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 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.
1. Cover - p. i 2. Title page - p. i 3. Table of Contents - p. i 4. Copyright - p. iv 5. Contributors - p. v 6. Foreword - p. xv 7. Preface - p. xvii 8. Section 1: Background - p. xviii 9. Chapter 1: What Is Quality in Medicine and Why Do We Need to Work on It? - p. 3 10. Chapter 2: Where Does Safety Fit In? - p. 7 11. Chapter 3: What Is Perioperative Medicine and Why Do We Need It? - p. 13 12. Chapter 4: The Case for Improvement in Perioperative Medicine - p. 18 13. Chapter 5: The Promise and Pitfalls of Big Data Studies in Perioperative Medicine - p. 23 14. Chapter 6: Clinical Trials in Perioperative Medicine - p. 29 15. Chapter 7: Large-Scale Audits: Using Citizen Science to Gather High-Quality “Big Data” - p. 34 16. Chapter 8: Education in Perioperative Medicine - p. 38 17. Chapter 9: System Thinking in Perioperative Medicine - p. 50 18. Chapter 10: Patient-Centered Care in Perioperative Outcomes - p. 59 19. Chapter 11: Shared Decision Making - p. 63 20. Chapter 12: Clinical Outcomes and Measures in Perioperative Care - p. 68 21. Chapter 13: Equity and Perioperative Care - p. 74 22. Chapter 14: Qualitative Research in Perioperative Medicine - p. 79 23. Chapter 15: Publication in Perioperative Medicine - p. 84 24. Chapter 16: The SQUIRE 2.0 (Standards for Quality Improvement Reporting Excellence) Guidelines: A Framework for Designing and Reporting Quality Improvement Studies, Application in Perioperative Care - p. 89 25. Chapter 17: Leveraging the Perioperative Period to Address Population Health - p. 95 26. Chapter 18: Building for Sustainability - p. 100 27. Chapter 19: Risk Management and Perioperative Quality - p. 107 28. Chapter 20: Using Innovative Payment Models to Drive Improvement in Perioperative Care - p. 113 29. Section 2: Improvement Science Tools for Change - p. 118 30. Chapter 21: What is Program Theory and Why Is It Important to Perioperative Quality Improvement? - p. 121 31. Chapter 22: An Overview of Common Improvement Methodologies and Their Background - p. 126 32. Chapter 23: The Model for Improvement: A Tool to Drive Perioperative Improvement - p. 131 33. Chapter 24: Lean in Health Care - p. 137 34. Chapter 25: Other Performance Improvement Tools: From Compliance to Excellence - p. 145 35. Chapter 26: Building a Measurement System That Works: Milestones, Measure Development, and Sampling - p. 153 36. Chapter 27: Analyzing Variation With Run Charts - p. 161 37. Chapter 28: Statistical Process Control Charts for Clinical Users - p. 168 38. Chapter 29: Process Mapping - p. 176 39. Chapter 30: Driver Diagrams - p. 180 40. Chapter 31: Care Bundles for Perioperative Improvement - p. 185 41. Chapter 32: Human Factors in Perioperative Care: General Principles - p. 191 42. Chapter 33: Human Factors and Perioperative Improvement: Handover Checklists and Protocols for Safe and Reliable Care Transitions - p. 199 43. Chapter 34: Checklists for Safer Perioperative Care - p. 204 44. Chapter 35: Social Aspects of Change in Perioperative Care and the Importance of Context - p. 211 45. Chapter 36: Stakeholder Engagement - p. 216 46. Chapter 37: Techniques for Creating Urgency - p. 220 47. Chapter 38: Leadership in Perioperative Quality - p. 224 48. Chapter 39: Establishing and Running Quality Collaboratives: The Michigan Experience - p. 228 49. Chapter 40: Excellent Perioperative Patient Experience - p. 232 50. Chapter 41: An International Perspective on Training and Setting Standards in Perioperative Medicine - p. 236 51. Section 3: Putting It All Together—Clinical Quality Improvement Examples - p. 239 52. Chapter 42: Implementation of Enhanced Recovery for Colorectal Surgery: A Real-World Example of Quality Improvement - p. 243 53. Chapter 43: Quality Improvement Through the Lens of the Multicenter Perioperative Outcomes Group - p. 250 54. Chapter 44: The Michigan Urological Surgery Improvement Collaborative (MUSIC) Reducing Operative Complications From Kidney Stones (ROCKS) Quality Initiative - p. 264 55. Chapter 45: Enhanced Recovery After Surgery Protocols— Implementation Across a US Health System: System-Level Principles - p. 274 56. Chapter 46: Pain Care Pathways and Patient Reported Outcomes - p. 289 57. Chapter 47: Health Services Research - p. 294 58. Chapter 48: The Perioperative Brain Health Initiative - p. 301 59. Chapter 49: Quality Improvement in Emergency Surgery: Learning From Two Large-Scale Programs to Reduce Mortality After Emergency Laparotomy - p. 307 60. Chapter 50: Perioperative Quality Improvement Programme - p. 314 61. Chapter 51: Using Real-World Data for Improvement—The Seattle Children's Example - p. 321 62. Chapter 52: Optimizing Value in Perioperative Medicine and the High Value Practice Academic Alliance: A Case-Based Study on Preoperative Assessment - p. 337 63. Chapter 53: Perioperative Medicine for Older People: Translating a Geriatrician-Led Perioperative Care Model From an Inner London Teaching Hospital to a District General Hospital - p. 341 64. Chapter 54: Putting It All Together: Clinical Quality Improvement Examples: Agency for Healthcare Research and Quality, Improving Surgical Care and Recovery - p. 349 65. Chapter 55: Cardiovascular Disease: Preoperative Testing and Evaluation for Noncardiac Surgery - p. 352 66. Chapter 56: Orthopedics and Regional Anesthesia: An Outpatient Total Shoulder Replacement Pathway - p. 361 67. Chapter 57: A Case Study: National Emergency Laparotomy Audit - p. 367 68. Chapter 58: Provider Resilience and Caring for the Carer - p. 375 69. Chapter 59: Nursing and Perioperative Quality Improvement - p. 382 70. Chapter 60: Certified Registered Nurse Anesthetists and Perioperative Medicine - p. 385 71. Chapter 61: Environmental Sustainability and Perioperative Quality Improvement - p. 392 72. Chapter 62: Gaining and Keeping C-Suite Support for Perioperative Quality Improvement Initiatives - p. 400 73. Index - p. 405
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 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.
1. Cover - p. i 2. Title page - p. i 3. Table of Contents - p. i 4. Copyright - p. iv 5. Contributors - p. v 6. Foreword - p. xv 7. Preface - p. xvii 8. Section 1: Background - p. xviii 9. Chapter 1: What Is Quality in Medicine and Why Do We Need to Work on It? - p. 3 10. Chapter 2: Where Does Safety Fit In? - p. 7 11. Chapter 3: What Is Perioperative Medicine and Why Do We Need It? - p. 13 12. Chapter 4: The Case for Improvement in Perioperative Medicine - p. 18 13. Chapter 5: The Promise and Pitfalls of Big Data Studies in Perioperative Medicine - p. 23 14. Chapter 6: Clinical Trials in Perioperative Medicine - p. 29 15. Chapter 7: Large-Scale Audits: Using Citizen Science to Gather High-Quality “Big Data” - p. 34 16. Chapter 8: Education in Perioperative Medicine - p. 38 17. Chapter 9: System Thinking in Perioperative Medicine - p. 50 18. Chapter 10: Patient-Centered Care in Perioperative Outcomes - p. 59 19. Chapter 11: Shared Decision Making - p. 63 20. Chapter 12: Clinical Outcomes and Measures in Perioperative Care - p. 68 21. Chapter 13: Equity and Perioperative Care - p. 74 22. Chapter 14: Qualitative Research in Perioperative Medicine - p. 79 23. Chapter 15: Publication in Perioperative Medicine - p. 84 24. Chapter 16: The SQUIRE 2.0 (Standards for Quality Improvement Reporting Excellence) Guidelines: A Framework for Designing and Reporting Quality Improvement Studies, Application in Perioperative Care - p. 89 25. Chapter 17: Leveraging the Perioperative Period to Address Population Health - p. 95 26. Chapter 18: Building for Sustainability - p. 100 27. Chapter 19: Risk Management and Perioperative Quality - p. 107 28. Chapter 20: Using Innovative Payment Models to Drive Improvement in Perioperative Care - p. 113 29. Section 2: Improvement Science Tools for Change - p. 118 30. Chapter 21: What is Program Theory and Why Is It Important to Perioperative