Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Mar 9:10:23333928231159808.
doi: 10.1177/23333928231159808. eCollection 2023 Jan-Dec.

Time and Motion at the Endoscopy Unit-A University Hospital Experience

Simon Söderberg  1 , Nils Nyhlin  1 , Axelina Moro  1 , Christina Figaro  1 , Emelie Fransson  1 , Jennie Stefansdotter  1 , Malin Schagerström  1 , Maria Lindblad  1 , Martin Ahlzén  1 , Olga Zukovets  1 , Sofia Borell  1 , Viktoria Johansson  1 , Marianne Axman  1 , Anette Wendt  1 , Hanna Falck  1 , Michiel A van Nieuwenhoven  1
Affiliations

Time and Motion at the Endoscopy Unit-A University Hospital Experience

Simon Söderberg et al. Health Serv Res Manag Epidemiol. .

Abstract

Background/aims: An effective workflow at the endoscopy unit is important for optimal production. We conducted a time-and-motion study to identify the amount of time that patients spend during the different steps of a regular endoscopy procedure and compared propofol with midazolam sedation.

Methods: Data from 376 patients were prospectively collected. Durations of the different procedure steps were measured. Correlations between recovery times, age, and dose of sedative were calculated. Multiple regression analysis was performed to evaluate how various factors affect recovery time.

Results: The use of midazolam resulted in significantly shorter procedure duration for gastroscopy (5.1 vs 8.3 min), shorter endoscopist delay duration for either types of endoscopy (5.9 vs 8.3 min for gastroscopy and 6.7 vs 11.4 min for colonoscopy), shorter endoscopy room duration for gastroscopy (22.2 vs 30.0 min), shorter recovery time for colonoscopy (23.4 vs 27.4 min) and shorter Endoscopy Unit Duration for either type of endoscopy (77.1 vs 101.4 min for gastroscopy and 99.6 vs 123.2 min for colonoscopy). There was a weak correlation between dose of midazolam and recovery time.

Conclusions: In contrast to other studies, propofol administration leads to more time spent at different steps in the workflow at our unit. Implementing propofol sedation will not improve efficacy if other steps in the workflow are not taken into account.

Keywords: efficiency; endoscopy; gastroenterology; impact evaluation; mixed methods; practice management.

PubMed Disclaimer

Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

References

    1. Thompson R, Seck V, Riordan S, Wong S. Comparison of the effects of midazolam/fentanyl, midazolam/propofol, and midazolam/fentanyl/propofol on cognitive function after gastrointestinal endoscopy. Surg Laparosc Endosc Percutan Tech. 2019;29(6):441-446. - PubMed
    1. das Neves JFNP, das Neves Araújo MMP, de Paiva Araújo F, et al. Colonoscopy sedation: clinical trial comparing propofol and fentanyl with or without midazolam. Braz J Anesthesiol. 2016;66(3):231-236. - PubMed
    1. Gupta A, Stierer T, Zuckerman R, Sakima N, Parker SD, Fleisher LA. Comparison of recovery profile after ambulatory anesthesia with propofol, isoflurane, sevoflurane and desflurane: a systematic review. Anesth Analg. 2004;98(3):632-641. doi:10.1213/01.ANE.0000103187.70627.57 - DOI - PubMed
    1. Nordt SP, Clark RF. Midazolam: a review of therapeutic uses and toxicity. J Emerg Med. 1997;15(3):357-365. - PubMed
    1. Fanti L, Testoni PA. Sedation and analgesia in gastrointestinal endoscopy: what’s new? World J Gastroenterol. 2010;16(20):2451-2457. - PMC - PubMed

LinkOut - more resources