title: [Software-based visualization of patient flow at a university eye clinic].
abstract: OBJECTIVE
  This article presents a method for visualization and navigation of patient flow in outpatient eye clinics with a high level of complexity.
  
  
  METHODS
  A network-based software solution was developed targeting long-term process optimization by structural analysis and temporal coordination of process navigation.
  
  
  RESULTS
  Each examination unit receives a separate waiting list of patients in which the patient flow for every patient is recorded in a timeline. Time periods and points in time can be executed by mouse clicks and the desired diagnostic procedure can be entered. Recent progress in any of these diagnostic requests, as well as a variety of information on patient progress are collated and drawn into the corresponding timeline which can be viewed by any of the personnel involved. The software called TimeElement has been successfully tested in the practical implemenation for several months. As an example the patient flow regarding time stamps of defined events for intravitreous injections on 250 patients was recorded and an average attendance time of 169.71 min was found, whereby the time was also automatically recorded for each individual stage.
  
  
  CONCLUSIONS
  Recording of patient flow data is a fundamental component of patient flow management, waiting time reduction, patient flow navigation with time and coordination in particular regarding timeline-based visualization for each individual patient. Long-term changes in process management can be planned and evaluated by comparing patient flow data. As using the software itself causes structural changes within the organization, a questionnaire is being planned for appraisal by the personnel involved.
authors.affiliation: Universitätsklinik für Augenheilkunde, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland. greb.oliver@mh-hannover.de.
authors.forename: O
authors.initials: O
authors.lastname: Greb
authors.affiliation: Universitätsklinik für Augenheilkunde, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
authors.forename: W
authors.initials: W
authors.lastname: Abou Moulig
authors.affiliation: Universitätsklinik für Augenheilkunde, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
authors.forename: K
authors.initials: K
authors.lastname: Hufendiek
authors.affiliation: Universitätsklinik für Augenheilkunde, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Junker
authors.affiliation: Universitätsklinik für Augenheilkunde, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Framme
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration*; D019091:Critical Pathways / Q000458:organization & administration; D017598:Efficiency, Organizational; D005858:Germany; D006751:Hospital Information Systems / Q000458:organization & administration*; D017146:Models, Organizational; D009885:Ophthalmology / Q000458:organization & administration*; D010355:Patient Identification Systems; D017064:Process Assessment, Health Care / Q000458:organization & administration; D012017:Referral and Consultation / Q000458:organization & administration; D012984:Software; D014584:User-Computer Interface; D014850:Waiting Lists; D057188:Workflow
keywords: Digitalization; Eye hospital; Process management; Software; Waiting times