| Autor: |
Gui, Gerald P. H., Allum, William H., Perry, Nicholas M., Wells, Clive A., Curling, O. Marigold, McLean, Alison, Oommen, Rachel, Sullivan, Margaret, Denton, Sylvia, Carpenter, Robert |
| Předmět: |
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| Zdroj: |
Journal of the Royal Society of Medicine; Jun1995, Vol. 88 Issue 6, p330-333, 4p, 1 Diagram, 2 Charts |
| Abstrakt: |
The efficient delivery of health care requires vigilant quality assurance. We describe the audit of our symptomatic breast clinic, which includes the option of a one-stop diagnostic service. A total of 134 new and 386 follow-up patients attended over four consecutive clinics. The majority of new referrals (68%) were seen by a consultant surgeon. Urgent referrals were seen significantly sooner than routine referrals (P<0.001, χ²-test), and the mean wait from designated appointment to seeing the surgeon was 37.6 (range -68 to 171) min. One-stop investigations were offered to 50 patients; of these, 36 women (72%) had a total wait of less than 2 h. For those not investigated at the same clinic, the mean time until investigations was 6.1 (range 0-36) days and mean recall was 2.7 (range 1-8) weeks. Patients undergoing definitive surgery for cancer (n=5) were operated on average 14.2 (range 7-27) days after the decision was made in outpatients, while the mean waiting time for non-cancer operations was 49.7 (range 15-98) days. Objective audit on outpatient services is possible and can lead to improvement of services. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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