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Key points The planning of quality improvement greatly benefits from articulating a program theory: It improves clarity around what the intervention is attempting to accomplish and the mechanisms of change. A program theory can also identify stakeholders and conditions for…

Key Points To improve perioperative care and safety, relevant clinical outcomes and appropriate measures must be defined. The National Quality Forum (NQF) proposed that ideal clinical measures are: Evidence-based and highlight a “performance gap.” Demonstrative of reliability and validity. Feasible…