1Abdelaziz Ahmad Alshbeiti, 1Rahil Hussein Kassamali, 1Judith Del Pilar Herrera, 1Ronald Gumapac Cueto, 1Saad Ur Rehman, 1Jijo Koshy, 1Aldrin Cruz Avinante
1Hamad General Hospital, Doha, Qatar
In a high flow, tertiary centre capacity in the interventional radiology (IR) department is of the highest importance. We set out to reduce time wastage by ensuring that a procedure is commenced within 30 minutes of the patient entering the interventional radiology room. Our target was that 90% of patients achieve this.
Materials and Methods:
In consultation with the IR team, a process map was developed with specific time targets for each step from the patient entering the room to the start of the procedure. In addition, a data collection tool was created. Data were initially collected for the first 50 patients for each step of the process. At this stage, patterns were identified and the team was re-educated on the process map. Data was then collected for 800 patients over a period of 9 months.
The data from the initial 50 patients identified that we met this target in 48% of cases. Delays related to doctors, nurses, technologists, anesthesiologists, and patients were identified. Systems were developed to overcome these. The most common cause of delay was communication. Data was collected over a further 9 months. Of the most recent 50 patients, 83% met our target which is a significant improvement.
By creating a process map and identifying specific times for each step in the lead-up to starting a procedure can significantly reduce time wastage and as a by-product increase capacity within a busy IR procedure room. Regular auditing with a data collection tool should be implemented in high volume IR departments.