Academic Journal

An audit of the appointment booking system and patient waiting time in an ultrasound unit in Nigeria: A need to eliminate congestion in our public hospitals

التفاصيل البيبلوغرافية
العنوان: An audit of the appointment booking system and patient waiting time in an ultrasound unit in Nigeria: A need to eliminate congestion in our public hospitals
المؤلفون: Akintunde O Akintomide, Ofonime N Ukweh, Samuel A Efanga
المصدر: Journal of Family Medicine and Primary Care, Vol 8, Iss 6, Pp 2055-2060 (2019)
بيانات النشر: Wolters Kluwer Medknow Publications, 2019.
سنة النشر: 2019
المجموعة: LCC:Medicine
مصطلحات موضوعية: Appointment booking, clinic congestion, patient waiting time, point-of-care ultrasound, ultrasound unit, Medicine
الوصف: Background: Congestion of patient waiting areas at commencement of work is the usual scenario in Nigeria's public hospitals. This strains the personnel and facilities. Patients are dissatisfied and lose faith in the system. This study aims to audit the booking system, patient waiting time, and causes of congestion in an ultrasound unit. Materials and Methods: This is a prospective, descriptive study involving 350 patients referred from general outpatient and specialist clinics to the ultrasound unit, twice weekly for 6 weeks. Patients were grouped into two: those with scheduled appointments and the unbooked. The time of scheduled appointment and arrival in the unit and the time of commencement and conclusion of the examination were recorded. Results: Three hundred and eighteen patients had scheduled appointments, while 32 were unbooked. Half of the later were emergencies and the other half were walk-ins. There was no consistency in number of slots and block size. Large blocks of over 20 patients were observed on 33.3% of the days and 51.26% of the patients were given 8:00 am appointments. The average patient waiting time is 132.11 minutes but range from 62 to 220 minutes daily. The radiologists resumed work between 8:17 and 9:29 am each scan day. The average waiting time is shorter for patients who arrived after 11:00 am. Conclusion: Ineffective booking of appointments and Sonologist's tardiness are major predisposition to congestion. Appointments in small blocks at 30 minutes intervals will eliminate congestion, reduce patient waiting time, and improve satisfaction. Point-of-care ultrasound should be introduced in outpatient clinics.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2249-4863
Relation: http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=6;spage=2055;epage=2060;aulast=Akintomide; https://doaj.org/toc/2249-4863
DOI: 10.4103/jfmpc.jfmpc_235_19
URL الوصول: https://doaj.org/article/f44559932a5247da93865edd591aa7e9
رقم الانضمام: edsdoj.f44559932a5247da93865edd591aa7e9
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:22494863
DOI:10.4103/jfmpc.jfmpc_235_19