ArticleBMJ open quality2025
A one-stop clinic improvement project for postmenopausal bleeding in NHS Forth Valley.
Article in BMJ open quality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Endometrial cancer awareness as a public health blind spot: a cross-sectional survey study.BMC public health · 2026Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReferrals for postmenopausal bleeding (PMB) were creating a pressure point within a general gynaecology outpatient clinic in NHS Forth Valley (NHSFV) in Scotland. This project originated in concerns around delays in time from referral to diagnosis as a result of this pressure point.
aimThe aim of this project was to test the efficiency of a process change which reduced waiting time from referral to diagnosis for patients with PMB.
methodsUse Active Clinical Referral Triage (ACRT) and a one-stop clinic to reduce waiting lists. Quality improvement methods including data collection and process mapping were used to understand the current system. Cycles of the Plan-Do-Study-Act (PDSA) tool were applied to test the concept of introducing a one-stop clinic for PMB.
resultsQualitative data gathered during the project showed that patients preferred the one-stop clinic. Limited quantitative data indicated the one-stop clinic design reduced PMB referral waiting time for patients.
conclusionOur aim was to streamline a process to reduce waiting time between referral and diagnosis for patients with PMB. This was achieved by the creation of a one-stop clinic for PMB/unscheduled bleeding on HRT (hormone replacement therapy) patients. The work to date has highlighted the efficiency of the new process and ultimately suggests the potential for a reduction in waiting times in this pathway.
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