Several delays arise when bronchoscopy and endoscopy procedures are scheduled in the same room. Turnover time, workflow, and technician and/or anaesthesia availability all play a role in the length of stay of a patient for this same-day procedure. A planned procedure is elective and should be lucrative for a patient, their families, and staff. This quality improvement initiative aimed at improving bronchoscopy workflow with hopes of significantly decreasing admission to discharge time for the patients. Satisfaction surveys and post-discharge follow-ups were conducted parallel to this quality initiative. Analysis of the data identified potential areas for future endeavors aimed at decreasing hospital costs with improved patient satisfaction and goals of improving the fellows experience at a teaching institution.
| Published in | Science Journal of Clinical Medicine (Volume 8, Issue 4) |
| DOI | 10.11648/j.sjcm.20190804.13 |
| Page(s) | 44-48 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2019. Published by Science Publishing Group |
Bronchoscopy, Length of Stay, Efficiency, Delays, Patient Satisfaction, Fellowship
| [1] | Strather DR, MacEachern P, Chee A, et al. Trainee Impact on Procedural Complications: An Analysis of 967 Consecutive Flexible Bronchoscopy Procedures in an Interventional Pulmonology Practice. Respiration 2013; 85: 422-428. |
| [2] | Strack L, Brawner E, Bruns A, Devulapally K, et al. Delays and efficiency in the bronchoscopy suite perception meets reality. J Bronchol Intervent Pulmonol. 2010. Volume 17, Number 3. |
| [3] | Thillai M, Powrie D. Quality improvement in respiratory medicine: designing and implementing a bronchoscopy checklist at Southend University Hospital. BMJ Quality Improvement Reports. 2013. u201878.w997 doi: 10.1136/bmjquality.u201878.w997. |
| [4] | Fielding, David I., et al. “Achieving Competency in Bronchoscopy: Challenges and Opportunities - Fielding - 2014 - Respirology - Wiley Online Library.” Respirology, John Wiley & Sons, Ltd (10.1111), 1 Apr. 2014, onlinelibrary.wiley.com/doi/10.1111/resp.12279. |
| [5] | Harders M, Malangoni MA, Weight S, et al. Improving operating room efficiency through process redesign. Surgery. 2006; 140: 509-514. |
| [6] | Arts, D De Keizer NF, Bosman R, De Jonge E, Joore J. Training in data definition improves quality of intensive care data. Critical Care. 7: 129-184. 2002. |
| [7] | Arts D, De Keizer NF, Scheffer GT. Defining and improving data quality in medical registries: a literature review, case study, and generic framework. J Am Med Inform Assoc 9, 6: P 600-11. 2002. |
| [8] | Lechtzin N, Rubin HR, White P et al. Patient Satisfaction with Bronchoscopy. American Journal of Respiratory and Critical Care Medicine. 2002; 166 (10). |
| [9] | Krvavac A, K Ghassan, P Patel et al. Evaluating and Improving Efficiency of Patient Flow in the Bronchoscopy Suite in a Tertiary Care Center: A QI Project. Quality Management in Health Care. 27 (1): 33-38, January 2018. |
| [10] | Pasnick S, Hayes M, Salvaggio M et al. A Quality Improvement Project Aimed at Reducing Fluoroscopy Time During Bronchoscopy Significantly Decreases Total Radiation Exposure. |
| [11] | Yong E, Zenkova O, Saibil F, et al. Efficiency of an endoscopy suite in a teaching hospital: delays, prolonged procedures, and hospital waiting times. Gastrointest Endosc. 2006; 64: 760-764. |
| [12] | Cox K, TJ Harkin. Quality Improvement Initiative in Bronchoscopy Inspired by the Acquire Program. Am J Respir Crit Care Med 2017; 195: A1657. |
| [13] | Fujimoto K, Ishiwata T, Kasai H, Terada J, Shionoya Y, Ikari J, et al. (2018) Identification of factors during bronchoscopy that affect patient reluctance to undergo repeat examination: Questionnaire analysis after initial bronchoscopy. PLoS ONE 13 (12): e0208495. |
| [14] | Leong, Steven et al. “Diagnostic bronchoscopy--current and future perspectives.” Journal of thoracic disease vol. 5 Suppl 5, Suppl 5 (2013): S498-510. doi: 10.3978/j.issn.2072-1439.2013.09.08. |
