An Assessment of Door to Consultation Time in Outpatient Department (OPD) of a Tertiary Care Cardiac Hospital: A Clinical Quality Improvement Project (QIP)

Objective: To assess door to consultation time in cardiac OPD of a tertiary care hospital and to recommend strategies to reduce patients waiting time. Study Design: Cross sectional study Place and Duration of Study: Surgical Out-Patient Department, Armed Force Institute of Cardiology, Nationa...

Full description

Bibliographic Details
Main Authors: Aleena Khan, Rehana Javaid, Farrah Pervaiz, Muhammad Asad, Imtiaz Ahmed Chaudhry, Tabassum Muzaffar, Ayesha Sana, Fahd Ur Rehman
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2022-11-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://pafmj.org/index.php/PAFMJ/article/view/9581
_version_ 1797938542696988672
author Aleena Khan
Rehana Javaid
Farrah Pervaiz
Muhammad Asad
Imtiaz Ahmed Chaudhry
Tabassum Muzaffar
Ayesha Sana
Fahd Ur Rehman
author_facet Aleena Khan
Rehana Javaid
Farrah Pervaiz
Muhammad Asad
Imtiaz Ahmed Chaudhry
Tabassum Muzaffar
Ayesha Sana
Fahd Ur Rehman
author_sort Aleena Khan
collection DOAJ
description Objective: To assess door to consultation time in cardiac OPD of a tertiary care hospital and to recommend strategies to reduce patients waiting time. Study Design: Cross sectional study Place and Duration of Study: Surgical Out-Patient Department, Armed Force Institute of Cardiology, National Institute AFIC/NIHD, Rawalpindi Pakistan, from Aug 2020 to Sep 2020. Methodology: This quality improvement project (QIP) was conducted for a period of 4 weeks from 15th, Aug-15th, Sep 2020 in the surgical out-patient department of Armed Force Institute of Cardiology, National Institute/National Institute of Heart Disease (AFIC/NIHD). Time for registration, waiting time pre-consultation and consultation times were recorded on a patient survey proforma. A non-probability consecutive sampling technique was used to recruit study participants. Results: Data was collected from a total of 278 respondents. The results showed that 142(51%) participants had the total door to consultation time of 30 minutes and 86(31%) participants had the door to consultation time of 30-60 minutes 86(31%), respondents reported the actual consultation time to be 11-20 minutes and an equal percentage of participants 86(31%) responded that it was 6-10 minutes. Sixty-six percent 183(66%) participants reported that the doctors were aware of theirmedical history which helped in shorter consultation time. Conclusion: In this QIP we concluded that patients who had shorter waiting time lead to a significantly shorter door to consultation time. A few areas of concern identified in the QIP of note were; less number of registration counters and patients presenting on same day without appointments. Recommendations were made to reduce waiting times in outpatient department (OPD) which would in turn increase patient satisfaction.
first_indexed 2024-04-10T19:02:27Z
format Article
id doaj.art-8a5e1badcb974877b1dc354c25c84cce
institution Directory Open Access Journal
issn 0030-9648
2411-8842
language English
last_indexed 2024-04-10T19:02:27Z
publishDate 2022-11-01
publisher Army Medical College Rawalpindi
record_format Article
series Pakistan Armed Forces Medical Journal
spelling doaj.art-8a5e1badcb974877b1dc354c25c84cce2023-01-31T08:22:33ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422022-11-0172SUPPL-310.51253/pafmj.v72iSUPPL-3.9581An Assessment of Door to Consultation Time in Outpatient Department (OPD) of a Tertiary Care Cardiac Hospital: A Clinical Quality Improvement Project (QIP)Aleena Khan0Rehana Javaid1Farrah Pervaiz2Muhammad Asad3Imtiaz Ahmed Chaudhry4Tabassum Muzaffar5Ayesha Sana6Fahd Ur Rehman7Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Science (NUMS) Rawalpindi PakistanArmed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Science (NUMS) Rawalpindi PakistanArmed Forces Post Graduate Medical Institute (AFPGMI)/National University of Medical Sciences (NUMS) Rawalpindi PakistanBenazir Bhutto Hospital, Rawalpindi PakistanArmed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Science (NUMS) Rawalpindi PakistanCombined Military Hospital/National University Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Science (NUMS) Rawalpindi PakistanArmed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Science (NUMS) Rawalpindi Pakistan Objective: To assess door to consultation time in cardiac OPD of a tertiary care hospital and to recommend strategies to reduce patients waiting time. Study Design: Cross sectional study Place and Duration of Study: Surgical Out-Patient Department, Armed Force Institute of Cardiology, National Institute AFIC/NIHD, Rawalpindi Pakistan, from Aug 2020 to Sep 2020. Methodology: This quality improvement project (QIP) was conducted for a period of 4 weeks from 15th, Aug-15th, Sep 2020 in the surgical out-patient department of Armed Force Institute of Cardiology, National Institute/National Institute of Heart Disease (AFIC/NIHD). Time for registration, waiting time