Abstract：
BACKGROUND:Increased demand for screening colonoscopy necessitates improved efficiency in endoscopy units, especially more efficient use of existing resources. The purpose of this study was to assess the efficiency of the endoscopy unit of a large tertiary care teaching hospital. OBJECTIVE:To assess the efficiency of the endoscopy unit in a large tertiary care teaching hospital. DESIGN:Prospective study from May 16 to September 5, 2003. SETTING:Endoscopy unit of a 650-bed acute care teaching hospital. PATIENTS:Inpatient and outpatient procedures. MAIN OUTCOME MEASUREMENTS:Time elapsed between endoscopic procedures; the duration of the procedures; procedure delays (>15 minutes between procedures) and the reasons for them. RESULTS:The research assistant observed 675 endoscopic procedures done for 625 patients (207 inpatients [33%]). The most common procedure was colonoscopy (42.1%), followed by EGD (36.0%). Overall, procedures for 193 (30.9%) of the 625 patients were delayed (>15 minutes between procedures), 70.5% (136/193) because the physician was not available to start the procedure. The time elapsed between procedures was longer than 30 minutes for 47 of the 193 delayed procedures (24.4%). The duration of procedures was prolonged for about 22% (130/593) of procedures. CONCLUSIONS:Physician unavailability contributed to considerable delays in endoscopic procedures. Strategies to reduce procedure delays could have a favorable impact on the volume of procedures performed in the unit, thereby improving the use of existing resources. We encourage other groups to assess the efficiency of their hospital-based endoscopy units.
journal_name
Gastrointest Endoscjournal_title
Gastrointestinal endoscopyauthors
Yong E,Zenkova O,Saibil F,Cohen LB,Rhodes K,Rabeneck Ldoi
10.1016/j.gie.2006.02.047subject
Has Abstractpub_date
2006-11-01 00:00:00pages
760-4issue
5eissn
0016-5107issn
1097-6779pii
S0016-5107(06)00440-8journal_volume
64pub_type
杂志文章abstract：BACKGROUND:Limited information is available regarding the use of EUS-guided fine-needle aspiration (EUS-FNA) in the diagnosis of lymphoproliferative disorders. The aim of this study was to evaluate the yield of this technique in the primary diagnosis of lymphoma. METHODS:The records were reviewed of 38 consecutive pat...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1067/mge.2001.112841
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journal_title：Gastrointestinal endoscopy
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journal_title：Gastrointestinal endoscopy
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doi：10.1067/mge.2000.106310
更新日期：2000-06-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 临床试验,杂志文章
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更新日期：2007-11-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2009.03.001
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2007.06.022
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journal_title：Gastrointestinal endoscopy
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更新日期：1995-12-01 00:00:00
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更新日期：1989-09-01 00:00:00
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更新日期：2010-08-01 00:00:00
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journal_title：Gastrointestinal endoscopy
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更新日期：2019-02-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期：2003-05-01 00:00:00
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pub_type： 杂志文章,meta分析,评审
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更新日期：2015-04-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章,多中心研究
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更新日期：2013-03-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期：2000-01-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
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更新日期：1993-01-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章,随机对照试验
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更新日期：2019-07-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 临床试验,杂志文章
doi：10.1067/mge.2003.310
更新日期：2003-07-01 00:00:00
abstract：BACKGROUND:A benign gastroesophageal anastomotic stricture occurs in up to 42% of patients after transhiatal esophagectomy for esophageal cancer. Management of anastomotic strictures may require extended periods of serial endoscopic dilation, with significant risk, cost, and inconvenience for the patient. OBJECTIVE:To...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2007.10.047
更新日期：2008-03-01 00:00:00
