Patient flow analysis and the delivery of radiology service†

Lev, Benjamin; Révész, George; Shea, Francis J.; Caltagirone, Robert

doi:10.1016/0038-0121(76)90017-3

Cited by 7 publications

(9 citation statements)

References 13 publications

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“…After targeting any article that combined the terms ''patient flow'' with ''diagnostic imaging'', 14 useful articles were retrieved. 1,2,[4][5][6][7][8][9][10][11][12][13][14][15] Reviewing the literature provided a wealth of knowledge and a multitude of frameworks for analysing and improving patient flow. Additionally, several gaps in the literature were identified, including the possible benefit(s) of utilizing personnel such as Technologist Assistants (TA) or DIdedicated porters.…”

Section: Literature Reviewmentioning

confidence: 99%

“…From a health administration perspective, LEAN methodology focuses on the elimination of waste and improvements in operational efficiency to enhance the value of the service being provided. 7 …”

Section: Introductionmentioning

confidence: 99%

“…4 The second LEAN tool is benchmarking, where sites that are similar in size or workflow are contacted to gain a better understanding of standards of care. 7 Finally, value steam mapping is used to produce a visual of how a process within an organization is completed, allowing any non-value adding activities to be identified and ideally, removed. 7 In this case study, a Client Flow Analysis was developed and intended to be used for the purposes of value stream mapping.…”

Section: Introductionmentioning

confidence: 99%

“… 7 Finally, value steam mapping is used to produce a visual of how a process within an organization is completed, allowing any non-value adding activities to be identified and ideally, removed. 7 In this case study, a Client Flow Analysis was developed and intended to be used for the purposes of value stream mapping. However, due to unforeseen circumstances surrounding the Covid-19 pandemic, the Client Flow Analysis, and thus the value steam mapping portion of this case study could not be completed.…”

Section: Introductionmentioning

confidence: 99%

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Improving patient flow in diagnostic imaging: a case report

Jessome

2020

Journal of Medical Imaging and Radiation Sciences

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Introduction: This case study focuses on Erie Shores Healthcare, a small Canadian hospital with a busy emergency department (ED) who acts as the sole provider of outpatient diagnostic imaging (DI) services to the community. The hospital is experiencing bottlenecks when balancing outpatient diagnostic procedures with inpatient and urgent ED requests in the X-Ray department, creating the need for increased overtime and missed breaks, as well as frustrations amongst patients, staff and physicians. Case and Outcomes: To alleviate these issues and improve patient flow, this case study aims to identify options for increasing efficiency, improving adaptive workflow and decreasing wait times during peak hours in X-Ray. Discussion: After a literature review, key components were narrowed down to include the following Lean Methods: floor plan evaluation with spaghetti diagrams, collection of benchmarking data from similar Canadian sites, and a real-time Client Flow Analysis. The potential benefits of Technologist Assistants (TA) and DI-dedicated porters are also explored.

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Section: Literature Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Improving patient flow in diagnostic imaging: a case report

Jessome

2020

Journal of Medical Imaging and Radiation Sciences

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“…It also considered that radiographers have certain duties regarding to dealing with records and checking images. Lev et al (1976) developed a similar work during the same period about scheduling patients. All these authors emphasised that improvements in radiology should be directed towards the optimal design of the management system and not to reduce the staff or other facilities.…”

mentioning

confidence: 99%

Framework for detailed workflow analysis and modelling for simulation of multi‐modal image‐guided interventions

Fernández‐Gutiérrez

Barnett

Taylor

et al. 2013

Journal of Enterprise Information Management

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Purpose-The purpose of this paper is to provide a framework for analysing and modelling detailed workflow of image-guided interventions to facilitate simulation and the re-engineering process for the development of new procedures in multi-modal imaging environments. Design/methodology/approach-The methodology presented includes a literature review on workflow simulation in surgery, focussing on radiology environments, an assessment of simulation tools, a data gathering and management framework and research on methods for conceptual modelling of the processes. Findings-The literature review reveals that few authors attempted to analyse the phases within image-guided interventions, and those that did, only did so partially. The framework developed for this work intends to fill the gap found in the survey. It allows the maintenance and management of large amounts of data, one of the most critical factors when modelling detailed workflow. In addition, selecting the appropriate simulation software plays an important role, saving time in later stages of the project. Originality/value-The framework presented for endovascular interventions can be extended to other types of image-guided interventions. Moreover, modelling the workflow processes in a modular way facilitates the re-engineering process when integrating different imaging modalities during the same procedure.

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