Description
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.
Table of Contents
Background section.What is quality in medicine and why do we need to work at itWhere does safety fit in?What is perioperative medicine and why do we need it?The case for improvement in perioperative medicineThe value of big data studies in perioperative medicineClinical trials in perioperative medicineLarge scale auditsEducation in perioperative medicineSystem thinking for perioperative medicinePatient centered care in perioperative medicineShared decision making for surgeryPublication for PMSQUIRE guidelinesSection One: Improvement Science Tools for ChangeProcess mappingStakeholder engagementCreating urgency - techniques to make the case for changeTheory of changeMeasurement for improvement- Sampling- Run charts- Statistical Process Control ChecklistsBundlesCommon improvement methodologies- Background- Lean- Model for Improvement- Six sigma and others DMAIC- Others Driver DiagramsSocial aspects of change- Leadership skills- Getting the message out (journalist / media expert)- Communication for improvement- Telling stories for improvement Human Factors and perioperative improvementRunning a collaborativeSection Two: Putting it all together – clinical quality improvement examplesMichigan surgical collaborative – could have several different examplesERAS protocolsPenn workBrain Health InitiativeELC and EPOCHPQIPTrainee initiatives UKOther US examples – particularly surgical.
