Patient Safety and Quality Improvement in Otolaryngology–Head and Neck Surgery: A Systematic Review

Gettelfinger, John D.; Paulk, P. Barrett; Schmalbach, Cecelia E.

doi:10.1002/lary.28538

Cited by 4 publications

(4 citation statements)

References 35 publications

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“…A recent systematic review of the otolaryngology-HNS literature identified equitable care as the least studied quality domain, with only 6 of the 738 (0.8%) PS/ QI studies addressing it. 16 Greater diversity is required in Regent to ensure equitable care in an evidence-based fashion, to identify relevant social determinants of health, and to address otolaryngology-HNS disparities. The AAO-HNS/F is committed to diversity and overcoming associated barriers.…”

Section: Discussionmentioning

confidence: 99%

“…It is equally important to note that equitable care is 1 of the 6 domains of quality health care per the Agency for Healthcare Research and Quality 15 . Equitable care is defined as “providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status.” A recent systematic review of the otolaryngology‐HNS literature identified equitable care as the least studied quality domain, with only 6 of the 738 (0.8%) PS/QI studies addressing it 16 . Greater diversity is required in Reg‐ent to ensure equitable care in an evidence‐based fashion, to identify relevant social determinants of health, and to address otolaryngology‐HNS disparities.…”

Section: Discussionmentioning

confidence: 99%

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American Academy of Otolaryngology–Head and Neck Surgery/Foundation Reg‐ent Registry: Purpose, Properties, and Priorities

Schmalbach

Brereton

Bowman

et al. 2021

Otolaryngol.--head neck surg.

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Objective (1) To describe the patient and membership cohort captured by the otolaryngology-based specialty-specific Reg-ent registry. (2) To outline the capabilities of the Reg-ent registry, including the process by which members can access evidence-based data to address knowledge gaps identified by the American Academy of Otolaryngology–Head and Neck Surgery/Foundation and ultimately define “quality” for our field of otolaryngology–head and neck surgery. Methods Data analytics was performed on Reg-ent (2015-2020) Results A total of 1629 participants from 239 practices were enrolled in Reg-ent, and 42 health care specialties were represented. Reg-ent encompassed 6,496,477 unique patients and 24,296,713 encounters/visits: the 45- to 64-year age group had the highest representation (n = 1,597,618, 28.1%); 3,867,835 (60.3%) patients identified as Caucasian; and “private” was the most common insurance (33%), followed by Blue Cross/Blue Shield (22%). Allergic rhinitis–unspecified and sensorineural hearing loss–bilateral were the top 2 diagnoses (9% each). Overall, 302 research gaps were identified from 17 clinical practice guidelines. Discussion Reg-ent benefits are vast—from monitoring one’s practice to defining otolaryngology–head and neck surgery quality, participating in advocacy, and conducting research. Reg-ent provides mechanisms for benchmarking, quality assessment, and performance measure development, with the objective of defining and guiding best practice in otolaryngology–head and neck surgery. To be successful, patient diversity must be achieved to include ethnicity and socioeconomic status. Increasing academic medical center membership will assist in achieving diversity so that the quality domain of equitable care is achieved. Implications for Practice Reg-ent provides the first ever registry that is specific to otolaryngology–head and neck surgery and compliant with HIPAA (Health Insurance Portability and Accountability Act) to collect patient outcomes and define evidence-based quality care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

American Academy of Otolaryngology–Head and Neck Surgery/Foundation Reg‐ent Registry: Purpose, Properties, and Priorities

Schmalbach

Brereton

Bowman

et al. 2021

Otolaryngol.--head neck surg.

