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Children 2015, 2(1), 89-97; doi:10.3390/children2010089

Impact of Pre-Procedure Interventions on No-Show Rate in Pediatric Endoscopy

1
Section of Gastroenterology, Hepatology, and Nutrition, St. Christopher's Hospital for Children, Nelson Pavilion 3635 North Front Street, Philadelphia, PA 19134, USA
2
Department of Pediatrics, Drexel University College of Medicine, 2900 West Queen Lane, Philadelphia, PA 19129, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Sari Acra
Received: 30 January 2015 / Revised: 10 March 2015 / Accepted: 11 March 2015 / Published: 17 March 2015
(This article belongs to the Collection Controversies in Pediatric Digestive Diseases)
View Full-Text   |   Download PDF [253 KB, uploaded 17 March 2015]   |  

Abstract

Pediatric endoscopy has evolved into an indispensable tool in the diagnosis and management of gastrointestinal diseases in children. However, there is limited literature focusing on quality improvement initiatives in pediatric endoscopy. The primary goal of this project was to reduce the no-show rate in the pediatric endoscopy unit. Also, we aimed to improve patient and family satisfaction with the procedure by identifying opportunities for improvement. A checklist was designed based on the potential causes of no-show. The endoscopy nurse coordinator reviewed the checklist when scheduling the procedure to identify patients at high risk for non-compliance. Once a risk factor was identified, appropriate actions were taken. She also made a pre-procedure phone call as a reminder and to address any of these risks for non-compliance if present. A patient satisfaction survey was used to identify potential areas for improvement. The no-show rate decreased from an average of 7% in the pre-intervention phase to 2% in the post-intervention phase (p = 0.009). 91% of the patients/family recorded an overall satisfaction of 4 or 5 on a scale of 1–5 5 being best). Quality improvement strategies decreased the no-show rate in the pediatric endoscopy unit. A patient satisfaction survey helped in identifying areas for improvement. View Full-Text
Keywords: endoscopy; pediatrics; quality improvement endoscopy; pediatrics; quality improvement
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Mani, J.; Franklin, L.; Pall, H. Impact of Pre-Procedure Interventions on No-Show Rate in Pediatric Endoscopy. Children 2015, 2, 89-97.

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