Outcomes from the Introduction of a Combined Urology Outpatient Clinic

Background. A combined urology clinic staffed by four consultants and four non‐consultant hospital doctors (NCHDs) was introduced in our institution in October 2015. This clinic is supported by a pre‐clinic radiology meeting and a synchronous urology clinical nurse specialist (CNS) clinic with prote...

Full description

Saved in:
Bibliographic Details
Main Authors: Clíodhna Browne, Catherine M. Dowling, Patrick O’Malley, Nadeem Nusrat, Kilian Walsh, Syed Jaffry, Eamonn Rogers, Garrett C. Durkan, Frank T. D’Arcy
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2018/9738548
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849684392431058944
author Clíodhna Browne
Catherine M. Dowling
Patrick O’Malley
Nadeem Nusrat
Kilian Walsh
Syed Jaffry
Eamonn Rogers
Garrett C. Durkan
Frank T. D’Arcy
author_facet Clíodhna Browne
Catherine M. Dowling
Patrick O’Malley
Nadeem Nusrat
Kilian Walsh
Syed Jaffry
Eamonn Rogers
Garrett C. Durkan
Frank T. D’Arcy
author_sort Clíodhna Browne
collection DOAJ
description Background. A combined urology clinic staffed by four consultants and four non‐consultant hospital doctors (NCHDs) was introduced in our institution in October 2015. This clinic is supported by a pre‐clinic radiology meeting and a synchronous urology clinical nurse specialist (CNS) clinic with protected uroflow/trial of void slots. Herein, we report on the outcomes of this clinic in comparison with the standard format of urology outpatient review. Methods. We carried out a retrospective review of clinic attendances from May to July 2016. We recorded the number of new and return attendances, which team members had reviewed the patient and patient outcomes. We also calculated the waiting times for new patients to be reviewed in the outpatient clinic. Results. The combined urology clinic reviewed an average of 12 new and 46 return patients per clinic. The standard urology clinic reviewed an average of 8 new and 23 return patients per clinic. 54% of patients were seen by a consultant in the combined urology clinic, and 20% of patients were seen by a consultant in the standard urology clinic. The rate of patient discharge for new patients was 14.8% in the combined clinic compared to 5.9% in the standard clinic. Overall patient outcomes are outlined in the table. The waiting time for review of new patients in the combined clinic was reduced by 39% from 144 days to 89 days over a one-year period. Conclusions. The introduction of a combined urology outpatient clinic with the support of pre‐clinic radiology meeting and synchronous urology CNS clinic facilitates patient discharge.
format Article
id doaj-art-c21cbf412d64470bad1eba173508041f
institution DOAJ
issn 1687-6369
1687-6377
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Advances in Urology
spelling doaj-art-c21cbf412d64470bad1eba173508041f2025-08-20T03:23:29ZengWileyAdvances in Urology1687-63691687-63772018-01-01201810.1155/2018/97385489738548Outcomes from the Introduction of a Combined Urology Outpatient ClinicClíodhna Browne0Catherine M. Dowling1Patrick O’Malley2Nadeem Nusrat3Kilian Walsh4Syed Jaffry5Eamonn Rogers6Garrett C. Durkan7Frank T. D’Arcy8Department of Urology, University College Hospital Galway, Newcastle Road, Galway, IrelandDepartment of Urology, University College Hospital Galway, Newcastle Road, Galway, IrelandDepartment of Urology, University College Hospital Galway, Newcastle Road, Galway, IrelandDepartment of Urology, University College Hospital Galway, Newcastle Road, Galway, IrelandDepartment of Urology, University College Hospital Galway, Newcastle Road, Galway, IrelandDepartment of Urology, University College Hospital Galway, Newcastle Road, Galway, IrelandDepartment of Urology, University College Hospital Galway, Newcastle Road, Galway, IrelandDepartment of Urology, University College Hospital Galway, Newcastle Road, Galway, IrelandDepartment of Urology, University College Hospital Galway, Newcastle Road, Galway, IrelandBackground. A combined urology clinic staffed by four consultants and four non‐consultant hospital doctors (NCHDs) was introduced in our institution in October 2015. This clinic is supported by a pre‐clinic radiology meeting and a synchronous urology clinical nurse specialist (CNS) clinic with protected uroflow/trial of void slots. Herein, we report on the outcomes of this clinic in comparison with the standard format of urology outpatient review. Methods. We carried out a retrospective review of clinic attendances from May to July 2016. We recorded the number of new and return attendances, which team members had reviewed the patient and patient outcomes. We also calculated the waiting times for new patients to be reviewed in the outpatient clinic. Results. The combined urology clinic reviewed an average of 12 new and 46 return patients per clinic. The standard urology clinic reviewed an average of 8 new and 23 return patients per clinic. 54% of patients were seen by a consultant in the combined urology clinic, and 20% of patients were seen by a consultant in the standard urology clinic. The rate of patient discharge for new patients was 14.8% in the combined clinic compared to 5.9% in the standard clinic. Overall patient outcomes are outlined in the table. The waiting time for review of new patients in the combined clinic was reduced by 39% from 144 days to 89 days over a one-year period. Conclusions. The introduction of a combined urology outpatient clinic with the support of pre‐clinic radiology meeting and synchronous urology CNS clinic facilitates patient discharge.http://dx.doi.org/10.1155/2018/9738548
spellingShingle Clíodhna Browne
Catherine M. Dowling
Patrick O’Malley
Nadeem Nusrat
Kilian Walsh
Syed Jaffry
Eamonn Rogers
Garrett C. Durkan
Frank T. D’Arcy
Outcomes from the Introduction of a Combined Urology Outpatient Clinic
Advances in Urology
title Outcomes from the Introduction of a Combined Urology Outpatient Clinic
title_full Outcomes from the Introduction of a Combined Urology Outpatient Clinic
title_fullStr Outcomes from the Introduction of a Combined Urology Outpatient Clinic
title_full_unstemmed Outcomes from the Introduction of a Combined Urology Outpatient Clinic
title_short Outcomes from the Introduction of a Combined Urology Outpatient Clinic
title_sort outcomes from the introduction of a combined urology outpatient clinic
url http://dx.doi.org/10.1155/2018/9738548
work_keys_str_mv AT cliodhnabrowne outcomesfromtheintroductionofacombinedurologyoutpatientclinic
AT catherinemdowling outcomesfromtheintroductionofacombinedurologyoutpatientclinic
AT patrickomalley outcomesfromtheintroductionofacombinedurologyoutpatientclinic
AT nadeemnusrat outcomesfromtheintroductionofacombinedurologyoutpatientclinic
AT kilianwalsh outcomesfromtheintroductionofacombinedurologyoutpatientclinic
AT syedjaffry outcomesfromtheintroductionofacombinedurologyoutpatientclinic
AT eamonnrogers outcomesfromtheintroductionofacombinedurologyoutpatientclinic
AT garrettcdurkan outcomesfromtheintroductionofacombinedurologyoutpatientclinic
AT franktdarcy outcomesfromtheintroductionofacombinedurologyoutpatientclinic