Using quality improvement methodology to improve clinic flow at a pediatric outpatient clinic
Thesis (M.A.) === Boston Medical Center’s pediatric outpatient clinic has resident clinic flow problems that negatively affect its patient care level. Due to system backup, in August 2012, resident patients spent an average of 71 minutes in the clinic for a scheduled 20-minute appointment. This stud...
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| Online Access: | https://hdl.handle.net/2144/21238 |
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ndltd-bu.edu-oai-open.bu.edu-2144-212382019-03-26T06:42:25Z Using quality improvement methodology to improve clinic flow at a pediatric outpatient clinic Plimpton, Nicholas Morrill Medicine Clinic flow Quality improvement methodology Thesis (M.A.) Boston Medical Center’s pediatric outpatient clinic has resident clinic flow problems that negatively affect its patient care level. Due to system backup, in August 2012, resident patients spent an average of 71 minutes in the clinic for a scheduled 20-minute appointment. This study used quality improvement methodology (QI) to investigate potential solutions to the clinic flow problems. Our aim was, by May 2013 decrease the average patient time-in-clinic for resident vaccination patients between 2 and 30 months of age by 20%. Using Plan-Do-Study-Act (PDSA) cycles within QI, the research team implemented three interventions between August 2012 and May 2013 that focused on improving communication between members of the clinic medical team. Throughout the year, the research team measured the time-in-clinic for the patient population, plotted the data with run charts, and determined if the interventions resulted in a corresponding decrease in time. By May 2013, the interventions resulted in an average decrease in time across all resident classes. First years showed a 4.5% decrease. Second years showed a 5.7% decrease. Third years showed a 20% decrease. While these decreases are significant, due to time limitations, we could not determine if the interventions resulted in a lasting improvement to clinic flow. 2031-01-01 2017-04-13T01:55:51Z 2012 2012 Thesis/Dissertation https://hdl.handle.net/2144/21238 en_US This work is being made available in OpenBU by permission of its author, and is available for research purposes only. All rights are reserved to the author. Boston University |
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en_US |
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Medicine Clinic flow Quality improvement methodology |
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Medicine Clinic flow Quality improvement methodology Plimpton, Nicholas Morrill Using quality improvement methodology to improve clinic flow at a pediatric outpatient clinic |
| description |
Thesis (M.A.) === Boston Medical Center’s pediatric outpatient clinic has resident clinic flow problems that negatively affect its patient care level. Due to system backup, in August 2012, resident patients spent an average of 71 minutes in the clinic for a scheduled 20-minute appointment. This study used quality improvement methodology (QI) to investigate potential solutions to the clinic flow problems. Our aim was, by May 2013 decrease the average patient time-in-clinic for resident vaccination patients between 2 and 30 months of age by 20%. Using Plan-Do-Study-Act (PDSA) cycles within QI, the research team implemented three interventions between August 2012 and May 2013 that focused on improving communication between members of the clinic medical team. Throughout the year, the research team measured the time-in-clinic for the patient population, plotted the data with run charts, and determined if the interventions resulted in a corresponding decrease in time. By May 2013, the interventions resulted in an average decrease in time across all resident classes. First years showed a 4.5% decrease. Second years showed a 5.7% decrease. Third years showed a 20% decrease. While these decreases are significant, due to time limitations, we could not determine if the interventions resulted in a lasting improvement to clinic flow. === 2031-01-01 |
| author |
Plimpton, Nicholas Morrill |
| author_facet |
Plimpton, Nicholas Morrill |
| author_sort |
Plimpton, Nicholas Morrill |
| title |
Using quality improvement methodology to improve clinic flow at a pediatric outpatient clinic |
| title_short |
Using quality improvement methodology to improve clinic flow at a pediatric outpatient clinic |
| title_full |
Using quality improvement methodology to improve clinic flow at a pediatric outpatient clinic |
| title_fullStr |
Using quality improvement methodology to improve clinic flow at a pediatric outpatient clinic |
| title_full_unstemmed |
Using quality improvement methodology to improve clinic flow at a pediatric outpatient clinic |
| title_sort |
using quality improvement methodology to improve clinic flow at a pediatric outpatient clinic |
| publisher |
Boston University |
| publishDate |
2017 |
| url |
https://hdl.handle.net/2144/21238 |
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AT plimptonnicholasmorrill usingqualityimprovementmethodologytoimproveclinicflowatapediatricoutpatientclinic |
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1719006829871104000 |