The Quality-Based Procedures (QBPs) for Paediatric Tonsillectomy with and without Adenoidectomy were developed as part of the Ontario Health System Funding Reform (HSFR) initiative. The purpose of the HSFR was to strengthen the link between high-quality healthcare delivery and fiscal sustainability.
The QBPs for Paediatric Tonsillectomy with and without Adenoidectomy provide clinicians with evidence-based recommendations on the pre-, intra- and post-operative care and management of paediatric patients undergoing tonsillectomy with or without adenoidectomy. They emphasize the need for evaluation and intervention in high-risk patients, such as those with suspected severe obstructive apnea syndrome (OSAS). The QBPs also aim to:
- Reduce variations in the use of steroids, administration of antibiotics and use of codeine;
- Promote appropriate and timely counselling and education for patients, parents and caregivers
- Ensure appropriate follow-up care strategies are in place; and reduce post-surgery readmission rates and Emergency Department (ED) revisit rates due to common complications (e.g.: dehydration, hemorrhage following surgical procedure, pain and respiratory complications).