Current Otorhinolaryngology Reports

, Volume 6, Issue 3, pp 216–222 | Cite as

Optimizing Value in Otolaryngology Through Patient Safety and Quality Improvements

  • Karthik Balakrishnan
  • Jean Brereton
  • Samantha T. Cohen
  • Mimi S. Kokoska
  • Michael J. BrennerEmail author
SPECIAL TOPICS: Value Based Care in Otolaryngology (L Ishii and T Tollefson, Section Editors)
Part of the following topical collections:
  1. Topical Collection on SPECIAL TOPICS: Value Based Care in Otolaryngology


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.


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.


Patient safety/quality improvement Cost Otolaryngology–head and neck surgery Electronic health record Tracheostomy Morbidity and mortality Clinical practice guideline Performance measures Registry NSQIP Cost-effectiveness Comparative effectiveness 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no competing interests.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Karthik Balakrishnan
    • 1
  • Jean Brereton
    • 2
  • Samantha T. Cohen
    • 3
  • Mimi S. Kokoska
    • 4
  • Michael J. Brenner
    • 5
    Email author
  1. 1.Department of Otorhinolaryngology and Mayo Clinic Children’s CenterMayo ClinicRochesterUSA
  2. 2.American Academy of Otolaryngology–Head and Neck SurgeryAlexandriaUSA
  3. 3.Ross School of BusinessUniversity of MichiganAnn ArborUSA
  4. 4.Health Care Quality and AffordabilityBlue Shield of CaliforniaSan FranciscoUSA
  5. 5.Department of Otolaryngology–Head and Neck SurgeryUniversity of Michigan School of MedicineAnn ArborUSA

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