Comparing quality at an ambulatory surgery center and a hospital-based facility: preliminary findings

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Jedidiah Grisel, Ellis Arjmand

Abstract

To measure the quality of outpatient surgery in an ambulatory surgery center (ASC) compared to a hospital-based facility (HBF) in a multidimensional manner. Cross-sectional survey based on chart review. Pediatric academic health center. A total of 486 cases were reviewed. Procedures were performed at either an ASC (n = 275) or an HBF (n = 211). Cases comprised four procedure types: ventilation tube insertion (ASC, n = 126; HBF, n = 108), dental rehabilitation (ASC, n = 89; HBF, n = 58), adenotonsillectomy (ASC, n = 37; HBF, n = 34), and ventilation tube insertion/adenoidectomy (ASC, n = 23; HBF, n = 11). Measures were developed for five categories: safety, patient-centeredness, timeliness, efficiency, and equitability. Performance was compared between facilities. The ASC had no unexpected safety events (0/275) compared to nine events (9/211) at the HBF. Tonsil bleed rates were 0 percent (0/37) at the ASC compared to 5.9 percent (2/34) at the HBF. Patient satisfaction was similar between facilities (ASC, n = 64; HBF, n = 35). Differences in timeliness approached 30 percent. A total of 77 percent of ASC cases finished within the scheduled time compared to 38 percent at the HBF. Total charges were 12 to 23 percent less at the ASC....Continue Reading

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Citations

Feb 3, 2012·Italian Journal of Pediatrics·Giovanni MangiaGiacinto Antonio Marrocco
May 18, 2011·The Journal of Urology·Adam F Stewart, D Preston Smith
Feb 22, 2012·American Journal of Surgery·Brionna HairBarbara Wynn
May 5, 2011·Anesthesiology Research and Practice·Joseph V PergolizziRobert Taylor
Dec 3, 2014·International Journal of Pediatric Otorhinolaryngology·Matthew P ConnorStephen Maturo
Apr 22, 2016·The Journal of Bone and Joint Surgery. American Volume·Kanu S GoyalJoseph E Imbriglia
Jan 10, 2012·The Annals of Otology, Rhinology, and Laryngology·Neil Bhattacharyya
Aug 22, 2014·Surgical Innovation·Anne M SuskindBrent K Hollenbeck
Mar 29, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Alexandra G EspinelEmily F Boss
Sep 5, 2014·Medical Care·Brent K HollenbeckJohn D Birkmeyer
Oct 19, 2016·Clinical Spine Surgery : a Spine Publication·Junyoung AhnKern Singh
Jun 1, 2018·Acta chirurgica Belgica·Els Van CaelenbergMarc Coppens
Jan 5, 2013·The American Journal of Gastroenterology·Lane Koenig, Qian Gu
Feb 6, 2017·Hand : Official Journal of the American Association for Hand Surgery·Michael B GottschalkS Steven Yang
Feb 9, 2021·Curēus·Brian M KattJoshua Hornstein
Jun 8, 2021·Paediatric Anaesthesia·Beverly A MendozaZeev N Kain

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