Institution of a Provider Specific Quality Dashboard

Introduction: Transparency in quality metrics is a key driver for improving clinical outcomes and provider performance. Tracking and sharing data empowers clinicians to identify areas for improvement and adopt evidence-based practices. To enhance perioperative outcomes in pediatric tonsillectomy, we developed a provider-specific dashboard reporting post-tonsillectomy bleed rates.

Methods: We conducted an observational study within a tertiary care academic otolaryngology practice to evaluate tonsillectomy bleed rates before and after implementation of a quality improvement initiative. Postoperative hemorrhage events were identified through electronic health record review, including any patient who presented to the hospital for bleeding. Individual provider bleed rates were compiled into a transparent dashboard and shared. A quality conference was held to review aggregate data, discuss current evidence, and identify potential practice modifications. Providers identified as outliers received individualized feedback and were observed intraoperatively for technique assessment and improvement.

Results: Following implementation of the tonsil bleed rate dashboard and departmental quality meeting, the overall post-tonsillectomy bleed rate decreased from 2.97% in 2024 to 1.85% during the subsequent equivalent period. This represents an absolute reduction of 1.12% and a relative reduction of 38%. Statistical analysis demonstrated a trend toward significance using a paired t-test (p = 0.17) and a statistically significant difference using the Wilcoxon signed-rank test (p = 0.0086).

Conclusions: Implementation of a transparent, provider-specific dashboard and departmental quality review was associated with a meaningful reduction in pediatric post-tonsillectomy bleed rates. These findings suggest that data transparency, peer review, and targeted feedback can drive measurable improvements in surgical outcomes. Continued monitoring and reinforcement of evidence-based practices may further enhance quality and patient safety in pediatric otolaryngology.