Evidence map›Paper›PMID 34949581›Full record

ArticleBMJ open quality2021

Using quality improvement methodology and tools to reduce patient wait time in a paediatric subspecialty rheumatology clinic.

Bayardo Garay, Denise Erlanson, Bryce A Binstadt, Colleen K Correll, Nora Fitzsimmons, Patricia M Hobday, Allison Hudson, Shawn Mahmud, Mona M Riskalla, Sara Kramer and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open quality, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Bayardo GarayMedical Scientist Training Program, University of Minnesota Medical School Twin Cities, Minneapolis, Minnesota, USA.ORCID 0000-0002-1458-6095
Denise ErlansonPediatrics, University of Minnesota Physicians, Minneapolis, Minnesota, USA.
Bryce A BinstadtPediatrics, Division of Rheumatology, Allergy & Immunology, University of Minnesota Health, Minneapolis, Minnesota, USA.
Colleen K CorrellPediatrics, Division of Rheumatology, Allergy & Immunology, University of Minnesota Health, Minneapolis, Minnesota, USA.
Nora FitzsimmonsPediatrics, University of Minnesota Physicians, Minneapolis, Minnesota, USA.
Patricia M HobdayPediatrics, Division of Rheumatology, Allergy & Immunology, University of Minnesota Health, Minneapolis, Minnesota, USA.
Allison HudsonPediatrics, University of Minnesota Physicians, Minneapolis, Minnesota, USA.
Shawn MahmudPediatric Rheumatology Fellowship Program & Pediatric Physician Scientist Training Program, University of Minnesota Medical School Twin Cities, Minneapolis, Minnesota, USA.
Mona M RiskallaPediatrics, Division of Rheumatology, Allergy & Immunology, University of Minnesota Health, Minneapolis, Minnesota, USA.
Sara KramerPediatrics, Division of Rheumatology, Allergy & Immunology, University of Minnesota Health, Minneapolis, Minnesota, USA.
Sheng XiongPediatrics, University of Minnesota Physicians, Minneapolis, Minnesota, USA.
Richard K VehePediatrics, Division of Rheumatology, Allergy & Immunology, University of Minnesota Health, Minneapolis, Minnesota, USA.
Danielle R BullockPediatrics, Division of Rheumatology, Allergy & Immunology, University of Minnesota Health, Minneapolis, Minnesota, USA brue0190@umn.edu.

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM008244 · NIGMS · UNIVERSITY OF MINNESOTA TWIN CITIES · PI SHIMIZU, YOJI · 1988 to 2024
$13.6M
Predoctoral Training of NeuroscientistsT32NS105604 · NINDS · UNIVERSITY OF MINNESOTA · PI A DAVID REDISH · 2018 to 2026
$3.5M
NIGMS NIH HHS T32 GM008244NINDS NIH HHS T32 NS105604
6 · The paper itself

Abstract

Our paediatric rheumatology clinic has experienced inefficient patient flow. Our aim was to reduce mean wait time and minimise variation for patients. Baseline data showed that most waiting occurs after a patient has been roomed, while waiting for the physician. Wait time was not associated with a patient's age, time of day, day of the week or individual physician. We implemented a checkout sheet and staggered start times. After a series of plan-do-study-act cycles, we observed an initial 26% reduction in the variation of wait time and a final 17% reduction in the mean wait time. There was no impact on patient-physician contact time. Overall, we demonstrate how process improvement methodology and tools were used to reduce patient wait time in our clinic, adding to the body of literature on process improvement in an ambulatory setting.

Indexed as

Quality ImprovementRheumatologyAmbulatory Care FacilitiesChildHumansPatient SatisfactionWaiting Listsambulatory carepaediatricsquality improvement

Identifiers

PMID34949581
PMCPMC8705210

What OpenQuestion holds

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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.