1 / 13

OUTPATIENT BLUES

OUTPATIENT BLUES. Antoine van Gelder Pretoria Academic Hospital TOC Upgrade Workshop August 1991. Undesired Effects. Staff dissatisfaction: Nurses Doctors Long patient waiting time (12+ weeks) Patient dissatisfaction High level of “no shows” (up to 25%) Overcrowded waiting areas

elton
Download Presentation

OUTPATIENT BLUES

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. OUTPATIENT BLUES Antoine van Gelder Pretoria Academic Hospital TOC Upgrade Workshop August 1991

  2. Undesired Effects Staff dissatisfaction: • Nurses • Doctors Long patient waiting time (12+ weeks) Patient dissatisfaction High level of “no shows” (up to 25%) Overcrowded waiting areas Records often unavailable

  3. Undesired Effects Doctors’ complaints: • Wasting time (no shows) • Too many patients per session • Records usually not available • Nurse in charge “uncooperative” Nurses’ complaints: • Doctors arrive late & leave early • Many no shows • Records slow in reaching clinic

  4. Undesired Effects Patients’ complaints: • Doctors often late • Impatient doctors and nurses • Short consultation time • Long wait to see doctor • Overcrowding in waiting area

  5. Current Reality Tree (CRT)

  6. CRT

  7. CRT

  8. CRT

  9. Evaporating Cloud

  10. Actions • Institute appointments for clinic • Inform staff of appointment system • Obtain telephone numbers of patients • Maintain a waiting list (Buffer) (nurse in charge) • 1 week check by telephone • fill vacancies by telephone

  11. Results • Average waiting time decreased from 12 weeks to 4 weeks • Clinic time and space utilization increased from 60% to 90% • Patient complaints changed to long waiting time for medicines

  12. Results • Doctors complaints about nurses stopped • Nurses complaints about doctors stopped • Records still not available in clinic

More Related