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J R Soc Med 2002;95:604-605
doi:10.1258/jrsm.95.12.604
© 2002 Royal Society of Medicine

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J R Soc Med 2002;95:604-605
© 2002 The Royal Society of Medicine

Outpatient clinic: where is the delay?

H R H Patel PhD MRCS   C N Luxman T S Bailey J D M Brunning D Zemmel L K Morrell MSc RGN   M S Nathan MS FRCS(Urol)     R A Miller MS FRCS  

Department of Urology and Minimal Access Surgery, Whittington Hospital NHS Trust, Highgate Hill, London N19 5NF, UK

Correspondence to: Mr H R H Patel E-mail: hrhpatel{at}hotmail.com

In outpatient clinics, consultation times are often eroded by extraneous activities. We measured the components of each outpatient episode in 167 patients attending a general urology follow-up clinic. 41% of time in the clinic was spent away from the patient—administration 17%, disturbances 15%, finding results 9%. The inefficiencies had changed little since a study in the same setting thirteen years earlier. Since then, parallel nurse-practitioner-run clinics have been introduced in the hope of giving consultants longer with the patient; however, time with each patient is now 4.8 min compared with a previous 7.6 min. The most easily addressed inefficiencies are those relating to missing information, such as radiology reports.


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