Streamline the patient Journey for IV Ferinject Administration at the Renal Medicine Clinic in CGH
Care Process & Redesign
Singapore Healthcare Management Congress
SingHealth
11 February 2026
To shorten patients Journey from 90 minutes to 30 minutes for the process of administrating IV Ferinject in five-month time. This project reduced the manpower involved in the process and enhanced overall efficiency.
Year Submitted: 2025
Published Date: 11 February 2026
Tags: Care Process ＆ Redesign, Workflow Redesign, Time Saving, Manhour Saving, Access To Care, Waiting Time, Turnaround Time
About this Content
Aims
To shorten patients Journey from 90 minutes to 30 minutes for the process of administrating IV Ferinject in five-month time. To reduce the manpower involved in this process.
Background
At the Renal Medicine Clinic (RMC), the administration of IV Ferinject (iron therapy) was previously a time-consuming and manpower-intensive process. After consultation, patients were required to obtain Ferinject from the pharmacy before returning to the clinic for administration - resulting in multiple touchpoints and a cumbersome workflow. To improve patient experience and streamline operations, an initiative was launched to enhance this process.
Methods
PDSA 1 (Express Q) and PDSA 2 (One Stop Service) were implemented. Nurses used Express Q to collect medication at the assigned counter at pharmacy, eliminating the need for patient to collect medication on their own. Proposed storing of IV Ferinject in the clinic as a one stop service for patients.
Results
The project eradicated the need for patients to collect IV medications at the pharmacy, hence reducing the overall patient waiting time and improving patient satisfaction. The number of IV Ferinject infusion increased from an average of 10 per month in early 2023 to 30 per month by the end of 2023.
Conclusion
This project reduced the manpower involved in the process and enhanced overall efficiency. By prioritizing efficiency, safety, and collaboration with pharmacy services, the clinic can enhance the overall quality of care provided to patients.
Lessons Learnt
Nurses faced challenges due to increased workload and limited staffing. Pharmacy workload remained the same despite the new process, hence waiting time was not optimized.
Keywords
IV Ferinject, Renal Medicine, patient satisfaction, workflow, efficiency
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | SingHealth |
Organization(s) Involved | Changi General Hospital |
Platform(s) | Singapore Healthcare Management Congress |
Healthcare Professional Group(s) | Nursing |
Applicable Specialty or Discipline | Nephrology |
Project Lead(s) | Sreekanth Koduri |
Project Member(s) | Tan Ho Yih Jeu |
Connect with this contributor!
Sreekanth Koduri - singaporehealthcaremanagement@singhealth.com.sg