title: Utilization of Portable Radios to Improve Ophthalmology Clinic Efficiency in an Academic Setting.
abstract: Improvement in clinic efficiency in the ambulatory setting is often looked at as an area for development of lean management strategies to deliver a higher quality of healthcare while reducing errors, costs, and delays. To examine the benefits of improving team communication and its impact on clinic flow and efficiency, we describe a time-motion study performed in an academic outpatient Ophthalmology clinic and its objective and subjective results. Compared to clinic encounters without the use of the portable radios, objective data demonstrated an overall significant decreases in mean workup time (15.18 vs. 13.10), room wait (13.10 vs. 10.47), and decreased the total time needed with an MD per encounter (9.45 vs. 6.63). Subjectively, significant improvements were seen in careprovider scores for patient flow (60.78 vs. 84.29), getting assistance (61.89 vs. 88.57), moving patient charts (54.44 vs. 85.71), teamwork (69.56 vs. 91.0), communications (62.33 vs. 90.43), providing quality patient care (76.22 vs. 89.57), and receiving input on the ability to see walk-in patients (80.11 vs. 90.43). For academic purposes, an improvement in engagement in patient care and learning opportunities was noted by the clinic resident-in-training during the pilot study. Portable radios in our pilot study were preferred over the previous method of communication and demonstrates significant improvements in certain areas of clinical efficiency, subjective perception of teamwork and communications, and academic learning.
authors.affiliation: Department of Ophthalmology and Visual Sciences, The University of Texas Medical Branch, 301 University Boulevard, Galveston, TX, 77555, USA.
authors.forename: Alexander S
authors.initials: AS
authors.lastname: Davis
authors.affiliation: Department of Ophthalmology and Visual Sciences, The University of Texas Medical Branch, 301 University Boulevard, Galveston, TX, 77555, USA.
authors.forename: Ahmed M
authors.initials: AM
authors.lastname: Elkeeb
authors.affiliation: Department of Ophthalmology and Visual Sciences, The University of Texas Medical Branch, 301 University Boulevard, Galveston, TX, 77555, USA.
authors.forename: Gianmarco
authors.initials: G
authors.lastname: Vizzeri
authors.affiliation: Department of Ophthalmology and Visual Sciences, The University of Texas Medical Branch, 301 University Boulevard, Galveston, TX, 77555, USA. bgodley@UTMB.EDU.
authors.forename: Bernard F
authors.initials: BF
authors.lastname: Godley
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration; D000554:Ambulatory Care Facilities / Q000458:organization & administration* / Q000592:standards; D003142:Communication; D017598:Efficiency, Organizational; D006801:Humans; D009885:Ophthalmology / Q000458:organization & administration* / Q000592:standards; D010348:Patient Care Team; D010865:Pilot Projects; D011787:Quality of Health Care / Q000458:organization & administration; D011845:Radio; D013997:Time Factors; D013996:Time and Motion Studies; D057188:Workflow
keywords: Clinic; Efficiency; Lean management; Portable radio