Optimizing Access to Same-Day Breast Biopsy: Factors Associated With Same-Day Procedure Scheduling After Program...

Area of Science:

• Medical Quality Improvement
• Breast Imaging Logistics
• Healthcare Access Optimization

Background:

• Implementing standardized programs for same-day procedures aims to improve patient care efficiency.
• Understanding factors influencing same-day procedure offers is crucial for optimizing healthcare delivery.

Purpose of the Study:

• To identify patient and diagnostic factors associated with offering same-day breast procedures.
• To evaluate the effectiveness of a standardized same-day procedure program.

Main Methods:

• Quality improvement study analyzing data from 315 patients undergoing breast procedures.
• Utilized nominal logistic modeling to assess associations between patient/diagnostic characteristics and same-day procedure logistics.
• Recorded patient demographics, examination details, and 'add-on' procedure occurrences.

Main Results:

• 53% of patients were offered a same-day biopsy; 11% received 'add-on' procedures.
• Morning recommendation times and ultrasound-guided biopsies were linked to higher same-day offer rates.
• Ultrasound-guided aspirations, fluid collections, and BI-RADS 5 findings increased likelihood of 'add-on' procedures.

Conclusions:

• Earlier scheduling of diagnostic workups, particularly in the morning, is recommended for institutions offering same-day services.
• Prioritizing patients with highly suspicious lesions, abscesses, seromas, or psychosocial factors can further enhance same-day care access.
• Optimizing scheduling logistics can reduce delays and improve timely patient management.