Table 1.
Examples of differences and similarities in eight Dutch hospitals on colorectal organization
| Hospital number | Flowchart for rectum | Flowchart for colon | Operational focus on medical content, operational content or both | Operational focus: mean number of patient visits (mean overall: 6,72) | AWC: Multidisciplinary outpatient clinic | AWC: use of dedicated sessions | Physical layout: safety, cleanness and order (RPA) | Physical layout: visual management system (RPA) | Team: number of staff involved with diagnosis | Pull: one stop shop for diagnosis | Non-value adding activities |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | yes | Yes | both | 7.5 | no | yes | 3 | 5 | 4 | no | yes, prbERAS |
| 2 | no | Yes | medical | 5.6 | no | no | 4 | 3 | 4 | no | yes |
| 3 | yes | Yes | operational | 6.7 | no | yes | 3 | 2 | 2 | yes | yes, prbERAS |
| 4 | yes | Yes | medical | 5.2 | no | yes | 4 | 3 | 8 | yes | yes |
| 5 | yes | Yes | medical | 7.6 | no | yes | 3 | 3 | 3 | no | yes |
| 6 | yes | No | both | 6. | yes | no | 4 | 3 | 4 | no | yes, prbERAS |
| 7 | no | No | both | 5.9 | no | no | 4 | 4 | 5 | no | no |
| 8 | yes | Yes | both | mv | no | no | 4 | 2 | 9 | yes | yes |
mv = missing value. AWC = Autonomous Work Cells, prbERAS = protocol based on ERAS.RPA = Rapid Plant Assessment.Rating RPA colums physical layout: 1 = not, 2 = low, 3 = average, 4 = often, 5 = always.