Perioperative Quality Improvement

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.

"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)

• 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 guidelinesSection One: Improvement Science Tools for ChangeProcess mappingStakeholder engagementCreating urgency - techniques to make the case for change Theory of changeMeasurement for improvement SamplingRun charts Statistical Process Control Checklists Bundles Common improvement methodologies Background Lean Model for Improvement Six sigma and others DMAICOthers Driver DiagramsSocial aspects of change Leadership skills Getting the message out (journalist / media expert)Communication for improvementTelling stories for improvement Human Factors and perioperative improvement Running a collaborative Section Two: Putting it all together - clinical quality improvement examplesMichigan surgical collaborative - could have several different examplesERAS protocolsPenn workBrain Health InitiativeELC and EPOCHPQIP Trainee initiatives UKOther US examples - particularly surgical.