Table 1.
Distribution of Medical Service Delays
| Medical Delays Breakdown | ||||||
|---|---|---|---|---|---|---|
| Consults | Interpretation | Procedure | Test | Miscellaneous | Totals | |
| Surgery | Neurosurgery (3) | CT surgery (1) | Ortho surgery (9) | 34 | ||
| GI surgery (2) | Vasc surgery (7) | |||||
| Ortho surgery (1) | Gen surgery (6) | |||||
| CT surgery (3) | ||||||
| GI surgery (2) | ||||||
| Radiology | MRI (2) MRA (1) | PICC (8) | Dopplers (6) | 29 | ||
| I131 Ablation (4) | MRI (3) | |||||
| Thoracentesis (1) | MRCP (1) RUQ U/S (1) | |||||
| Peritoneal catheter (1) | C-spine films (1) | |||||
| Cardiology | Stress test (1) | Cath (6) TEE (2) | Stress test | 24 | ||
| (9) Stress echo (5) | ||||||
| Echocardiogram (1) | ||||||
| GI | ERCP (8) | Dysmotilty study (1) | 16 | |||
| EGD (3) | ||||||
| Enteroscopy (2) | ||||||
| FEES (2) | ||||||
| Miscellaneous | Pulmonary (3) | Pathology (6) [Duod bx, 2; BM bx, 1; other, 3] | Renal (3) [Dialysis] | Pharmacy (2) [late BP meds] | Pulmonary (7) | |
| Psychiatry (2) | Lab result (2) | Pulm (4) [Bronch] | Blood bank (1) [late transfusion] | Pathology (6) | ||
| Transplant (2) | Electrolytes Blood culture | ENT (1) | Nursing (2) [24-hr calorie count, 1; | Renal (3) | ||
| Neurology (1) Heme/Onc (1) | Ophthalmology (1) | Start tube feeds, 1] Unspecified (1) | Psychiatry (2) | |||
| Transplant (2) | ||||||
| Lab (2) | ||||||
| Pharmacy (2) | ||||||
| Nursing (2) | ||||||
| Heme/Onc (1) | ||||||
| Neurology (1) | ||||||
| ENT (1) | ||||||
| Ophthalmology (1) | ||||||
| Blood bank (1) | ||||||
| Unspecified (1) | ||||||
| Totals | 15 | 13 | 73 | 28 | 6 | 135 |
Each number refers to the quantity of unnecessary patient-days that were judged to be attributable to that delay.
ENT, ear, nose & throat; Heme/Onc, hematology/oncology; Pulm, pulmonary; Ortho surgery, orthopedic surgery; GI surgery, gastroenterological surgery; Vasc surgery, vascular surgery; CT surgery, cardiothoracic surgery; Gen surgery, general surgery.
FEES, fiberoptic enteroscopic study; EGC, esophagogastroduodenoscopy; ERCP, endoscopic retrograde cholangiopancreatography; MRCP, magnetic resonance cholangiopancreatogram; MRI, magnetic resonance; MRA, magnetic resonance angiogram; RUQ U/S, right upper quadrant ultrasound; C-spine, cervical spine; PICC, parenteral IV catheter; Stress Echo, stress echocardiogram; Perit cathether, peritoneal catheter; I131 ablation, iodine 131 ablation.
BM Bx, bone marrow biopsy; Duod Bx, duodenal biopsy; U/S Interp, ultrasound interpretation; Cath, cardiac catheterization.
BP, blood pressure.