cover image - Perioperative Quality Improvement, 1st Edition
ISBN: 9780323833998
Copyright: 2023
Publication Date: 11-14-2022
Page Count: 448
Imprint: Elsevier
List Price: $83.99

Perioperative Quality Improvement, 1st Edition

by Carol J. Peden, MB ChB, MD, FRCA, FFICM, MPH, Lee A. Fleisher, MD and Michael Englesbe, MD

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cover image - Perioperative Quality Improvement, 1st Edition
ISBN: 9780323833998
Copyright: 2023
Publication Date: 11-14-2022
Page Count: 448
Imprint: Elsevier
List Price: $83.99
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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.
  • 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.

  • Carol J. Peden, MB ChB, MD, FRCA, FFICM, MPH, Lee A. Fleisher, MD, Robert Dunning Drips Professor and Chair of Anesthesiology and Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA and Michael Englesbe, MD, Cyrenus G. Darling Sr. & Cyrenus G. Darling Jr. Professor of Surgery, University of Michigan, Ann Arbor, Michigan, USA
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