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E2176. Improving on Start Time for Angigraphy/Interventional Radiology Cases
Authors
  1. Olive Delizo; Loma Linda VA Healthcare System
  2. Jedediah Dixon; Loma Linda VA Healthcare System
  3. Christine Arredondo; Loma Linda VA Healthcare System
  4. Mark Nashed; Loma Linda VA Healthcare System
  5. Thu Tang; Loma Linda VA Healthcare System
  6. Bradley Smith; Loma Linda VA Healthcare System
  7. Alex Yi; Loma Linda University Medical Center; Loma Linda VA Healthcare System
Objective:
Purpose: To improve Outpatient Interventional Radiology On-Time Starts by identifying reasons/barriers leading to delay and to implement solutions to achieve timely delivery of care.

Materials and Methods:
Data of patient arrival times were generated from Pre/Post procedure care location and IR. A log sheet was used to record first case arrivals times in the two IR suites. Delays in arrival times to IR and reasons for the delay were identified and interventions were employed to decrease delay times. Repeat interventions and continued monitoring of IR start times were key to improvement of IR first case start times. Quarter 1 of 2019 (July, August, September) was used as the baseline data. Duration of improvement initiative was 10 months.

Results:
On-time first case IR start time was determined as 0830 am. Baseline data from Quarter 1 2019 revealed that 59% of IR cases started on time. After the interventions, Quarter 2 IR first case start time remained unchanged at 59%. Quarter 3 IR first case start time improved to 65%. Quarter 4 IR first case start time improved to 72%. Reasons for delays were patient late arrivals to Pre/Post procedure care location and delay in laboratory results, which were addressed through interventions.

Conclusion:
The aim for this quality improvement initiative is to achieve prompt attention to patients undergoing procedures in the interventional radiology department. Interventional Radiology examined and sought to improve its own processes so as to achieve on-time start of the first scheduled patient, which would subsequently lead to timely delivery of care to the remaining scheduled patients throughout the day.