Self Cite

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“…The need to provide better care for patients led to the Institute of Medicine's recommendation for hospitals to develop a culture that fosters patient safety (Kohn & Donaldson, 2000). In addition to these recommendations, the implementation of safe practices depends on developing a positive patient safety culture (Gettelfinger et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Manager's influence on the registered nurse and nursing assistant relational quality and patient safety culture

Campbell

Kennerly

Swanson

et al. 2021

J Nursing Management

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Aims The purpose of this study is to describe the perceptions of relational quality of the registered nurse and nursing assistant and examine how their view of the manager's influence impacts overall patient safety culture of a unit. Background The primary delivery of nursing care within acute care systems uses teams of registered nurses and nursing assistants. Methods A cross‐sectional secondary analysis of data collected in the spring of 2018 using the Agency for Healthcare and Quality Hospital Survey of Patient Safety Culture and a seven‐item questionnaire measuring relational quality was conducted. The sample included 1,152 responses. Results The manager influenced overall perceptions of safety regardless of the relational quality between the registered nurse and nursing assistant. Conclusions This study found manager behaviours that promote patient safety and also influence overall perceptions of patient safety culture regardless of the relational quality between the registered nurse and nursing assistant. Implications for Nursing Management Positive registered nurse and nursing assistant relational quality amplifies perceptions of patient safety culture, yet it is the manager's behaviours regarding safety that make the stronger contribution in building a culture of safety.

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“…n recent years, there has been a national increase in awareness and discussion around disparities in pediatric otolaryngology care 1 as well as calls for further characterization of these disparities. 2,3 Large disparities in access to high-quality and affordable surgical care are present in the United States and globally. 3 There are many factors such as race, ethnicity, and socioeconomic status (SES) that contribute to disparities in pediatric otolaryngology care.…”

mentioning

confidence: 99%

Effect of an Outbound Scheduling Team on the Timeliness of Scheduling Referrals to Pediatric Otolaryngology

Allred,

Nakamura,

Mull

et al. 2024

Otolaryngol.--head neck surg.

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ObjectiveFamilies preferring to receive care in a language‐other‐than‐English have disparities in access to care. We studied the effect of implementing an ambulatory outbound scheduling team on the timeliness of scheduling referrals to pediatric otolaryngology. We hypothesized this intervention could increase access to care.Study DesignRetrospective cohort analysis.SettingTertiary care academic center.MethodsData were abstracted from the hospital's enterprise database for patients referred to Otolaryngology over 3 years (October 2019‐August 2022; 7675 referrals). An outbound scheduling team was created April 2021 and tasked with calling out to schedule referrals within one business day of receipt. Referral lag was compared across patient cohorts before and after the scheduling intervention. Log‐transformed linear regression models were used to assess the impact of the scheduling intervention on referral lag for language cohorts.ResultsThe median preintervention referral lag was 6 days (interquartile range [IQR] 2‐18), which was reduced to 1 day postintervention (IQR 0‐5; P < .001). Preintervention language‐other‐than‐English families had a median referral lag of 8 days (IQR 2‐23), which was 1.27 times higher than for patients speaking English (P < .001). With implementation of the scheduling intervention, language‐other‐than‐English families were scheduled in a median of 1 day (IQR 0‐6), and the disparity in timeliness of scheduling was eliminated (P = .131). Postintervention, referral lag was reduced by 58% in the English and 64% in the language other than English cohorts.ConclusionImplementation of an outbound ambulatory scheduling process reduces referral lag for all patients and eliminated a disparity in referral lag for language‐other‐than‐English families.

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Patient Safety and Quality Improvement in Otolaryngology–Head and Neck Surgery: A Systematic Review

Cited by 4 publications

References 35 publications

American Academy of Otolaryngology–Head and Neck Surgery/Foundation Reg‐ent Registry: Purpose, Properties, and Priorities

American Academy of Otolaryngology–Head and Neck Surgery/Foundation Reg‐ent Registry: Purpose, Properties, and Priorities

Manager's influence on the registered nurse and nursing assistant relational quality and patient safety culture

Effect of an Outbound Scheduling Team on the Timeliness of Scheduling Referrals to Pediatric Otolaryngology

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