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Over the 12-month period, 750 outpatient procedures met inclusion criteria. Median non-procedure time was 19min (interquartile range 16-22min). The variation attributable to endoscopists was 14.7% compared to 80.4% for unmeasured factors. The variation that remains unexplained by our model suggests that unmeasured factors play a substantial role in endoscopy unit efficiency and that our current endoscopy records are not capturing important contributors to efficiency. The next phase will involve focus groups and direct observation with the

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