Abstract
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. 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.
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