Potential impact of enhanced practice efficiency on endoscopy waiting times

Abstract

Maintaining timely access to endoscopic services is becoming more challenging in the face of growing demand. Modifications in routine clinical practice can significantly impact procedure waiting times. In an era where economic aspects of medical care are becoming increasingly important and where there is growing focus on waiting times as a measure of clinical performance, these findings underscore the importance of providing clinical care in the most efficient manner possible.

Utilization of resource leveling to optimize ERCP efficiency

“…In the context of endoscopy, we have previously demonstrated that efficiency of practice can be improved by employing personnel to obtain prior intravenous access and consent of patients prior to the procedure and implementing a 2-suite-per-endoscopist model [12], such practice significantly changes the shortening procedure waiting times [13]. Similarly, Zamir and Rex [14] demonstrated room turnover time to be a key determinant of procedure efficiency.…”

Discovering the Impact of Preceding Units' Characteristics on the Wait Time of Cardiac Surgery Unit from Statistic Data

“…Schoenmeyr et al [35] revealed a sensitive relationship between the caseload (i.e., demand) and the wait time in a congested recovery room. Harewood et al [36] found that annual wait time for routine endoscopic procedures lengthened dramatically because of a significant increase in annual procedure demand on endoscopy services. Therefore, we hypothesize that demand has a positive impact on throughput ( Hypothesis 1 , H1 ) and wait time ( Hypothesis 2 , H2 ).…”

“…Trzeciak and Rivers [38] also found that inpatient capacity (e.g., beds) had an effect on the throughput in an emergency department. Harewood et al [36] further showed that modifications in routine clinical practice (i.e., service capacity) could significantly affect a procedure's wait time.…”

“…It has revealed that demand has a significant impact on capacity [34], throughput , and wait time in various units (e.g., congested recovery room, emergency department) [21] [35] [36] [37]. Capacity has also been found to exert a significant negative influence on throughput and wait time [21] [35] [36] [37] [38].…”

“…It has revealed that demand has a significant impact on capacity [34], throughput , and wait time in various units (e.g., congested recovery room, emergency department) [21] [35] [36] [37]. Capacity has also been found to exert a significant negative influence on throughput and wait time [21] [35] [36] [37] [38]. Although some researchers argue that capacity has a positive impact on demand (higher capacity attracting more patients coming to hospitals, especially the non-urgent patients) [39] [40], such argument has not been supported with plenty empirical evidence [41].…”