Patients waiting over an hour for pre-booked appointments can have various implications:

1- Implications for patients:
- Increased frustration and dissatisfaction with the healthcare provider.2- Implications for the staff:
- Decreased efficiency and productivity if appointments are not managed effectively.3- Cost implications:
- Increased operational costs if appointments run over time, leading to overtime pay for staff.- Increased costs related to managing patient complaints and addressing issues caused by long waiting times.- Disruption of daily schedules and inconvenience for patients and their families.