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Changes to a pediatric sleep disordered breathing clinic improve wait-times and clinic efficiency

Amanda Lau1, Chris Ewing1,2, Juanita Gnanapragasam1

  • 1University of Alberta, Edmonton, Alberta, Canada.

Pediatric Pulmonology
|May 3, 2016
PubMed

Insights

A rapid sleep disordered breathing (SDB) clinic significantly reduced wait times for pediatric patients. This streamlined approach improved efficiency and decreased the need for follow-up visits.

Area of Science:

  • Pediatric Respiratory Medicine
  • Sleep Medicine
  • Healthcare Management

Background:

  • Increased referrals for pediatric sleep disordered breathing (SDB) have led to longer wait times in respiratory medicine.
  • The health implications of SDB necessitate efficient diagnostic and treatment pathways.

Purpose of the Study:

  • To reduce wait times for pediatric patients with presumed sleep disordered breathing (SDB).
  • To improve patient consult capacity and streamline the diagnostic process for uncomplicated SDB cases.

Main Methods:

  • Development of a rapid SDB clinic (RSC) utilizing parent-report questionnaires and pre-clinic sleep testing.
  • Comparison of electronic-questionnaire-based RSC with paper-questionnaire RSC and standard sleep clinics (SSC).

Main Results:

  • The rapid SDB clinic (RSC) increased patient consult capacity by 100%.
  • Electronic-questionnaire RSC reduced wait times by 34% compared to paper-based RSC.
  • RSC patients were 75% less likely to require a follow-up visit than SSC patients.

Conclusions:

  • A targeted, streamlined clinic using electronic questionnaires can effectively reduce wait times for pediatric SDB evaluations.
  • This model improves efficiency in pediatric respiratory medicine for uncomplicated SDB cases.
Abstract

Keywords:
quality improvementsleep medicine

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