{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T03:46:45Z","timestamp":1782272805879,"version":"3.54.5"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Syst"],"DOI":"10.1007\/s10916-026-02427-9","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T02:55:17Z","timestamp":1782269717000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Throughput Benchmarking and Throughput Variance Analysis to Evaluate the Efficiency of an Outpatient Endoscopy Unit"],"prefix":"10.1007","volume":"50","author":[{"given":"Xing","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eli","family":"Patt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeline","family":"Koehn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Cecilia Zenteno","family":"Langle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hrudya","family":"Viswanadh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Stewart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duncan J.","family":"Flynn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amandeep","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"issue":"1","key":"2427_CR1","doi-asserted-by":"publisher","first-page":"e00113","DOI":"10.14309\/ctg.0000000000000113","volume":"11","author":"J Hubers","year":"2020","unstructured":"Hubers J, Sonnenberg A, Gopal D, Weiss J, Holobyn T, Soni A. Trends in Wait Time for Colorectal Cancer Screening and Diagnosis 2013\u20132016. Clin Transl Gastroenterol. 2020;11(1):e00113.","journal-title":"Clin Transl Gastroenterol"},{"issue":"4","key":"2427_CR2","doi-asserted-by":"publisher","first-page":"1400","DOI":"10.1053\/j.gastro.2020.11.048","volume":"160","author":"J Tinmouth","year":"2021","unstructured":"Tinmouth J, Dong S, Stogios C, Rabeneck L, Rey M, Dub\u00e9 C, et al. Estimating the Backlog of Colonoscopy due to Coronavirus Disease 2019 and Comparing Strategies to Recover in Ontario, Canada. Gastroenterology. 2021;160(4):1400\u20131402.e1.","journal-title":"Gastroenterology"},{"issue":"16","key":"2427_CR3","doi-asserted-by":"publisher","first-page":"2479","DOI":"10.1002\/cncr.30070","volume":"122","author":"DA Joseph","year":"2016","unstructured":"Joseph DA, Meester RGS, Zauber AG, Manninen DL, Winges L, Dong FB, Peaker B, van Ballegooijen M. Colorectal cancer screening: estimated future colonoscopy need and current volume and capacity. Cancer. 2016;122(16):2479\u201386.","journal-title":"Cancer"},{"issue":"5","key":"2427_CR4","doi-asserted-by":"publisher","first-page":"762","DOI":"10.1016\/j.gie.2014.02.1032","volume":"80","author":"LW Day","year":"2014","unstructured":"Day LW, Belson D, Dessouky M, Hawkins C, Hogan M. Optimizing efficiency and operations at a California safety-net endoscopy center: a modeling and simulation approach. Gastrointest Endosc. 2014;80(5):762\u201373.","journal-title":"Gastrointest Endosc"},{"issue":"11","key":"2427_CR5","doi-asserted-by":"publisher","first-page":"E1140","DOI":"10.1055\/s-0042-117217","volume":"4","author":"B Sauer","year":"2016","unstructured":"Sauer B, Singh K, Wagner B, Vanden Hoek M, Twilley K, Cohn S, et al. Efficiency of endoscopy units can be improved with use of discrete event simulation modeling. Endosc Int Open. 2016;4(11):E1140\u20135.","journal-title":"Endosc Int Open"},{"issue":"11","key":"2427_CR6","first-page":"e31862","volume":"14","author":"M Ghasemi Rad","year":"2022","unstructured":"Ghasemi Rad M, Wynne D, Ghasemi M, Lincoln C, Whigham C. Time-Driven, Activity-Based Costing to Reduce Interventional Radiology Suite Idle Time. Cureus. 2022;14(11):e31862.","journal-title":"Cureus"},{"issue":"4","key":"2427_CR7","doi-asserted-by":"publisher","first-page":"1114","DOI":"10.1213\/01.ANE.0000050561.41552.A6","volume":"96","author":"DC Tyler","year":"2003","unstructured":"Tyler DC, Pasquariello CA, Chen CH. Determining Optimum Operating Room Utilization. Anesth Analg. 2003;96(4):1114\u201321.","journal-title":"Anesth Analg"},{"issue":"5","key":"2427_CR8","doi-asserted-by":"publisher","first-page":"760","DOI":"10.1016\/j.gie.2006.02.047","volume":"64","author":"E Yong","year":"2006","unstructured":"Yong E, Zenkova O, Saibil F, Cohen LB, Rhodes K, Rabeneck L. Efficiency of an endoscopy suite in a teaching hospital: delays, prolonged procedures, and hospital waiting times. Gastrointest Endosc. 