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Perioperative Quality Improvement

Timely, easy-to-follow guidance on QI in today’s perioperative care

Carol J. Peden (Edited by), Lee A. Fleisher (Edited by), Michael Englesbe (Edited by)

9780323833998

Paperback / softback, published 3 November 2022

448 pages
22.9 x 15.2 x 2.8 cm, 0.73 kg

"This book provides an encyclopedic approach to all aspects of perioperative safety, efficiency, quality, and quality improvement. It covers a wealth of topics, many of which are relevant to other aspects of surgical practice. Purchase of the paper copy includes access to an accompanying ebook, which is highly portable and fully searchable." ©Doody’s Review Service, 2023, Carol Scott-Conner, MD, PhD, MBA (University of Iowa Hospitals and Clinics)

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.

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

  • Leadership skills

  • 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.

Subject Areas: Anaesthetics [MMB]

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