.

conclusionsCapturing wait time data continuously and passively can empower continuous clinical quality improvement initiatives to enhance the patient experience.

Indexed as

Radio Frequency Identification DeviceComputer SystemsHumansWaiting ListsWorkflowLow-cost designOutpatient clinical operationsradio frequency identification (RFID)real-time locating systems (RTLS)

Identifiers

PMID32339749
PMCPMC7324007
OpenAlexW3019270073

What OpenQuestion holds

Textmetadata
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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.