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Otolaryngol Head Neck Surg. 2010 Jul;143(1):26-30, 30.e1-3. doi: 10.1016/j.otohns.2010.02.017.

Preliminary NSQIP results: a tool for quality improvement.

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1
Department of Otolaryngology-Head and Neck Surgery, Henry Ford Hospital, Detroit, MI, USA.

Abstract

OBJECTIVE:

To utilize National Surgical Quality Improvement Program (NSQIP) data to evaluate patient outcomes in otolaryngology-head and neck surgery.

STUDY DESIGN:

Retrospective medical chart abstraction of patients undergoing major surgical procedures in the inpatient and outpatient setting.

SETTING:

Academic/teaching hospitals with more than 500 beds.

SUBJECTS AND METHODS:

The American College of Surgeons NSQIP collects data on 135 variables including preoperative risk factors, intraoperative variables, and 30-day-postoperative mortality and morbidity outcomes for patients undergoing major surgical procedures in the inpatient and outpatient setting. As of August 2008, there are currently 47 hospitals submitting data for otolaryngology-head and neck surgery.

RESULTS:

Opportunities for improvement were identified in respiratory, wound, and venothromboembolic (VTE) occurrences. Implementation of a standardized VTE and perioperative protocol resulted in a decreased length of stay and observed-to-expected (O/E) morbidity and mortality for all surgical services.

CONCLUSION:

NSQIP reports form the basis for quality improvement with targeted interventions in areas of concern that result in changes in patient care processes. The reports are composed of outcomes-based, risk-adjusted data that are submitted by participating hospitals and have recently included data for otolaryngology-head and neck surgery. Actions taken based on NSQIP data demonstrate improvements in patient morbidity and mortality, decreased length of stay, and decreased hospital costs. In a time of increased scrutiny of health care costs and outcomes, NSQIP is an important tool for surgeons to improve quality and decrease costs.

PMID:
20620615
DOI:
10.1016/j.otohns.2010.02.017
[Indexed for MEDLINE]
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