Optimizing efficiency and operations at a California safety-net endoscopy center: a modeling and simulation approach

Bolus Administration of Fentanyl and Midazolam for Colonoscopy Increases Endoscopy Unit Efficiency and Safety Compared With Titrated Sedation

“…For example, a recent study from San Francisco General Hospital reported an average sedation time for colonoscopy of 11.2 minutes. 23 This time is more consistent with that reported by Morrow et al 11 of 11.0 minutes for titration and 3.0 minutes for the bolus group. The times reported in our analysis remain longer, perhaps reflecting the teaching environment or unique processes at our institution.…”

Impact of water exchange colonoscopy on endoscopy room efficiency: a systematic review and meta-analysis

“…In other studies, mean sedation time for the titrated administration of midazolam and meperidine 31 or midazolam and fentanyl 32 varied from 6.1 minutes 32 to 11.2 minutes. 33 Sedation time to administer midazolam or propofol alone has been reported to be 2.1 minutes. 34 Obviously, the type of sedation administered has an impact on the efficiency of endoscopy centers.…”

Studying and Incorporating Efficiency into Gastrointestinal Endoscopy Centers

“…These metrics are modeled after ones developed by anesthesia where each aspect from the time when a patient arrives at the endoscopy center to the moment when they are discharged is dissected into its constituent parts and measured with respect to time. The most exhaustive research in the area of endoscopy center metrics has been performed by only a few groups [ 22 , 24 ] who examined a number of time factors involved in patient flow through an endoscopy center. Consistently these groups examined preprocedure time, procedure time, room turnover time, and recovery time.…”

“…With regard to the first area, two groups have employed time and motion studies and simulation modeling to fully examine a number of factors that impact endoscopy center efficiency [ 22 , 24 ]. Initially, Harewood et al in a prospective study at a large teaching hospital in Dublin, Ireland, utilized a “time and motion” approach to assess efficiency at their endoscopy center.…”