Tonsillectomies and Adenoidectomies
What is CITA?
The Consortium for Improvement of Tonsillectomies and Adenoidectomies (CITA) is a multi-institutional quality improvement project aimed at improving outcomes in all six National Academy of Medicine (NAM) quality domains for pediatric tonsillectomy and adenoidectomy surgeries, thereby setting a new standard of care. This initiative leverages EMR data in AdaptX® and fosters collaboration across participating institutions to drive meaningful improvements in quality, equity, and efficiency.
Enhancing clinical outcomes via small, rapid, iterative PDSA improvement cycles.
Why participate?
Safety: Fewer complications result in lower costs
Effectiveness: Reduced post-op pain and PONV improve patient satisfaction
Patient-centeredness: Opioid stewardship with effective pain relief enhances patient satisfaction
Efficiency: Improved on-time performance and reduced wait times increase operational capacity
Equity: Identifying and eliminating care and outcome disparities improves health equity
Consortium Benefits
Children’s Minnesota
Nemours Children’s – Delaware Valley
Seattle Children’s
Founding Participants
Anesthesia PI - Vanessa Olbrecht, MD, MBA, FASA (Nemours Children’s – Delaware Valley)
Surgical PI - TBD
Mentors - Lynn D. Martin, MD, MBA (Seattle Children’s) and Jake Dahl, MD (Children’s Mercy)
Consortium Leadership
Paired Otolaryngology and Anesthesia leaders as site Co-Principal Investigators
Real-time, self-serve access to all Otolaryngology case data in AdaptX®
Participation in monthly video conference calls
Presentations/publications (both institution specific & consortium)
Three year program
Participating Institution Expectations
News
Peer-Reviewed Publications
Optimizing pediatric tonsillectomy outcomes with an opioid sparing anesthesia protocol: Learning and continuously improving with real-world data
Editorial: We have come a long way but, I still have questions
The development of an opioid-sparing anesthesia protocol for pediatric ambulatory tonsillectomy and adenotonsillectomy surgery
Completion of an Enhanced Recovery Program in a Pediatric Ambulatory Surgery Center: A Quality Improvement Initiative
Impact of Eliminating Local Anesthesia on Immediate Postoperative Analgesia in Pediatric Ambulatory Adenotonsillectomy
Reducing Pediatric Posttonsillectomy Opioid Prescribing: A Quality Improvement Initiative
Outcomes for 41,260 pediatric surgical patients with opioid-free anesthesia: One center's experience
In Pursuit of an Opioid-Free Pediatric Ambulatory Surgery Center: A Quality Improvement Initiative
Enhancing Outcomes in Clinical Practice: Lessons Learned in the Quality Improvement Trenches
Transforming into a Learning Health System: A Quality Improvement Initiative
New Consortium to Transform Pediatric Tonsillectomy and Adenoidectomy Care
Join the Consortium
For more information about joining the consortium, please click the button below.
Contacts
Lynn Martin, MD: lynn.martin@seattlechildrens.org
Vanessa Olbrecht, MD: vanessa.olbrecht@nemours.org
Jake Dahl, MD, PhD, MBA: jpdahl@cmh.edu
Dan Low: dan.low@adaptx.com