2006;64(5):760\u20134.","journal-title":"Gastrointest Endosc"},{"key":"2427_CR9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2016\/2574076","volume":"2016","author":"R Almeida","year":"2016","unstructured":"Almeida R, Paterson WG, Craig N, Hookey L. A Patient Flow Analysis: Identification of Process Inefficiencies and Workflow Metrics at an Ambulatory Endoscopy Unit. Can J Gastroenterol Hepatol. 2016;2016:1\u20137.","journal-title":"Can J Gastroenterol Hepatol"},{"issue":"6","key":"2427_CR10","doi-asserted-by":"publisher","first-page":"1010","DOI":"10.1016\/j.gie.2016.05.052","volume":"84","author":"RE Childers","year":"2016","unstructured":"Childers RE, Laird A, Newman L, Keyashian K. The role of a nurse telephone call to prevent no-shows in endoscopy. Gastrointest Endosc. 2016;84(6):1010\u20131017.e1.","journal-title":"Gastrointest Endosc"},{"issue":"9","key":"2427_CR11","doi-asserted-by":"publisher","first-page":"1267","DOI":"10.1038\/ajg.2016.269","volume":"111","author":"MW Reid","year":"2016","unstructured":"Reid MW, May FP, Martinez B, Cohen S, Wang H, Williams DL, et al. Preventing Endoscopy Clinic No-Shows: Prospective Validation of a Predictive Overbooking Model. Am J Gastroenterol. 2016;111(9):1267\u201373.","journal-title":"Am J Gastroenterol"},{"issue":"2","key":"2427_CR12","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1053\/j.sempedsurg.2018.02.004","volume":"27","author":"DH Rothstein","year":"2018","unstructured":"Rothstein DH, Raval MV. Operating room efficiency. Semin Pediatr Surg. 2018;27(2):79\u201385.","journal-title":"Semin Pediatr Surg"},{"issue":"8","key":"2427_CR13","doi-asserted-by":"publisher","first-page":"1968","DOI":"10.1111\/j.1572-0241.2002.05909.x","volume":"97","author":"S Zamir","year":"2002","unstructured":"Zamir S, Rex DK. An initial investigation of efficiency in endoscopy delivery. Am J Gastroenterol. 2002;97(8):1968\u201372.","journal-title":"Am J Gastroenterol"},{"issue":"3","key":"2427_CR14","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1177\/0272989X09345890","volume":"30","author":"B Berg","year":"2010","unstructured":"Berg B, Denton B, Nelson H, Balasubramanian H, Rahman A, Bailey A, et al. A Discrete Event Simulation Model to Evaluate Operational Performance of a Colonoscopy Suite. Med Decis Making. 2010;30(3):380\u20137.","journal-title":"Med Decis Making"}],"container-title":["Journal of Medical Systems"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10916-026-02427-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10916-026-02427-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10916-026-02427-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T02:55:18Z","timestamp":1782269718000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10916-026-02427-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,24]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["2427"],"URL":"https:\/\/doi.org\/10.1007\/s10916-026-02427-9","relation":{},"ISSN":["1573-689X"],"issn-type":[{"value":"1573-689X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,24]]},"assertion":[{"value":"3 February 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical Trial Number"}},{"value":"This study did not require Institutional Review Board approval as it did not involve the collection, use, or analysis of human or clinical data, and solely utilized operational metrics pulled from aggregated reports.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"IRB Approval Statement"}},{"value":"Not applicable","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human Ethics and Consent to Participate"}},{"value":"No, with the exception of preliminary findings presented as a conference abstract at ACG 2023, which we do not feel needs to be cited in the present manuscript","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Dual Publication"}},{"value":"No","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Third Party Material"}},{"value":"No","order":7,"name":"Ethics","group":{"name":"EthicsHeading","label":"Research Funding"}},{"value":"Preliminary findings were presented at the American College of Gastroenterology Annual Scientific Meeting 2023.","order":8,"name":"Ethics","group":{"name":"EthicsHeading","label":"Prior Presentation"}},{"value":"The authors declare no competing interests.","order":9,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}],"article-number":"101"}}