Improving efficiency and saving money in an otolaryngology urgent referral clinic
A closed loop audit of the ear nose and throat (ENT) urgent referral clinic at a London hospital was conducted assessing the number of patients reviewed, referral source, appropriateness of referral, presenting complaint and assigned follow-up appointments. Data was sourced from clinic letters and the patient appointment system over a 3-mo period. The initial cycle analysed 490 patients and the subsequent cycle 396. The initial audit yielded clinically relevant and cost effective recommendations which were implemented, and the audit cycle was subsequently repeated. The re-audit demonstrated decreased clinic numbers from an average 9.8 to 7.2 patients per clinic, in keeping with ENT United Kingdom guidelines. A 21% decrease in patient follow-up and 13% decrease in inappropriate referrals was achieved. Direct bookings into outpatient clinics decreased by 8%, due to correct referral pathway utilisation. Comparisons of all data sets were found to show statistical significance P < 0.05. We reported a total financial saving of £32490 in a period of 3 mo (£590 per clinic). We demonstrated that simple guidelines, supervision and consultant-led education which are non-labour intensive can have a significant impact on service provision and cost.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2015 |
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| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:3 |
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| Enthalten in: |
World journal of clinical cases - 3(2015), 6 vom: 16. Juni, Seite 495-8 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Ibrahim, Nader [VerfasserIn] |
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| Links: |
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| Themen: |
Ambulatory care facilities |
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| Anmerkungen: |
Date Completed 19.06.2015 Date Revised 23.03.2024 published: Print Citation Status PubMed-not-MEDLINE |
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| doi: |
10.12998/wjcc.v3.i6.495 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM250112671 |
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| 245 | 1 | 0 | |a Improving efficiency and saving money in an otolaryngology urgent referral clinic |
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| 500 | |a Date Completed 19.06.2015 | ||
| 500 | |a Date Revised 23.03.2024 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a A closed loop audit of the ear nose and throat (ENT) urgent referral clinic at a London hospital was conducted assessing the number of patients reviewed, referral source, appropriateness of referral, presenting complaint and assigned follow-up appointments. Data was sourced from clinic letters and the patient appointment system over a 3-mo period. The initial cycle analysed 490 patients and the subsequent cycle 396. The initial audit yielded clinically relevant and cost effective recommendations which were implemented, and the audit cycle was subsequently repeated. The re-audit demonstrated decreased clinic numbers from an average 9.8 to 7.2 patients per clinic, in keeping with ENT United Kingdom guidelines. A 21% decrease in patient follow-up and 13% decrease in inappropriate referrals was achieved. Direct bookings into outpatient clinics decreased by 8%, due to correct referral pathway utilisation. Comparisons of all data sets were found to show statistical significance P < 0.05. We reported a total financial saving of £32490 in a period of 3 mo (£590 per clinic). We demonstrated that simple guidelines, supervision and consultant-led education which are non-labour intensive can have a significant impact on service provision and cost | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Ambulatory care facilities | |
| 650 | 4 | |a Clinical audit | |
| 650 | 4 | |a Otorhinolaryngologic diseases | |
| 650 | 4 | |a Practice guideline | |
| 650 | 4 | |a Quality of health care | |
| 650 | 4 | |a Total quality management | |
| 700 | 1 | |a Virk, Jagdeep |e verfasserin |4 aut | |
| 700 | 1 | |a George, Jason |e verfasserin |4 aut | |
| 700 | 1 | |a Elmiyeh, Behrad |e verfasserin |4 aut | |
| 700 | 1 | |a Singh, Arvind |e verfasserin |4 aut | |
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