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Invited Commentary
March 2016

Improving Outcomes and Promoting Quality in Otolaryngology—Beyond the National Surgical Quality Improvement Program

Author Affiliations
  • 1Division of Pediatric Otolaryngology—Head and Neck Surgery, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
  • 2Department of Otolaryngology—Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH
  • 3Surgical Director, Upper Airway Center, Division of Pulmonary Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
JAMA Otolaryngol Head Neck Surg. 2016;142(3):247-248. doi:10.1001/jamaoto.2015.3907

Tracheotomy is commonly performed in the pediatric population, with an estimated 4800 tracheotomy procedures performed on patients under the age of 18 years annually in the United States.1 In particular, infant tracheotomy has previously been identified by Shah et al2 as one of the largest contributors to morbidity in pediatric otolaryngology. Efforts have begun in the otolaryngology community at local, national, and international levels to standardize and improve safety and quality of care for patients undergoing tracheotomy, through organizations such as the Global Tracheotomy Collaborative and the International Pediatric Otolaryngology Group. Despite these efforts, there is still a knowledge gap regarding best practices for pediatric tracheotomy.

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