pre-consultation and consultation times were recorded on a patient survey proforma. A non-probability consecutive sampling technique was used to recruit study participants. Results: Data was collected from a total of 278 respondents. The results showed that 142(51%) participants had the total door to consultation time of 30 minutes and 86(31%) participants had the door to consultation time of 30-60 minutes 86(31%), respondents reported the actual consultation time to be 11-20 minutes and an equal percentage of participants 86(31%) responded that it was 6-10 minutes. Sixty-six percent 183(66%) participants reported that the doctors were aware of theirmedical history which helped in shorter consultation time. Conclusion: In this QIP we concluded that patients who had shorter waiting time lead to a significantly shorter door to consultation time. A few areas of concern identified in the QIP of note were; less number of registration counters and patients presenting on same day without appointments. Recommendations were made to reduce waiting times in outpatient department (OPD) which would in turn increase patient satisfaction. https://pafmj.org/index.php/PAFMJ/article/view/9581Consultation timePatient satisfactionWaiting time
spellingShingle Aleena Khan
Rehana Javaid
Farrah Pervaiz
Muhammad Asad
Imtiaz Ahmed Chaudhry
Tabassum Muzaffar
Ayesha Sana
Fahd Ur Rehman
An Assessment of Door to Consultation Time in Outpatient Department (OPD) of a Tertiary Care Cardiac Hospital: A Clinical Quality Improvement Project (QIP)
Pakistan Armed Forces Medical Journal
Consultation time
Patient satisfaction
Waiting time
title An Assessment of Door to Consultation Time in Outpatient Department (OPD) of a Tertiary Care Cardiac Hospital: A Clinical Quality Improvement Project (QIP)
title_full An Assessment of Door to Consultation Time in Outpatient Department (OPD) of a Tertiary Care Cardiac Hospital: A Clinical Quality Improvement Project (QIP)
title_fullStr An Assessment of Door to Consultation Time in Outpatient Department (OPD) of a Tertiary Care Cardiac Hospital: A Clinical Quality Improvement Project (QIP)
title_full_unstemmed An Assessment of Door to Consultation Time in Outpatient Department (OPD) of a Tertiary Care Cardiac Hospital: A Clinical Quality Improvement Project (QIP)
title_short An Assessment of Door to Consultation Time in Outpatient Department (OPD) of a Tertiary Care Cardiac Hospital: A Clinical Quality Improvement Project (QIP)
title_sort assessment of door to consultation time in outpatient department opd of a tertiary care cardiac hospital a clinical quality improvement project qip
topic Consultation time
Patient satisfaction
Waiting time
url https://pafmj.org/index.php/PAFMJ/article/view/9581
work_keys_str_mv AT aleenakhan anassessmentofdoortoconsultationtimeinoutpatientdepartmentopdofatertiarycarecardiachospitalaclinicalqualityimprovementprojectqip
AT rehanajavaid anassessmentofdoortoconsultationtimeinoutpatientdepartmentopdofatertiarycarecardiachospitalaclinicalqualityimprovementprojectqip
AT farrahpervaiz anassessmentofdoortoconsultationtimeinoutpatientdepartmentopdofatertiarycarecardiachospitalaclinicalqualityimprovementprojectqip
AT muhammadasad anassessmentofdoortoconsultationtimeinoutpatientdepartmentopdofatertiarycarecardiachospitalaclinicalqualityimprovementprojectqip
AT imtiazahmedchaudhry anassessmentofdoortoconsultationtimeinoutpatientdepartmentopdofatertiarycarecardiachospitalaclinicalqualityimprovementprojectqip
AT tabassummuzaffar anassessmentofdoortoconsultationtimeinoutpatientdepartmentopdofatertiarycarecardiachospitalaclinicalqualityimprovementprojectqip
AT ayeshasana anassessmentofdoortoconsultationtimeinoutpatientdepartmentopdofatertiarycarecardiachospitalaclinicalqualityimprovementprojectqip
AT fahdurrehman anassessmentofdoortoconsultationtimeinoutpatientdepartmentopdofatertiarycarecardiachospitalaclinicalqualityimprovementprojectqip
AT aleenakhan assessmentofdoortoconsultationtimeinoutpatientdepartmentopdofatertiarycarecardiachospitalaclinicalqualityimprovementprojectqip
AT rehanajavaid assessmentofdoortoconsultationtimeinoutpatientdepartmentopdofatertiarycarecardiachospitalaclinicalqualityimprovementprojectqip
AT farrahpervaiz assessmentofdoortoconsultationtimeinoutpatientdepartmentopdofatertiarycarecardiachospitalaclinicalqualityimprovementprojectqip
AT muhammadasad assessmentofdoortoconsultationtimeinoutpatientdepartmentopdofatertiarycarecardiachospitalaclinicalqualityimprovementprojectqip
AT imtiazahmedchaudhry assessmentofdoortoconsultationtimeinoutpatientdepartmentopdofatertiarycarecardiachospitalaclinicalqualityimprovementprojectqip
AT tabassummuzaffar assessmentofdoortoconsultationtimeinoutpatientdepartmentopdofatertiarycarecardiachospitalaclinicalqualityimprovementprojectqip
AT ayeshasana assessmentofdoortoconsultationtimeinoutpatientdepartmentopdofatertiarycarecardiachospitalaclinicalqualityimprovementprojectqip
AT fahdurrehman assessmentofdoortoconsultationtimeinoutpatientdepartmentopdofatertiarycarecardiachospitalaclinicalqualityimprovementprojectqip