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Published on: February 19, 2021
Preliminary NSQIP results: a tool for quality improvement
Robert J Stachler1, Kathleen Yaremchuk, Jennifer Ritz
1Department of Otolaryngology-Head and Neck Surgery, Henry Ford Hospital, Detroit, MI, USA.
Summary
National Surgical Quality Improvement Program (NSQIP) data reveals opportunities to improve patient outcomes in otolaryngology-head and neck surgery. Implementing standardized protocols reduced morbidity, mortality, and length of stay.
Area of Science:
- Surgical Quality Improvement
- Otolaryngology-Head and Neck Surgery
- Health Services Research
Background:
- The National Surgical Quality Improvement Program (NSQIP) collects comprehensive data on surgical procedures.
- There is a growing need to evaluate and improve patient outcomes in otolaryngology-head and neck surgery.
- Academic/teaching hospitals with over 500 beds participate in NSQIP data collection.
Purpose of the Study:
- To evaluate patient outcomes in otolaryngology-head and neck surgery using NSQIP data.
- To identify areas for quality improvement within the specialty.
- To assess the impact of standardized protocols on surgical outcomes.
Main Methods:
- Retrospective chart abstraction of patients undergoing major surgical procedures.
- Utilized data from the American College of Surgeons NSQIP, including 135 variables.
- Focused on data from 47 hospitals submitting otolaryngology-head and neck surgery information as of August 2008.
Main Results:
- Identified opportunities for improvement in respiratory, wound, and venothromboembolic (VTE) occurrences.
- Standardized VTE and perioperative protocols led to decreased length of stay.
- Observed-to-expected (O/E) morbidity and mortality rates decreased across all surgical services.
Conclusions:
- NSQIP data provides a basis for quality improvement initiatives in otolaryngology-head and neck surgery.
- Targeted interventions based on NSQIP data resulted in improved patient care processes.
- NSQIP is a valuable tool for enhancing surgical quality, reducing patient morbidity and mortality, and decreasing healthcare costs.
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