Evidence map›Paper›PMID 40955245›Full record

ArticleCureus2025

Reducing Length of Stay for Pediatric and Adult Patients in a Student-Run Free Clinic: A Quality Improvement Initiative.

Silvija Milanovic, Tala Sartawi, Sajan Shroff, Kelly Gahagan, Miranda J Reid, Hannah Rains, Michele N Lossius, Carolyn K Holland

Abstract read
In one paragraph

Article in Cureus, 2025. 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

8 authors.

Silvija MilanovicCollege of Medicine, University of Florida College of Medicine, Gainesville, USA.
Tala SartawiCollege of Medicine, University of Florida College of Medicine, Gainesville, USA.
Sajan ShroffCollege of Medicine, University of Florida College of Medicine, Gainesville, USA.
Kelly GahaganCollege of Medicine, University of Florida College of Medicine, Gainesville, USA.
Miranda J ReidHealth Outcome and Biomedical Informatics, University of Florida College of Medicine, Gainesville, USA.
Hannah RainsCollege of Medicine, University of Florida College of Medicine, Gainesville, USA.
Michele N LossiusPediatrics, University of Florida College of Medicine, Gainesville, USA.
Carolyn K HollandEmergency Medicine, University of Florida College of Medicine, Gainesville, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBartley Temple (BT), a church-based clinic within the University of Florida's Equal Access Clinic Network, provides care to a predominantly pediatric population as well as adult patients who are uninsured or underinsured. Long patient wait times are known to negatively impact patient satisfaction and clinic efficiency. This study aimed to reduce the median length of stay (LOS) at BT by 25%, from a baseline of 108.8 minutes to 81.6 minutes, through three Plan-Do-Study-Act (PDSA) cycles over six months.

methodsThree four-week PDSA cycles were implemented following baseline data collection for 12 weeks. PDSA 1 restructured officer roles to improve coordination. PDSA 2 introduced a patient tracker and checklist for the check-in volunteers. PDSA 3 optimized volunteer workflow and check-out processes. LOS data was collected using an Excel-based tracking system (Microsoft® Corp., Redmond, WA, USA). Statistical analysis was performed in R version 4.2.2 (The R Foundation for Statistical Computing, Vienna, Austria).

resultsAlthough the initial goal of decreasing LOS by 25% was not met, the interventions collectively led to a reduction in median LOS, from 108.8 to 94.3 minutes (13.3%). Individually, pediatric patient LOS decreased by 10.2%, while adult patient LOS decreased by 25.0%.

conclusionCreating structured officer roles, patient trackers, checklists, and streamlined check-out processes successfully reduces LOS at a student-run clinic for both pediatric and adult patients.

Indexed as

ambulatory carequality improvement and patient safetyreduce length of staystudent-run clinicunderserved populations

Identifiers

PMID40955245
PMCPMC12433599

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