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Related Experiment Video

Updated: Jun 24, 2026

Movement Retraining using Real-time Feedback of Performance
08:16

Movement Retraining using Real-time Feedback of Performance

Published on: January 17, 2013

Time in motion--testing efficiency in the dermatology procedure setting.

Jonathan Fisher1, Helen Lotery, Catriona Henderson

  • 1Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom. jonathan.fisher@nhs.net

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|March 19, 2009
PubMed
Summary
This summary is machine-generated.

Consultant-led dermatology surgical lists are most efficient. Day surgery for dermatology patients is less efficient and cost-effective, with paperwork and communication causing delays. Improving efficiency requires objective practice appraisal.

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Area of Science:

  • Dermatology
  • Healthcare Management
  • Surgical Services

Background:

  • Time-in-motion studies are established methods for assessing efficiency and identifying delays in complex work environments.
  • This study applied time-in-motion analysis to dermatological surgical services within a university hospital's dermatology department.

Purpose of the Study:

  • To pinpoint inefficiencies in dermatological surgical service delivery.
  • To propose recommendations for enhancing the efficiency of these services.

Main Methods:

  • Observation of three distinct dermatology surgical session types: consultant-led, nurse-led, and day-surgery lists.
  • Systematic recording of staff activities every two minutes during observed sessions.
  • Data compilation and analysis using Microsoft Excel.

Main Results:

  • Dermatology day-surgery treatment was found to be less efficient and cost-effective compared to other settings.
  • Consultant-led procedure lists demonstrated the highest efficiency.
  • Nurse-led sessions, while less expensive, were also less efficient than consultant-led lists.
  • Significant non-operating time was attributed to paperwork and general communication.

Conclusions:

  • Consultant-led procedure lists represent the most efficient model for dermatological procedures.
  • Paperwork and generic communication are key contributors to service delays.
  • The study advocates for comprehensive, objective practice appraisal over narrowly focused, target-driven approaches to efficiency improvement.