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Identifying the timing and duration of collecting patient priorities in an orthopedic clinic
Author(s) -
Jurewicz Katherina A.,
Hobbs Mary A.,
Neyens David M.,
Childers Ashley K.,
Cozad Melanie J.,
Brooks John M.
Publication year - 2019
Publication title -
human factors and ergonomics in manufacturing and service industries
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.408
H-Index - 39
eISSN - 1520-6564
pISSN - 1090-8471
DOI - 10.1002/hfm.20775
Subject(s) - duration (music) , orthopedic surgery , process (computing) , medicine , patient care , patient data , clinical practice , medical emergency , medical physics , physical therapy , computer science , nursing , surgery , art , literature , database , operating system
The patient‐centered care model supports patients actively engaging in their care. Typically this involves collecting patient‐reported outcomes and priorities that may not be part of the routine practice. There is a research gap related to whether there is time available within the routine orthopedic medical practice to collect patient‐centered data for immediate use without delaying the overall clinical processes or influencing patient clinical experiences. A time study was conducted to quantify the current patient processes at an orthopedic clinic, and a statistical simulation model was used to evaluate potential changes in patients’ clinical process if a patient‐centered survey were to be implemented. The proportion of simulated patients who would experience delays due to the survey, the durations of their delays, and the average duration of the patient process delay were recorded at each step in the clinical process. The results are presented in terms of the relationship between the time devoted to collecting data and the impact on the patient experience for various survey durations at various process points. This study demonstrates an approach to evaluate how introducing a patient priorities survey (for collecting both patient‐reported outcomes and priorities), which could be used in the same patient visit, might impact the clinical process and introduce process delays.