Surgical Variation in Tonsillectomy and Adenoidectomy Procedures

Autor:	Gi Soo Lee, Jessica Leslie, Rosh K. V. Sethi, David W. Roberson, Cassandra Bannos
Rok vydání:	2013
Předmět:	medicine.medical_specialty Quality management Multivariate analysis business.industry medicine.medical_treatment Patient demographics Univariate Surgery Tonsillectomy Otorhinolaryngology Adenoidectomy Emergency medicine Medicine Observational study Process variability business
Zdroj:	Otolaryngology–Head and Neck Surgery. 149
ISSN:	1097-6817 0194-5998
DOI:	10.1177/0194599813495815a61
Popis:	Objectives:Identify potential sources of variation in tonsillectomy/ tonsillotomy and adenoidectomy procedures that may impact operating room (OR) efficiency and cost. Background: Surgeons display substantial variability in use of equipment and technique for same procedure. Examination of process variability may lead to valuable insights about potential improvements in efficiency and cost.Methods:Observational quality improvement initiative conducted at an academic inpatient children’s hospital and a satellite site in 2012. One author (RS) observed 65 procedures consisting of tonsillectomy/tonsillotomy with or without adenoidectomy; an additional 50 cases were included by review of patient records. Over 100 variables were measured for each case, including patient demographics, indication, and technique used. Univariate and multivariate analysis was used to determine predictors of OR times and total charges.Results:Multivariate analysis showed: Significantly lower charges at satellite location compared to ...
Databáze:	OpenAIRE
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