Enhancing Operational Efficiency in Eye Care Services: A Mixed-Methods Operational Research Study in a Tertiary Care Eye Hospital
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 400
- 试验地点
- 1
- 主要终点
- Patient appointment time
研究概览
简要总结
Pushpagiri Vitreo Retina Institute (PVRI) based in Secunderabad is a tertiary care eye hospital providing specialty eye care services since 2007. Over 15-20 preplanned surgical/clinical procedures are conducted for patients requiring care on a daily basis. They range from simple cataract surgeries or injections to detailed specialty surgeries including Vitreo-retina, glaucoma, pediatric eye care and muscular conditions of the eye. All procedures are elective procedures and are pre-planned. The current study aims to improve hospital efficiency and reduce the total appointment time for patients. The current study aims to reduce patient overall waiting time by 15-25% by introducing simple patient identification tools to help streamline all planned procedures.
详细描述
PVRI operates close to 70-80 procedures daily. 15-20 pre-planned procedures are scheduled in the Secunderabad unit. All patients undergoing planned procedures on a daily basis spend close to 4-6 hours in the hospital. To understand the clinical workflow and time taken for the patient to undergo the procedure, a baseline assessment was conducted by the PVRI operational research team to measure the specific time taken for the patient to pass through the different sections of the hospital for undergoing any procedure.
Findings of the baseline assessment showed that waiting time was generally higher at >4 hours for all patients. The waiting time was specifically higher in the ward area before and after a procedure is done. Patients getting treated under the Cash or Third Party Administrator (TPA) category take twice as long as other categories finish billing procedures at the front office section. The individual waiting area in each section is listed on the table below.
S no Description Category Avg. Waiting time(Hr:Min)
- Total Appointment Time Non-Cataract procedure 04:24 (TAT) Cataract procedure 04:09 Credit patients 04:23 Cash/TPA patient 04:05 EHS/ARG 03:53
- Time spent at Front office/ Billing Cash-TPA 00:30 Credit/Cred + Enhanced 00:12 ARG/State Scheme 00:07 CGHS/SCCL/SCR/central 00:24
- Ward Waiting Time (Pre-op) Non-Cataract 01:03 Cataract procedure 01:04
- OR Table time Non-Cataract 00:49 Cataract procedure 00:39
- Operation Theatre time (in-out of the dept) Overall average of all cases OT time 1:24
- Average Recovery to discharge time Non-Cataract 01:33 Cataract procedure 01:51 Overall recovery average 01:44
Study Design
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- — 至 85 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients undergoing pre-planned elective procedures in the unit listed on appointment basis.
- •Eligibility: Enrolment criteria: any patient undergoing any planned procedure is included on daily basis
排除标准
- •Patients undergoing emergency procedures.
- •Data for patients whose procedures were cancelled/postponed
- •Any other patients undergoing procedures under the free eye camps
研究组 & 干预措施
Intervention arm
干预措施: Health service Optimization (Other)
结局指标
主要结局
Patient appointment time
时间窗: 6-8 months
Reduction of overall Patient appointment time by 15-25%
次要结局
- Billing time(6-8 months)
- Ward waiting time(6-8 months)