Scheduled Presentations by Subspecialty

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“A cost and efficiency analysis of performing myringotomy with tube insertion procedures in the minor procedure room compared to the operating room”

Khrystyna Ioanidis, Jacob Davidson, Julie Strychowsky, Vanessa Fantillo

Abstract

OBJECTIVES: To evaluate whether minor paediatric surgeries performed in the minor procedure room (MPR) are more time and cost efficient compared to those in the operating room (OR).

STUDY DESIGN: Retrospective review

METHODS: Charts from myringotomy with tube insertions in both locations were reviewed (June 2015 – May 2017). Case costing was based on the cost of supplies and medical personnel.

RESULTS: 294 patients were included, equally divided between MPR and OR procedures. Median time in room (13.0 vs. 23.0 minutes), turnover time (6.0 vs. 14.5 minutes), and hospital stay (1.9 vs. 4.2 hours) were statistically shorter in the MPR versus the OR. The cost of a myringotomy with tube insertion was $186.17 in the MPR versus $460.36 in the OR, a difference of $274.19.

CONCLUSION: Bilateral myringotomy with tube insertions are more time and cost efficient in the MPR. This study supports the need for increased MPR time for appropriate surgeries.

Learning Objectives

Learning Objectives

  1. By the end of this session, the participant will be able to describe the benefits of doing minor paediatric surgical procedures in the minor procedure room over the operating room.
  2. By the end of this session, the participant will be able to evaluate the cost and time effectiveness of a myringotomy with tube insertion in the minor procedure room as opposed to the operating room when presented with data from our institution.
  3. By the end of this session, the participant will be able to consider the impact of cost and time effectiveness in the surgical setting on healthcare resources and on the patient experience.

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Scheduling Details

This 7 minute presentation is scheduled to take place on June 4, 2019 at 13:50 in the Hall C.

Authors' Contact Details

Corresponding Author: Dr. Khrystyna Ioanidis

Senior Author: Dr. Julie Strychowsky

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