Initiative improves timeliness of pediatric endoscopies

January 21, 2014
Initiative improves timeliness of pediatric endoscopies

(HealthDay)—Quality improvement methods and tools can improve the timeliness of pediatric endoscopic procedures, according to research published online Jan. 20 in Pediatrics.

Gitit Tomer, M.D., of the Albert Einstein College of Medicine in Bronx, N.Y., and colleagues formed a initiative at Children's Hospital at Montefiore to improve the efficiency of the pediatric unit. Causes for case delays related to equipment, patients, and physicians were identified, and quality improvement tools, including Pareto charts, cause and effect diagrams, process flow mapping, and statistical process control charts, were used for analysis.

The researchers observed significant reductions in average delays for endoscopies for the first case (17 to 10 minutes), the second case (39 to 25 minutes), the third case (61 to 45 minutes), and the fourth case (79 to 51 minutes). There was a significant decrease of 65 minutes in the total delay time. The average percentage of first endoscopy cases starting within five minutes of the scheduled time increased from 36 to 47 percent (P = 0.07); starting within 10 minutes, from 51 to 61 percent (P = 0.04); and starting within 15 minutes, from 61 to 79 percent (P = 0.01).

"Applying quality improvement methods and tools helped improve pediatric endoscopy timeliness and significantly decreased total delays," the authors write.

Explore further: Nurse-initiated steroids improve pediatric asthma care

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Nurse-initiated steroids improve pediatric asthma care

March 20, 2012
(HealthDay) -- Nurse initiation of oral corticosteroids before physician assessment of pediatric patients with asthma improves quality and efficiency of care provided in the pediatric emergency department, according to a ...

Peds bronchiolitis guideline can cut resource use, costs

December 11, 2013
(HealthDay)—Implementation of a bronchiolitis guideline can reduce unnecessary resource utilization and reduce costs in a pediatric emergency department setting, according to research published online Dec. 9 in Pediatrics.

Most heart-attack patients needing procedure at another hospital not transferred in recommended time

June 21, 2011
Only about 10 percent of patients with a certain type of heart attack who need to be transferred to another hospital for a PCI (procedures such as balloon angioplasty or stent placement used to open narrowed coronary arteries) ...

Quality-of-life tools underused by prostate cancer docs

July 19, 2013
(HealthDay)—More than half of radiation oncologists and urologists in the United States use prostate cancer nomograms, but only about one-quarter use quality-of-life and life-expectancy prediction instruments, according ...

Lean process methods expedite care in ischemic stroke

November 10, 2012
(HealthDay)—Use of lean process improvement methodology can reduce the time to stroke care without compromising patient safety, according to a study published online Nov. 8 in Stroke.

Stroke systems of care essential to reducing deaths, disabilities

August 29, 2013
Several key elements in systems of care can reduce stroke deaths and disabilities, according to a new American Heart Association/American Stroke Association policy statement published in its journal Stroke.

Recommended for you

At the cellular level, a child's loss of a father is associated with increased stress

July 18, 2017
The absence of a father—due to incarceration, death, separation or divorce—has adverse physical and behavioral consequences for a growing child. But little is known about the biological processes that underlie this link ...

New comparison chart sheds light on babies' tears

July 10, 2017
A chart that enables parents and clinicians to calculate if a baby is crying more than it should in the first three months of its life has been created by a Kingston University London researcher, following a study of colic ...

Blood of SIDS infants contains high levels of serotonin

July 3, 2017
Blood samples from infants who died of Sudden Infant Death Syndrome (SIDS) had high levels of serotonin, a chemical that carries signals along and between nerves, according to a study funded in part by the National Institutes ...

Is your child's 'penicillin allergy' real?

July 3, 2017
(HealthDay)—Many children suspected of being allergic to the inexpensive, first-line antibiotic penicillin actually aren't, new research indicates.

Probiotic supplements failed to prevent babies' infections

July 3, 2017
(HealthDay)—Probiotic supplements may not protect babies from catching colds or stomach bugs in day care, a new clinical trial suggests.

Starting school young can put child wellbeing at risk

June 22, 2017
New research has shown that the youngest pupils in each school year group could be at risk of worse mental health than their older classmates.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.