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Table 2 Indirect Work Steps: Average duration of each step and time worked by employee

From: Patient and work flow and costs associated with staff time and facility usage at a comprehensive cancer centre in Quebec, Canada – a time and motion study

Indirect Work Steps

n

Mean Time (min)

  

(95% Confidence Interval)

Physician Visits

  

Exam room preparation and cleanup (orderly)

27

1.1 (1.0 - 1.2)

Sending tubes of blood down to laboratory (phlebotomist)

10

1.0 (0.8 - 1.2)

Retrieving and filing patient charts (clerk)

300

0.6 (0.6 - 0.7)

Total mean time worked by employees

 

2.7 (2.3 - 3.1)

Treatment Visits

  

FOLFOX (n=52); XELOX (n=8)

  

Sending tubes of blood down to laboratory (phlebotomist) a, b

10

1.0 (0.8 - 1.2)

Retrieving and filing patient charts (clerk) a, b

300

0.6 (0.6 - 0.7)

Prescription validation (pharmacist) a, b

16

5.3 (4.0 - 6.5)

Preparation of calcium and magnesium a, b

44

6.5 (6.0 - 6.8)

 1. pharmacist

44

2.8 (2.8 - 2.8)

 2. pharmacy technician

44

3.7 (3.3 - 4.0)

Preparation of FOLFOX (5-FU, leucovorin, oxaliplatin) a

6

39.6 (35.9 - 43.3)

 1. pharmacist

6

18.6 (14.5 - 22.7)

 2. pharmacy technician

6

21.0 (16.7 - 25.2)

Pre-counts of capecitabine and labeling (pharmacy technician) b

10

2.0 (2.0 - 2.0)

Preparation of capecitabine tablets for XELOX treatment b

6

3.4 (2.3 - 4.5)

 1. pharmacist

6

0.5 (0.2 - 0.8)

 2. pharmacy technician

6

2.9 (2.1 - 3.7)

Preparation of oxaliplatin for XELOX treatment b

9

7.9 (7.2 - 8.5)

 1. pharmacist

9

3.9 (3.4 - 4.4)

 2. pharmacy technician

9

4.0 (3.5 - 4.4)

Preparation of bevacizumab a, b

6

10.1 (8.4 - 11.8)

 1. pharmacist

6

4.9 (3.8 - 6.0)

 2. pharmacy technician

6

5.2 (3.6 - 6.9)

Prescription/treatment verification (nurse) a, b

14

4.5 (−0.8 - 9.8)

Preparation and verification of IV bags, premeds (nurse) a, b

54

2.4 (1.9 - 3.0)

Total mean time worked by employees (all indirect steps) (Based on 86.7% FOLFOX/bevacizumab – n=52; 13.3% XELOX/bevacizumab – n=8)

 

66.5 (59.6 - 73.2)

Total mean time worked by employees

  

1. FOLFOX/bevacizumab treatment a

 

70.0 (67.1 - 72.7)

2. XELOX/bevacizumab treatment b

 

43.7 (41.2 - 46.0)

  1. aApplicable to FOLFOX/bevacizumab treatment.
  2. bApplicable to XELOX/bevacizumab treatment.