Quality improvement (QI) principles are increasingly important in every area of today’s healthcare, encompassing efforts to make healthcare delivery safer, more effective, patient-centered, timely, equitable, and efficient. Perioperative Quality Improvement provides up-to-date, easy-to-read guidance for perioperative clinicians on this critical topic. Each chapter covers a pertinent area of QI in the perioperative setting, focusing on both concepts and implementation. Written and edited by key international opinion leaders in the field, this text is a relevant, concise resource for anesthesiologists, surgeons, nurse anesthetists, and hospitalists―anyone involved in perioperative medicine regardless of specialty area.

• Explains concepts related to understanding the tools and techniques used in improving the quality of care, establishing a culture of quality, prioritizing areas of improvement, collecting and analyzing data, communicating, motivating people to change, and performing ongoing evaluations.
• Covers key topics such as patient-centered care, equity, shared decision making, process mapping, and sustainability.
• Addresses the critical areas of structure, process and outcome with a focus on perioperative care and relevant case studies.

Review

Timely, easy-to-follow guidance on QI in today’s perioperative care

Contents

۱. What Is Quality in Medicine and Why Do We Need to Work on It?
۲. Where Does Safety Fit In?
۳. What Is Perioperative Medicine and Why Do We Need It?
۴. The Case for Improvement in Perioperative Medicine
۵. The Promise and Pitfalls of Big Data Studies in Perioperative Medicine
۶. Clinical Trials in Perioperative Medicine
۷. Large-Scale Audits: Using Citizen Science to Gather High-Quality “Big Data”
۸. Education in Perioperative Medicine
۹. System Thinking in Perioperative Medicine
۱۰. Patient-Centered Care in Perioperative Outcomes
۱۱. Shared Decision Making
۱۲. Clinical Outcomes and Measures in Perioperative Care
۱۳. Equity and Perioperative Care
۱۴. Qualitative Research in Perioperative Medicine
۱۵. Publication in Perioperative Medicine
۱۶. The SQUIRE 2. 0 (Standards for Quality Improvement Reporting Excellence) Guidelines: A Framework for Designing and Reporting Quality Improvement Studies, Application in Perioperative Care
۱۷. Leveraging the Perioperative Period to Address Population Health
۱۸. Building for Sustainability
۱۹. Risk Management and Perioperative Quality
۲۰. Using Innovative Payment Models to Drive Improvement in Perioperative Care
۲۱. What is Program Theory and Why Is It Important to Perioperative Quality Improvement?
۲۲. An Overview of Common Improvement Methodologies and Their Background
۲۳. The Model for Improvement: A Tool to Drive Perioperative Improvement
۲۴. Lean in Health Care
۲۵. Other Performance Improvement Tools: From Compliance to Excellence
۲۶. Building a Measurement System That Works: Milestones, Measure Development, and Sampling
۲۷. Analyzing Variation With Run Charts
۲۸. Statistical Process Control Charts for Clinical Users
۲۹. Process Mapping
۳۰. Driver Diagrams
۳۱. Care Bundles for Perioperative Improvement
۳۲. Human Factors in Perioperative Care: General Principles
۳۳. Human Factors and Perioperative Improvement: Handover Checklists and Protocols for Safe and Reliable Care Transitions
۳۴. Checklists for Safer Perioperative Care
۳۵. Social Aspects of Change in Perioperative Care and the Importance of Context
۳۶. Stakeholder Engagement
۳۷. Techniques for Creating Urgency
۳۸. Leadership in Perioperative Quality
۳۹. Establishing and Running Quality Collaboratives: The Michigan Experience
۴۰. Excellent Perioperative Patient Experience
۴۱. An International Perspective on Training and Setting Standards in Perioperative Medicine
۴۲. Implementation of Enhanced Recovery for Colorectal Surgery: A Real-World Example of Quality Improvement
۴۳. Quality Improvement Through the Lens of the Multicenter Perioperative Outcomes Group
۴۴. The Michigan Urological Surgery Improvement Collaborative (MUSIC) Reducing Operative Complications From Kidney Stones (ROCKS) Quality Initiative
۴۵. Enhanced Recovery After Surgery Protocols — Implementation Across a US Health System: System-Level Principles
۴۶. Pain Care Pathways and Patient Reported Outcomes
۴۷. Health Services Research
۴۸. The Perioperative Brain Health Initiative
۴۹. Quality Improvement in Emergency Surgery: Learning From Two Large-Scale Programs to Reduce Mortality After Emergency Laparotomy
۵۰. Perioperative Quality Improvement Programme
۵۱. Using Real-World Data for Improvement—The Seattle Children’s Example
۵۲. Optimizing Value in Perioperative Medicine and the High Value Practice Academic Alliance: A Case-Based Study on Preoperative Assessment
۵۳. Perioperative Medicine for Older People: Translating a Geriatrician-Led Perioperative Care Model From an Inner London Teaching Hospital to a District General Hospital
۵۴. Putting It All Together: Clinical Quality Improvement Examples: Agency for Healthcare Research and Quality, Improving Surgical Care and Recovery
۵۵. Cardiovascular Disease: Preoperative Testing and Evaluation for Noncardiac Surgery
۵۶. Orthopedics and Regional Anesthesia: An Outpatient Total Shoulder Replacement Pathway
۵۷. A Case Study: National Emergency Laparotomy Audit
۵۸. Provider Resilience and Caring for the Carer
۵۹. Nursing and Perioperative Quality Improvement
۶۰. Certified Registered Nurse Anesthetists and Perioperative Medicine
۶۱. Environmental Sustainability and Perioperative Quality Improvement
۶۲. Gaining and Keeping C-Suite Support for Perioperative Quality Improvement Initiatives