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Perioperative Quality Improvement

  • Joined: November 28, 2023
  • Articles: 63

Using Real-World Data for Improvement—The Seattle Children’s Example

Key Points Perioperative opioid-sparing protocols for children are feasible. Standardized anesthesia protocols and accessible real-world data displayed as statistical process control charts can inform rapid PDSA (Plan-Do-Study-Act) cycles. Challenges to improvement work can be overcome using technology, data, communication, education,…

Perioperative Quality Improvement Programme

Key Points The Perioperative Quality Improvement Programme (PQIP) is a multidisciplinary initiative to evaluate the quality of care and outcomes of patients undergoing surgery in the UK National Health Service (NHS). PQIP enrolls patients undergoing major noncardiac surgery and measures…

The Perioperative Brain Health Initiative

Key Points Perioperative neurocognitive disorders represent a major public health issue. The Perioperative Brain Health Initiative (PBHI) aims to improve brain health in surgical patients through systematic improvements in awareness and clinical practice. Preliminary evidence suggests that implementation of perioperative…

Health Services Research

Key Points The origin of health services research is discussed. Quantitative tools, including cross-sectional, cohort, case-control, and difference-in-difference study designs, are briefly reviewed. Qualitative tools, such as focus groups, surveys, and interviews, are covered. Examples of study designs in perioperative…

Pain Care Pathways and Patient Reported Outcomes

Key Points Overprescribing of opioids and new persistent opioid use after surgery are common problems. Granular data involving patient-reported outcomes and clinical behaviors are critical to inform pain care pathways. A remarkable number of stakeholders are involved in pain management…