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Real-Time Management Dashboard as a tool for process improvement at the Outpatient level in a region of Brazil
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  • Lívia Loamí Ruyz Jorge de Paula,
  • Milena Portella Camargo Labriola,
  • Thiago Ramos Camargo,
  • Daniela Aparecida de Oliveira Massaneiro,
  • Edmundo Carvalho Mauad,
  • Vânia Soares de Oliveira e Almeida Pinto,
  • Amaury Lelis dal Fabbro,
  • Isabela Campos Pereira Hernandes
Lívia Loamí Ruyz Jorge de Paula
Pio XII Foundation

Corresponding Author:livialoami@gmail.com

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Milena Portella Camargo Labriola
Ambulatório Médico de Especialidades – Pio XII Foundation
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Thiago Ramos Camargo
Ambulatório Médico de Especialidades – Pio XII Foundation
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Daniela Aparecida de Oliveira Massaneiro
Ambulatório Médico de Especialidades – Pio XII Foundation
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Edmundo Carvalho Mauad
Hospital de Amor
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Vânia Soares de Oliveira e Almeida Pinto
Ambulatório Médico de Especialidades – Pio XII Foundation
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Amaury Lelis dal Fabbro
Universidade de Sao Paulo Faculdade de Medicina de Ribeirao Preto
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Isabela Campos Pereira Hernandes
Faculdade de Ciencias da Saude de Barretos Dr Paulo Prata
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Abstract

Background: Specialized outpatient clinics account for about 30% of the total number of visits in the entire Brazilian health system. The Real-Time Management Dashboard (RTMD) is a tool that has great potential to deal with process errors, improve patient care and reduce costs, but its use is still concentrated in the hospital sector on a small scale. The aim of this study was to study the implementation and results of indicators of waiting for time and achievement of goals with the help of RTMD in a specialized ambulatory care outpatient unit. Method: This is a longitudinal study in which the analysis of waiting time indicators for consultations and exams was carried out in September and October, between 2012 and 2021. Information on user satisfaction with the time of service in the studied period was also evaluated. Results: A total of 277,925 records from 80,432 patients were analyzed. It could be observed that the monitoring of waiting time indicators through the RTMD contributed to better control of the flow of patients within the ambulatory unit with a decrease in the delay rate after the implementation of the immediate action protocol and waiting time classified as excellent by 97.1% of users with respect to the satisfaction rating. In addition, the RTMD contributed to the achievement of consultation and examination goals over the 10-year period of study. Conclusion: The RTMD proved to be a promising tool for the management of processes within medical specialty outpatient clinics. Keywords: Clinical Decision Support; Medical Informatics; Primacy Health Care; Public Health