OREBM and PSQI presenting at #OTOMTG19

Updates from the PSQI Committee

The AAO-HNS Patient Safety and Quality Improvement (PSQI) Committee, under the leadership of Emily F. Boss, MD, MPH, and C.W. David Chang, MD, continues on multiple fronts to raise awareness of patient safety and quality improvement issues within the specialty.

PSQI members developed eight panel presentations that were accepted for presentation at the AAO-HNSF 2019 Annual Meeting & OTO Experience in New Orleans, LA:

• An Ounce of Prevention is Worth a Pound of Cure: Improving OR Safety and Quality
• A Primer for Assessing your Clinical Practice Using Quality Improvement
• Are We Choosing Wisely in OHNS? Perspectives on Value, Variation, and Impact
• Opioid-Sparing Strategies in Otolaryngology: Approaches to Eliminate Opiods
• Enhanced Recovery After Surgery: Optimizing Perioperative Patient Care
• Office/OR Equipment Disinfection & Storage: Sound Evidence or Alternative Facts?
• Measure of a Surgeon: Perspectives on Evaluating Surgical Competency
• Near Misses, Near Events, and Just Plain Scary Cases

The committee brings attention to significant patient safety and quality improvement topics by developing bimonthly articles for the Bulletin. Recently, Committee members have contributed the following articles: The prescription opioid crisis and otolaryngology (John D. Cramer, MD, February, 2019); Physician safety is patient safety: Good surgical ergonomics to optimize patient care (Daniel L. Wohl, MD, and Theresa Hubbard, DPT, April, 2019); and Resident education in patient safety quality improvement: What’s new? (Sarah N. Bowe, MD, Nausheen Jamal, MD, and Stephen C. Maturo, MD, June 2019).

Additionally, the Committee is planning a survey around the topic of Ongoing Professional Practice Evaluation and Focused Professional Practice Evaluation (OPPE/FPPE) and an update to the 2014 publication on Errors in Otolaryngology.

PSQI Committee members volunteered to represent the AAO-HNS at external meetings. Stephen C. Maturo, MD, attended the American College of Surgeons (ACS) Surgical Quality Alliance (SQA) semi-annual meetings and Gordon H. Sun, MD, MS, joined the Centers for Medicare & Medicaid Services (CMS) Merit-based Incentive Payment System (MIPS) Improvement Activities Technical Expert Panel.

Through this work, the PSQI Committee continues to participate in key AAO-HNS/F initiatives and contribute to the advancement of quality and safety within the specialty.

Reference

1. Shah, R. K., Boss, E. F., Brereton, J., & Roberson, D. W. (2014). Errors in Otolaryngology Revisited. Otolaryngology–Head and Neck Surgery, 150(5), 779–784. https://doi.org/ 10.1177/0194599814521985

Activities of the OREBM Committee

The AAO-HNSF Outcomes Research and Evidence Based Medicine (OREBM) Committee is exploring new avenues for sharing key research in otolaryngology-head and neck surgery. New or anticipated activities for 2019 include:

The Publication Spotlight – a Bulletin series highlighting studies with significant findings for clinical or surgical practice. To date, we have included studies on quionolone use after tympanostomy tube placement increasing risk of perforation (Uchechukwu C. Megwalu, MD, Scott E. Brietzke, MD, MPH, Jennifer J. Shin, MD, SM, Vikas Mehta, MD, MPH, March 2019), laryngopharyngeal reflux (Elisabeth Ference, MD, Karla F. O’Dell, MD; Vikas Mehta, MD, MPH, May 2019), and hypoglossal nerve stimulation (Neerav Goyal, MD MPH; Derek Lam, MD, MPH; Vikas Mehta, MD, MPH, July 2019).

The Evidence-Based Medicine in Otolaryngology Series in the e-journal version of Otolaryngology–Head and Neck Surgery. Part 9: Valuing Health Outcomes by Lisa Caulley, MD, MPH, Myriam G. Hunink, MD, PhD, Shaun Kitty, MD, Vikas Mehta, MD, MPH, George A. Scangas, MD, Danielle Rodin, MD, MPH, Gregory W. Randolph, MD, and Jennifer J. Shin, MD, SM, was published in January 2019. Topics to follow include cost-effectiveness analysis and national databases availability for otolaryngology research.

• Database studies on the topics of opioid prescribing patterns for adults and children and adherence to guidelines for head and neck cancer are underway.
• An OREBM-sponsored survey and study on the current knowledge and attitudes of using systemic steroids in the management of uniform resource identifiers is under development by Edward McCoul, MD, MPH, and Sean M. Parsel, MD.
• The OREBM and other committee-sponsored proposals for a clinical practice guideline on opioid prescribing after otolaryngology procedures was accepted by the AAO-HNSF Guideline Task Force.
• The Research Outcome Tools webpage on entnet.org is being updated with more instruments and copyright information helpful for use in clinical practice, research, and for future use in the Reg-ent^SM registry.
• Eight OREBM-sponsored sessions were presented at the AAO-HNSF 2018 Annual Meeting & OTO Experience in Atlanta, Georgia, and six to seven are pending acceptance at the AAO-HNSF 2019 Annual Meeting & OTO Experience in New Orleans, Louisiana.
• Look for more to come from OREBM as the committee continues to connect research and outcomes to evidence-based clinical practice.

OREBM members developed the following seven Panel Presentations that were accepted for the AAO-HNSF 2019 Annual Meeting & OTO Experience program in New Orleans, LA:

• Are You Up-To-Date: Otolaryngology Systematic Reviews Pt. I & Pt. 2
• Controversies in Parotid Surgery: Is There Evidence? Pt. I & Pt. 2
• Intraoperative Nerve Monitoring in Head and Neck Surgery: State of the Art
• Kids Today: Rapid Review of Guidelines and Consensus Statements
• Opioid-Sparing Strategies in Otolaryngology: Approaches to Eliminate Opioids
• Recent Publications That Could Change Your Practice: Pediatric and General Otolaryngology
• Using Big Data in Otolaryngology