Time and Motion at the Endoscopy Unit—A University Hospital Experience
Background/aims An effective workflow at the endoscopy unit is important for optimal production. We conducted a time-and-motion study to identify the amount of time that patients spend during the different steps of a regular endoscopy procedure and compared propofol with midazolam sedation. Methods...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-03-01
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| Series: | Health Services Research & Managerial Epidemiology |
| Online Access: | https://doi.org/10.1177/23333928231159808 |
| _version_ | 1811155041651785728 |
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| author | Simon Söderberg Nils Nyhlin Axelina Moro Christina Figaro Emelie Fransson Jennie Stefansdotter Malin Schagerström Maria Lindblad Martin Ahlzén Olga Zukovets Sofia Borell Viktoria Johansson Marianne Axman Anette Wendt Hanna Falck Michiel A. van Nieuwenhoven |
| author_facet | Simon Söderberg Nils Nyhlin Axelina Moro Christina Figaro Emelie Fransson Jennie Stefansdotter Malin Schagerström Maria Lindblad Martin Ahlzén Olga Zukovets Sofia Borell Viktoria Johansson Marianne Axman Anette Wendt Hanna Falck Michiel A. van Nieuwenhoven |
| author_sort | Simon Söderberg |
| collection | DOAJ |
| description | Background/aims An effective workflow at the endoscopy unit is important for optimal production. We conducted a time-and-motion study to identify the amount of time that patients spend during the different steps of a regular endoscopy procedure and compared propofol with midazolam sedation. Methods Data from 376 patients were prospectively collected. Durations of the different procedure steps were measured. Correlations between recovery times, age, and dose of sedative were calculated. Multiple regression analysis was performed to evaluate how various factors affect recovery time. Results The use of midazolam resulted in significantly shorter procedure duration for gastroscopy (5.1 vs 8.3 min), shorter endoscopist delay duration for either types of endoscopy (5.9 vs 8.3 min for gastroscopy and 6.7 vs 11.4 min for colonoscopy), shorter endoscopy room duration for gastroscopy (22.2 vs 30.0 min), shorter recovery time for colonoscopy (23.4 vs 27.4 min) and shorter Endoscopy Unit Duration for either type of endoscopy (77.1 vs 101.4 min for gastroscopy and 99.6 vs 123.2 min for colonoscopy). There was a weak correlation between dose of midazolam and recovery time. Conclusions In contrast to other studies, propofol administration leads to more time spent at different steps in the workflow at our unit. Implementing propofol sedation will not improve efficacy if other steps in the workflow are not taken into account. |
| first_indexed | 2024-04-10T04:27:28Z |
| format | Article |
| id | doaj.art-912ce69bd884461096a33a1d68268ae2 |
| institution | Directory Open Access Journal |
| issn | 2333-3928 |
| language | English |
| last_indexed | 2024-04-10T04:27:28Z |
| publishDate | 2023-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Health Services Research & Managerial Epidemiology |
| spelling | doaj.art-912ce69bd884461096a33a1d68268ae22023-03-10T09:03:19ZengSAGE PublishingHealth Services Research & Managerial Epidemiology2333-39282023-03-011010.1177/23333928231159808Time and Motion at the Endoscopy Unit—A University Hospital ExperienceSimon SöderbergNils NyhlinAxelina MoroChristina FigaroEmelie FranssonJennie StefansdotterMalin SchagerströmMaria LindbladMartin AhlzénOlga ZukovetsSofia BorellViktoria JohanssonMarianne AxmanAnette WendtHanna FalckMichiel A. van NieuwenhovenBackground/aims An effective workflow at the endoscopy unit is important for optimal production. We conducted a time-and-motion study to identify the amount of time that patients spend during the different steps of a regular endoscopy procedure and compared propofol with midazolam sedation. Methods Data from 376 patients were prospectively collected. Durations of the different procedure steps were measured. Correlations between recovery times, age, and dose of sedative were calculated. Multiple regression analysis was performed to evaluate how various factors affect recovery time. Results The use of midazolam resulted in significantly shorter procedure duration for gastroscopy (5.1 vs 8.3 min), shorter endoscopist delay duration for either types of endoscopy (5.9 vs 8.3 min for gastroscopy and 6.7 vs 11.4 min for colonoscopy), shorter endoscopy room duration for gastroscopy (22.2 vs 30.0 min), shorter recovery time for colonoscopy (23.4 vs 27.4 min) and shorter Endoscopy Unit Duration for either type of endoscopy (77.1 vs 101.4 min for gastroscopy and 99.6 vs 123.2 min for colonoscopy). There was a weak correlation between dose of midazolam and recovery time. Conclusions In contrast to other studies, propofol administration leads to more time spent at different steps in the workflow at our unit. Implementing propofol sedation will not improve efficacy if other steps in the workflow are not taken into account.https://doi.org/10.1177/23333928231159808 |
| spellingShingle | Simon Söderberg Nils Nyhlin Axelina Moro Christina Figaro Emelie Fransson Jennie Stefansdotter Malin Schagerström Maria Lindblad Martin Ahlzén Olga Zukovets Sofia Borell Viktoria Johansson Marianne Axman Anette Wendt Hanna Falck Michiel A. van Nieuwenhoven Time and Motion at the Endoscopy Unit—A University Hospital Experience Health Services Research & Managerial Epidemiology |
| title | Time and Motion at the Endoscopy Unit—A University Hospital Experience |
| title_full | Time and Motion at the Endoscopy Unit—A University Hospital Experience |
| title_fullStr | Time and Motion at the Endoscopy Unit—A University Hospital Experience |
| title_full_unstemmed | Time and Motion at the Endoscopy Unit—A University Hospital Experience |
| title_short | Time and Motion at the Endoscopy Unit—A University Hospital Experience |
| title_sort | time and motion at the endoscopy unit a university hospital experience |
| url | https://doi.org/10.1177/23333928231159808 |
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