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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. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
List of contents
Background section.
What is quality in medicine and why do we need to work at it
Where does safety fit in?
What is perioperative medicine and why do we need it?
The case for improvement in perioperative medicine
The value of big data studies in perioperative medicine
Clinical trials in perioperative medicine
Large scale audits
Education in perioperative medicine
System thinking for perioperative medicine
Patient centered care in perioperative medicine
Shared decision making for surgery
Publication for PM
SQUIRE guidelines
Section One: Improvement Science Tools for Change
Process mapping
Stakeholder engagement
Creating urgency - techniques to make the case for change
Theory of change
Measurement for improvement
- Sampling
- Run charts
- Statistical Process Control
Checklists
Bundles
Common improvement methodologies
- Background
- Lean
- Model for Improvement
- Six sigma and others DMAIC
- Others
Driver Diagrams
Social aspects of change
- Getting the message out (journalist / media expert)
- Communication for improvement
- Telling stories for improvement
Human Factors and perioperative improvement
Running a collaborative
Section Two: Putting it all together - clinical quality improvement examples
Michigan surgical collaborative - could have several different examples
ERAS protocols
Penn work
Brain Health Initiative
ELC and EPOCH
PQIP
Trainee initiatives UK
Other US examples - particularly surgical.
About the author
Carol J. Peden is an Adjunct Profesor in Anesthesiology at both the Keck School of Medicine of USC in Los Angeles, California and the Perelman School of Medicine at the University of Pennsylvania in Philadelphia, Pennsylvania. She is also a Visiting Professor at the Centre for Healthcare Innovation and Improvement, University of Bath in Bath, Somerset, UK.Michael Engelsbe is the Cyrenus G. Darling Sr., MD and Cyrenus G. Darling Jr., MD Professor of Surgery within the Section of Transplantation Surgery at Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
