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Optimizing Value in Otolaryngology Through Patient Safety and Quality Improvements
被引:0
|作者:
Balakrishnan K.
[1
]
Brereton J.
[2
]
Cohen S.T.
[3
]
Kokoska M.S.
[4
]
Brenner M.J.
[5
]
机构:
[1] Department of Otorhinolaryngology and Mayo Clinic Children’s Center, Mayo Clinic, Rochester, MN
[2] American Academy of Otolaryngology–Head and Neck Surgery, Alexandria, VA
[3] Ross School of Business, University of Michigan, Ann Arbor, MI
[4] Health Care Quality and Affordability, Blue Shield of California, San Francisco, CA
[5] Department of Otolaryngology–Head and Neck Surgery, University of Michigan School of Medicine, 1500 E Medical Center Dr., SPC 5312, 1904 Taubman Center, Ann Arbor, 48109-5312, MI
关键词:
Clinical practice guideline;
Comparative effectiveness;
Cost;
Cost-effectiveness;
Electronic health record;
Morbidity and mortality;
NSQIP;
Otolaryngology–head and neck surgery;
Patient safety/quality improvement;
Performance measures;
Registry;
Tracheostomy;
D O I:
10.1007/s40136-018-0216-2
中图分类号:
学科分类号:
摘要:
Purpose of Review: The goals of this paper are to explore the relationship between patient safety/quality improvement (PS/QI) activities and value generation in the field of otolaryngology and to suggest future opportunities for improvement or research. Value is defined as the ratio between health outcomes or improvements achieved and resources and dollars spent. It can therefore be increased by improving outcomes, reducing costs, or both. We present information suggesting that PS/QI activities may impact both the numerator and denominator in the value ratio, with the potential for powerful effects on value in health care. Recent Findings: We describe clinical and administrative strategies demonstrated to increase value across multiple subspecialties in otolaryngology. Summary: PS/QI can improve both components of value in health care. Relatively simple interventions may have significant impact and serve as good starting points. Larger-scale changes may have even broader impact but may require more infrastructure investment. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.
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页码:216 / 222
页数:6
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