| [15] | Ernst, A et al. A Multicenter Prospective Advanced Diagnostic Bronchoscopy Outcomes Registry. CHEST. 138 (1); 165-170. |
APA Style
Kevin Charles, Darien Davda, Kevin Langlois, Naser Mahmoud, Ashley Ferraro, et al. (2019). Improving Timeliness in the Bronchoscopy Workflow: From Admission to Discharge, A Single-Center Quality Initiative. Science Journal of Clinical Medicine, 8(4), 44-48. https://doi.org/10.11648/j.sjcm.20190804.13
ACS Style
Kevin Charles; Darien Davda; Kevin Langlois; Naser Mahmoud; Ashley Ferraro, et al. Improving Timeliness in the Bronchoscopy Workflow: From Admission to Discharge, A Single-Center Quality Initiative. Sci. J. Clin. Med. 2019, 8(4), 44-48. doi: 10.11648/j.sjcm.20190804.13
AMA Style
Kevin Charles, Darien Davda, Kevin Langlois, Naser Mahmoud, Ashley Ferraro, et al. Improving Timeliness in the Bronchoscopy Workflow: From Admission to Discharge, A Single-Center Quality Initiative. Sci J Clin Med. 2019;8(4):44-48. doi: 10.11648/j.sjcm.20190804.13
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Download@article{10.11648/j.sjcm.20190804.13,
author = {Kevin Charles and Darien Davda and Kevin Langlois and Naser Mahmoud and Ashley Ferraro and Robert Holladay and Satish Kalanjeri and Robert Walter},
title = {Improving Timeliness in the Bronchoscopy Workflow: From Admission to Discharge, A Single-Center Quality Initiative},
journal = {Science Journal of Clinical Medicine},
volume = {8},
number = {4},
pages = {44-48},
doi = {10.11648/j.sjcm.20190804.13},
url = {https://doi.org/10.11648/j.sjcm.20190804.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20190804.13},
abstract = {Several delays arise when bronchoscopy and endoscopy procedures are scheduled in the same room. Turnover time, workflow, and technician and/or anaesthesia availability all play a role in the length of stay of a patient for this same-day procedure. A planned procedure is elective and should be lucrative for a patient, their families, and staff. This quality improvement initiative aimed at improving bronchoscopy workflow with hopes of significantly decreasing admission to discharge time for the patients. Satisfaction surveys and post-discharge follow-ups were conducted parallel to this quality initiative. Analysis of the data identified potential areas for future endeavors aimed at decreasing hospital costs with improved patient satisfaction and goals of improving the fellows experience at a teaching institution.},
year = {2019}
}
TY - JOUR T1 - Improving Timeliness in the Bronchoscopy Workflow: From Admission to Discharge, A Single-Center Quality Initiative AU - Kevin Charles AU - Darien Davda AU - Kevin Langlois AU - Naser Mahmoud AU - Ashley Ferraro AU - Robert Holladay AU - Satish Kalanjeri AU - Robert Walter Y1 - 2019/08/23 PY - 2019 N1 - https://doi.org/10.11648/j.sjcm.20190804.13 DO - 10.11648/j.sjcm.20190804.13 T2 - Science Journal of Clinical Medicine JF - Science Journal of Clinical Medicine JO - Science Journal of Clinical Medicine SP - 44 EP - 48 PB - Science Publishing Group SN - 2327-2732 UR - https://doi.org/10.11648/j.sjcm.20190804.13 AB - Several delays arise when bronchoscopy and endoscopy procedures are scheduled in the same room. Turnover time, workflow, and technician and/or anaesthesia availability all play a role in the length of stay of a patient for this same-day procedure. A planned procedure is elective and should be lucrative for a patient, their families, and staff. This quality improvement initiative aimed at improving bronchoscopy workflow with hopes of significantly decreasing admission to discharge time for the patients. Satisfaction surveys and post-discharge follow-ups were conducted parallel to this quality initiative. Analysis of the data identified potential areas for future endeavors aimed at decreasing hospital costs with improved patient satisfaction and goals of improving the fellows experience at a teaching institution. VL - 8 IS - 4 ER -
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