Quality of Anesthesia Care, An Issue of Anesthesiology Clinics

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Ongoing improvement in the quality of patient care is essential to all anesthesia practices. This issue of Anesthesiology Clinics provides solid foundation and guidance in how to improve outcomes, as it covers the following topics. An overview of QI structures and initiatives is presented, focusing on the relevance to anesthesiology. A practical guide on how to implement a QI program is provided. Quality measurement approaches and issues, including the use of databases and risk adjustment are also examined. How to use simulation and other cutting-edge technology to improve quality in the OR is provided. Issues in multidisciplinary education and enhanced communication are explored. Recommendations for fostering a culture of safety are provided. How real-time support and decision-making can improve performance on quality process measures are examined. Clinical topics including bariatrics, geriatrics and decreasing perioperative delirium, and pain management are covered, as well as issues about end-of-life care.

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Product Details

  • ISBN-13: 9781455704194
  • Publisher: Elsevier Health Sciences
  • Publication date: 3/16/2011
  • Series: The Clinics: Surgery
  • Pages: 200
  • Product dimensions: 6.10 (w) x 9.10 (h) x 0.50 (d)

Table of Contents

Foreword: Quality of Anesthesia Care Lee A. Fleisher xiii

Preface: Finding the Fourth Branch-Understanding Quality-of-Care in Anesthesiology Mark D. Neuman Elizabeth A. Martinez xv

Teamwork and Communication in the Operating Room: Relationship to Discrete Outcomes and Research Challenges Michael Nurok Thoralf M. Sundt Ill Allan Frankel 1

Simulation and Quality Improvement in Anesthesiology Christine S. Park 13

Using Information Technology to Improve Quality in the OR Brian Rothman Warren S. Sandberg Paul St Jacques 29

Using Real-Time Clinical Decision Support to Improve Performance on Perioperative Quality and Process Measures Anthony Chau Jesse M. Ehrenfeld 57

Outcomes Research Using Quality Improvement Databases: Evolving Opportunities and Challenges Satya Krishna Ramachandran Sachin Kheterpal 71

Preventing Postoperative Complications in the Elderly Frederick E. Sieber Sheila Ryan Earnett 83

Improving Quality Through Multidisciplinary Education Rikante Kveraga Stephanie B. Jones 99

Health Care Quality in End-of-Life Care: Promoting Palliative Care in the Intensive Care Unit Rebecca Aslakson Peter J. Pronovost 111

Quality Assurance and Assessment in Pain Management Anita Gupta Michael Ashburn Jane Eallantyne 123

Medication Safety in the Perioperative Setting George M. Hanna Wilton C. Levine 135

Reduction of Regulated Medical Waste Using Lean Sigma Results in Financial Gains for Hospital Jerry Stonemetz Julius C. Pham Alejandro J. Necochea John McGready Robert E. Hody Elizabeth A. Martinez 145

An Anesthesiology Department Leads Culture Change at a Hospital System Level to Improve Quality and Patient Safety Peter M. Fleischut Adam S. Evans Susan L. Faggiani Eliot J. Lazar Gregory E. Kerr 153

Index 169

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