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Perioperative Quality Improvement

Joined: November 28, 2023
Articles: 63

Anesthesia

Human Factors and Perioperative Improvement: Handover Checklists and Protocols for Safe and Reliable Care Transitions

Key Points A checklist is a complex sociotechnical intervention that requires careful attention to instrument design, implementation, and identification of essential task-oriented skills. Successful implementation of checklists must leverage human factors engineering and implementation science principles to promote “stickiness,” or…

November 23, 2023

Anesthesia

Human Factors in Perioperative Care: General Principles

Key Points Human factors (HF) is a scientific discipline that uses observation and analysis of work processes to identify opportunities for improvement and design interventions to implement these. HF differs from standard quality improvement (QI) in its reliance on systematic…

November 23, 2023

Anesthesia

Care Bundles for Perioperative Improvement

Key Points Care bundles provide a means of grouping a small number of evidence-based components together for a defined patient group or setting of care to facilitate a desired and improved outcome. The processes, when grouped into a bundle, should…

November 23, 2023

Anesthesia

Driver Diagrams

KEY POINTS A driver diagram demonstrates the factors underlying a particular outcome. It can offer a visual representation of the “theory of change” underpinning the improvement work. A driver diagram is useful for generating change ideas that directly link to…

November 23, 2023

Anesthesia

Process Mapping

Key Points Process maps provide a useful tool to help understand a system and stimulate improvement ideas. Process maps are a visual representation of a process or pathway broken down into the constituent steps and options along the pathway. Creating…

November 23, 2023

Anesthesia

Statistical Process Control Charts for Clinical Users

Key points Quality improvement teams need a rigorous method to learn whether the changes they make lead to improvement. Statistical process control (SPC) charts visualize data over time, signaling whether a process is stable or whether a nonrandom special cause,…

November 23, 2023

Anesthesia

Analyzing Variation With Run Charts

Key Points Variation exists in all that we do. Variation needs to be understood as it lays itself out over time. Static displays of data using summary and descriptive statistics will not allow you to understand variation. The Run Chart…

November 23, 2023

Anesthesia

Building a Measurement System That Works: Milestones, Measure Development, and Sampling

Key Points Without data, you are merely a person with another opinion! Living in concept-land will never produce results! The milestones in the quality measurement journey provide the roadmap for successful results. Every successful journey starts with a map and…

November 23, 2023

Anesthesia

Other Performance Improvement Tools: From Compliance to Excellence

Key Points Improving healthcare processes and outcomes and maintaining these achievements within the healthcare system is a multifaceted journey. Different services, systems, and processes each present their own unique set of “Opportunities for Improvement” (OFI). Depending on the complexity of…

November 23, 2023

Anesthesia

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November 23, 2023