<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1665-1146</journal-id>
<journal-title><![CDATA[Boletín médico del Hospital Infantil de México]]></journal-title>
<abbrev-journal-title><![CDATA[Bol. Med. Hosp. Infant. Mex.]]></abbrev-journal-title>
<issn>1665-1146</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud, Hospital Infantil de México Federico Gómez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1665-11462025000100007</article-id>
<article-id pub-id-type="doi">10.24875/bmhim.24000046</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Waiting time for pediatric patients to be admitted for elective surgery at a National Pediatric Health Institute in Mexico City]]></article-title>
<article-title xml:lang="es"><![CDATA[Tiempo de espera para el ingreso hospitalario de pacientes pediátricos a cirugías electivas en un Instituto Nacional de Salud Pediátrico en la Ciudad de México]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez-Cornejo]]></surname>
<given-names><![CDATA[Edmundo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz-Cruz]]></surname>
<given-names><![CDATA[Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Gaytán]]></surname>
<given-names><![CDATA[Heriberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rosa-Zamboni]]></surname>
<given-names><![CDATA[Daniela de la]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera-Segura]]></surname>
<given-names><![CDATA[Miriam G.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saldívar-Flores]]></surname>
<given-names><![CDATA[Araceli]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Ríos]]></surname>
<given-names><![CDATA[Olga]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garduño-Espinosa]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Infantil de México Federico Gómez Department of Drug Evaluation and Pharmacovigilance ]]></institution>
<addr-line><![CDATA[Mexico City ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Infantil de México Federico Gómez Evidence-Based Research Unit ]]></institution>
<addr-line><![CDATA[Mexico City ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Infantil de México Federico Gómez Quality Service ]]></institution>
<addr-line><![CDATA[Mexico City ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Infantil de México Federico Gómez Department of Comprehensive Patient Care ]]></institution>
<addr-line><![CDATA[Mexico City ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Infantil de México Federico Gómez Department of Planning ]]></institution>
<addr-line><![CDATA[Mexico City ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Hospital Infantil de México Federico Gómez Department of Nursing ]]></institution>
<addr-line><![CDATA[Mexico City ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Hospital Infantil de México Federico Gómez Institutional Center for Pharmacovigilance ]]></institution>
<addr-line><![CDATA[Mexico City ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<volume>82</volume>
<numero>1</numero>
<fpage>35</fpage>
<lpage>43</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1665-11462025000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1665-11462025000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1665-11462025000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Waiting times for elective surgery can be a physically and psychologically distressing experience for patients, affecting their satisfaction and perceptions of service quality. This study aimed to estimate the waiting time for pediatric patients admitted for elective surgery, identify events causing delays, and compare variations in the admission process.  Method: Three cohorts of pediatric patients scheduled for elective surgery were prospectively followed: (A) weekday general surgery admissions, (B) weekday admissions to other surgical specialties, and (C) weekend surgical admissions. The admission process was mapped, timescales of each stage were recorded, and delay incidents were identified through direct non-participant observation after obtaining informed consent or assent.  Results: The mean waiting time was 6.9 h (95% confidence interval [CI]: 6.6-7.2 h) for all scheduled surgical admissions. Patients in cohort B experienced the longest waiting time at 8.1 h (95% CI: 7.7-8.5 h, p &lt; 0.0001). Primary causes of delay included lengthy transfers to the admission area, bed management issues, and limited staff availability during shift changes. Avoidable delays resulted in a mean additional waiting time of 1.4 h.  Conclusions: The findings suggest that hospital waiting times could be reduced through organizational interventions targeting the main causes of delay and simplifying administrative processes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: Los tiempos de espera para cirugías electivas pueden ser una experiencia física y psicológicamente angustiante para los pacientes, afectando su satisfacción y percepciones sobre la calidad del servicio. Este estudio tuvo como objetivo estimar el tiempo de espera para pacientes pediátricos admitidos para cirugía electiva, identificar eventos que causan retrasos y comparar variaciones en el proceso de admisión.  Método: Se siguieron prospectivamente tres cohortes de pacientes pediátricos programados para cirugía electiva: (A) admisiones de cirugía general entre semana, (B) admisiones entre semana para otras especialidades quirúrgicas, y (C) admisiones quirúrgicas en fin de semana. Se mapeó el proceso de admisión, se registraron los plazos de cada etapa y se identificaron los incidentes de retraso mediante observación directa no participante después de obtener consentimiento informado o asentimiento.  Resultados: El tiempo medio de espera fue de 6.9 horas (IC 95%: 6.6-7.2 horas) para todas las admisiones quirúrgicas programadas. Los pacientes en la cohorte B experimentaron el tiempo de espera más largo con 8.1 horas (IC 95%: 7.7-8.5 horas, p &lt; 0.0001). Las causas principales de retraso incluyeron transferencias prolongadas al área de admisión, problemas en la gestión de camas y disponibilidad limitada de personal durante los cambios de turno. Los retrasos evitables resultaron en un tiempo adicional medio de espera de 1.4 horas.  Conclusiones: Los hallazgos sugieren que los tiempos de espera hospitalarios podrían reducirse mediante intervenciones organizativas dirigidas a las principales causas de retraso y simplificando los procesos administrativos.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Waiting times]]></kwd>
<kwd lng="en"><![CDATA[Process assessment]]></kwd>
<kwd lng="en"><![CDATA[Patient flow]]></kwd>
<kwd lng="en"><![CDATA[Public hospital]]></kwd>
<kwd lng="en"><![CDATA[Process improvement]]></kwd>
<kwd lng="en"><![CDATA[Pediatric hospital]]></kwd>
<kwd lng="es"><![CDATA[Tiempos de espera]]></kwd>
<kwd lng="es"><![CDATA[Evaluación de procesos]]></kwd>
<kwd lng="es"><![CDATA[Flujo de pacientes]]></kwd>
<kwd lng="es"><![CDATA[Hospital público]]></kwd>
<kwd lng="es"><![CDATA[Mejora de procesos]]></kwd>
<kwd lng="es"><![CDATA[Hospital pediátrico]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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