Department of Ophthalmology, Boston Children's Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
Department of Information Technology, Boston Children's Hospital, Boston, Massachusetts.
J AAPOS. 2022 Aug;26(4):197-198. doi: 10.1016/j.jaapos.2022.04.002. Epub 2022 May 30.
Scheduling lag time is the time between the date of an appointment and the date an appointment was created in the scheduling system. We sought to determine the scheduling lag time in a pediatric ophthalmology clinic for children <8 years of age, referred by a primary care provider for an abnormal red reflex (ARR), cataract, leukocoria, or retinoblastoma. The median scheduling lag time was 1.8 days (IQR, 0.8-5.0). Of the 106 total appointments, 89 (84%) were completed as scheduled, 12 (11%) were canceled, and 5 (5%) were no-shows. Ten patients (12%) were never seen. There was a shorter scheduling lag time for completed visits (median, 1.1 days; IQR, 0.2-4.0) than canceled visits (median, 12.0 days; IQR, 3.1-48.5; P < 0.001). Monitoring of the scheduling lag time for urgent referrals may be a metric for quality improvement in pediatric ophthalmology.
调度延迟时间是指预约日期与预约在调度系统中创建日期之间的时间差。我们旨在确定儿科眼科诊所的调度延迟时间，这些儿童由初级保健提供者转介，原因是异常红色反射（ARR）、白内障、白瞳或视网膜母细胞瘤。中位调度延迟时间为 1.8 天（IQR，0.8-5.0）。在总共 106 个预约中，89 个（84%）按计划完成，12 个（11%）取消，5 个（5%）失约。有 10 名患者（12%）从未就诊。已完成就诊的预约调度延迟时间更短（中位数为 1.1 天；IQR，0.2-4.0），而取消就诊的预约调度延迟时间更长（中位数为 12.0 天；IQR，3.1-48.5；P<0.001）。对紧急转诊的调度延迟时间进行监测可能是儿科眼科质量改进的一个指标。
