The Effectiveness of Service Delivery Initiatives at Improving Patients' Waiting Times in Clinical Radiology Departments: A Systematic Review.
We reviewed the literature for the impact of service delivery initiatives (SDIs) on patients' waiting times within radiology departments. We searched MEDLINE, EMBASE, CINAHL, INSPEC and The Cochrane Library for relevant articles published between 1995 and February, 2013. The Cochrane EPOC risk of bi...
| Publicado en: | Journal of Digital Imaging Vol. 27; no. 6; pp. 751 - 779 |
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| Autores principales: | , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103912424&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103912424 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08971889 DOQ jtl: Journal of Digital Imaging issn: 08971889 maglogo: N pubinfo: dt: Dec2014 vid: 27 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 103912424 99255682 10.1007/s10278-014-9706-z NLM24888629 103912424 ppf: 751 ppct: 28 formats: fmt: @attributes: type: P tig: atl: The Effectiveness of Service Delivery Initiatives at Improving Patients' Waiting Times in Clinical Radiology Departments: A Systematic Review. aug: au: Olisemeke, B. Chen, Y. Hemming, K. Girling, A. affil: School of Health and Population Sciences, University of Birmingham, Birmingham UK sug: subj: Radiology Service Administration Patient Satisfaction Time Factors Appointments and Schedules Professional Practice, Evidence-Based Medline Embase CINAHL Database Cochrane Library Quality Management, Organizational Picture Archiving and Communication Systems Radiology Information Systems Teleradiology Contract Services Electronic Order Entry Systematic Review Human ab: We reviewed the literature for the impact of service delivery initiatives (SDIs) on patients' waiting times within radiology departments. We searched MEDLINE, EMBASE, CINAHL, INSPEC and The Cochrane Library for relevant articles published between 1995 and February, 2013. The Cochrane EPOC risk of bias tool was used to assess the risk of bias on studies that met specified design criteria. Fifty-seven studies met the inclusion criteria. The types of SDI implemented included extended scope practice (ESP, three studies), quality management (12 studies), productivity-enhancing technologies (PETs, 29 studies), multiple interventions (11 studies), outsourcing and pay-for-performance (one study each). The uncontrolled pre- and post-intervention and the post-intervention designs were used in 54 (95 %) of the studies. The reporting quality was poor: many of the studies did not test and/or report the statistical significance of their results. The studies were highly heterogeneous, therefore meta-analysis was inappropriate. The following type of SDIs showed promising results: extended scope practice; quality management methodologies including Six Sigma, Lean methodology, and continuous quality improvement; productivity-enhancing technologies including speech recognition reporting, teleradiology and computerised physician order entry systems. We have suggested improved study design and the mapping of the definitions of patient waiting times in radiology to generic timelines as a starting point for moving towards a situation where it becomes less restrictive to compare and/or pool the results of future studies in a meta-analysis. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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