Quality Improvement? - p. 121 31. Chapter 22: An Overview of Common Improvement Methodologies and Their Background - p. 126 32. Chapter 23: The Model for Improvement: A Tool to Drive Perioperative Improvement - p. 131 33. Chapter 24: Lean in Health Care - p. 137 34. Chapter 25: Other Performance Improvement Tools: From Compliance to Excellence - p. 145 35. Chapter 26: Building a Measurement System That Works: Milestones, Measure Development, and Sampling - p. 153 36. Chapter 27: Analyzing Variation With Run Charts - p. 161 37. Chapter 28: Statistical Process Control Charts for Clinical Users - p. 168 38. Chapter 29: Process Mapping - p. 176 39. Chapter 30: Driver Diagrams - p. 180 40. Chapter 31: Care Bundles for Perioperative Improvement - p. 185 41. Chapter 32: Human Factors in Perioperative Care: General Principles - p. 191 42. Chapter 33: Human Factors and Perioperative Improvement: Handover Checklists and Protocols for Safe and Reliable Care Transitions - p. 199 43. Chapter 34: Checklists for Safer Perioperative Care - p. 204 44. Chapter 35: Social Aspects of Change in Perioperative Care and the Importance of Context - p. 211 45. Chapter 36: Stakeholder Engagement - p. 216 46. Chapter 37: Techniques for Creating Urgency - p. 220 47. Chapter 38: Leadership in Perioperative Quality - p. 224 48. Chapter 39: Establishing and Running Quality Collaboratives: The Michigan Experience - p. 228 49. Chapter 40: Excellent Perioperative Patient Experience - p. 232 50. Chapter 41: An International Perspective on Training and Setting Standards in Perioperative Medicine - p. 236 51. Section 3: Putting It All Together—Clinical Quality Improvement Examples - p. 239 52. Chapter 42: Implementation of Enhanced Recovery for Colorectal Surgery: A Real-World Example of Quality Improvement - p. 243 53. Chapter 43: Quality Improvement Through the Lens of the Multicenter Perioperative Outcomes Group - p. 250 54. Chapter 44: The Michigan Urological Surgery Improvement Collaborative (MUSIC) Reducing Operative Complications From Kidney Stones (ROCKS) Quality Initiative - p. 264 55. Chapter 45: Enhanced Recovery After Surgery Protocols— Implementation Across a US Health System: System-Level Principles - p. 274 56. Chapter 46: Pain Care Pathways and Patient Reported Outcomes - p. 289 57. Chapter 47: Health Services Research - p. 294 58. Chapter 48: The Perioperative Brain Health Initiative - p. 301 59. Chapter 49: Quality Improvement in Emergency Surgery: Learning From Two Large-Scale Programs to Reduce Mortality After Emergency Laparotomy - p. 307 60. Chapter 50: Perioperative Quality Improvement Programme - p. 314 61. Chapter 51: Using Real-World Data for Improvement—The Seattle Children's Example - p. 321 62. Chapter 52: Optimizing Value in Perioperative Medicine and the High Value Practice Academic Alliance: A Case-Based Study on Preoperative Assessment - p. 337 63. Chapter 53: Perioperative Medicine for Older People: Translating a Geriatrician-Led Perioperative Care Model From an Inner London Teaching Hospital to a District General Hospital - p. 341 64. Chapter 54: Putting It All Together: Clinical Quality Improvement Examples: Agency for Healthcare Research and Quality, Improving Surgical Care and Recovery - p. 349 65. Chapter 55: Cardiovascular Disease: Preoperative Testing and Evaluation for Noncardiac Surgery - p. 352 66. Chapter 56: Orthopedics and Regional Anesthesia: An Outpatient Total Shoulder Replacement Pathway - p. 361 67. Chapter 57: A Case Study: National Emergency Laparotomy Audit - p. 367 68. Chapter 58: Provider Resilience and Caring for the Carer - p. 375 69. Chapter 59: Nursing and Perioperative Quality Improvement - p. 382 70. Chapter 60: Certified Registered Nurse Anesthetists and Perioperative Medicine - p. 385 71. Chapter 61: Environmental Sustainability and Perioperative Quality Improvement - p. 392 72. Chapter 62: Gaining and Keeping C-Suite Support for Perioperative Quality Improvement Initiatives - p. 400 73. Index - p. 405
