Evidence map›Paper›PMID 39357923›Full record

ArticleBMJ open quality2024

Quality improvement approach to reduce patient cycle time at a student-run free healthcare clinical network.

René Marcella Kronlage, Amy S Stanley, Miranda J Reid, William Hudson Shaw, Cara E House, Michele N Lossius, Artenisa Kulla, Kendyll Coxen, Phillip M Mackie, Carolyn K Holland

Abstract read
In one paragraph

Article in BMJ open quality, 2024. 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
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.

  1. Article
  2. Article
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  4. Article
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

10 authors.

René Marcella KronlageUniversity of Florida College of Medicine, Gainesville, Florida, USA r.kronlage@ufl.edu.ORCID http://orcid.org/0009-0002-6129-7058
Amy S StanleyUniversity of Florida College of Medicine, Gainesville, Florida, USA.
Miranda J ReidUniversity of Florida College of Medicine, Gainesville, Florida, USA.
William Hudson ShawUniversity of Florida College of Medicine, Gainesville, Florida, USA.
Cara E HouseUniversity of Florida College of Medicine, Gainesville, Florida, USA.
Michele N LossiusDepartment of Pediatrics, University of Florida College of Medicine, Gainesville, Florida, USA.
Artenisa KullaUniversity of Florida College of Medicine, Gainesville, Florida, USA.
Kendyll CoxenUniversity of Florida College of Medicine, Gainesville, Florida, USA.
Phillip M MackieUniversity of Florida College of Medicine, Gainesville, Florida, USA.
Carolyn K HollandDepartment of Pediatric Emergency Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe University of Florida (UF) Equal Access Clinic Network (EACN) is the largest student-run free healthcare clinic network in Florida. The UF EACN serves those who are underinsured or uninsured in Alachua County and its surrounding area. Nationally, average total clinic time per medical visit has been established to be 84 min. PROBLEM: Before this project, average patient cycle time at the UF EACN was 125.3 min, and there was no established quality improvement (QI) team to implement changes to address inefficiencies.

methodsThis was a prospective QI study that recorded patient cycle times for patients who received healthcare at any of the four primary care free clinics across the UF EACN from 5 July 2022 to 6 April 2023.

interventionsEighteen Plan-Do-Study-Act cycles were tailored to each of the four primary care clinic's needs with a focus on reducing patient cycle time by addressing the following identified problems: prolonged intake process, translation services, limited numbers of volunteers, and other inefficiencies and bottlenecks in workflow.

resultsThe median patient cycle time at the EACN shifted from 125.3 min to 112.7 min over a nine month period. This drop of 12.6 min meant patients saw a 10.1% reduction in patient cycle time across the EACN.

conclusionUnderserved patients at EACN are experiencing increased value by having shorter patient cycle times.

Indexed as

Quality ImprovementStudent Run ClinicFloridaHumansPrimary Health CareProspective StudiesTime FactorsGENERAL PRACTICEHealth EquityMedical educationPDSAQuality improvement

Identifiers

PMID39357923
PMCPMC11448213

What OpenQuestion holds

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Registered trials

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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.