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Related Concept Videos

Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
Nursing Assessment of the Genitourinary System I: Health History01:21

Nursing Assessment of the Genitourinary System I: Health History

The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...

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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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Published on: November 22, 2019

A method to improve patient access in urological practice.

Brent W Snow1, Patrick C Cartwright, Scott Everitt

  • 1Department of Pediatric Urology, Primary Children's Medical Center, Salt Lake City, Utah, USA.

The Journal of Urology
|June 19, 2009
PubMed
Summary

Improving surgical practice patient access involves a novel scheduling strategy. This method significantly reduced new patient appointment wait times, enhancing overall clinic accessibility.

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Area of Science:

  • Healthcare Management
  • Surgical Practice Operations
  • Patient Access Improvement

Background:

  • Traditional patient access improvement studies often focus on primary care or managed systems.
  • Surgical practices present unique challenges including referrals, imaging needs, and procedure scheduling.
  • Enhancing new patient access in surgical settings requires tailored approaches.

Purpose of the Study:

  • To determine if a new scheduling system can improve new patient access in a surgical practice.
  • To reduce new patient appointment wait times to a goal of 5 working days.
  • To assess the durability of implemented changes in patient access.

Main Methods:

  • Implemented a 12-week transition to a new scheduling approach.
  • Reserved 10% of appointments weekly, up to 50%, for new patients.
  • Made reserved slots available only 1 week prior to the appointment date.

Main Results:

  • Significantly reduced new patient appointment delay times.
  • Observed durable improvements in access sustained for 2 years.
  • Found no significant change in the patient no-show rate.

Conclusions:

  • A surgical office can successfully improve clinic consultation access with this scheduling system.
  • The implemented strategy effectively addresses long new patient wait times.
  • This approach offers a practical solution for enhancing patient access in surgical care settings.