Quality Improvement in Ambulatory Anesthesia

Jankowski, Christopher J.; Walsh, Michael T.

doi:10.1016/j.anclin.2019.01.013

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…3 As a specialty, anesthesiologists have recognized the importance of QI in generating better patient outcomes in the perioperative setting. 4,5 The American Board of Anesthesiology has made participation in QI mandatory for maintenance of certification, 6 and the American Society of Anesthesiologists (ASA) created the Anesthesia Quality Institute to facilitate the tracking and use of quality measures among anesthesiologists. 7,8 and psychiatry.…”

Section: Introductionmentioning

confidence: 99%

Problem-Based Learning Discussion to Introduce Quality Improvement to Residents in the Perioperative Setting

Kristobak

Snider

2021

MedEdPORTAL

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Introduction: Quality improvement (QI) is a growing and critical part of perioperative medical practice. However, there are few examples of educational tools to introduce new learners from anesthesiology to QI. This may contribute to a lack of enthusiasm to learn about and apply these concepts. Methods: This problem-based learning discussion (PBLD) was designed to teach anesthesiology residents about QI in a way allowing for the application of core concepts in a group setting. We created this PBLD using available literature on QI in the perioperative setting. Basic concepts and terminology necessary for new learners to communicate about QI were specifically addressed. Feedback from staff anesthesiologists and resident participants in the PBLD was used to tailor it to the needs of the target learners and to reach the educational objectives. Results: We delivered this PBLD in two separate learning sessions both to board-certified anesthesiologists (N = 10) and to resident anesthesiologists (N = 19) at our institution. The exercise was reviewed anonymously, and qualitative feedback was used to improve updated versions. Respondents felt that the PBLD would be improved by avoiding jargon-based humor, considering the systemic implications of QI, and limiting the overall length of the learning tool. The PBLD has been adopted as a starting point for discussions about QI in our training program. Discussion: We feel this PBLD can introduce new learners to the learning objectives. This tool has provided an alternative to lectures or computer-based modules for teaching QI.

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Section: Introductionmentioning

confidence: 99%

Problem-Based Learning Discussion to Introduce Quality Improvement to Residents in the Perioperative Setting

Kristobak

Snider

2021

MedEdPORTAL

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“…Estas unidades ambulatoriais precisam se atentar a algumas exigências legais e estruturais. É necessário ter em suas instalações tanto uma sala pré-anestésica quanto uma sala de recuperação pós-anestésica e equipamentos que garantam a qualidade da assistência prestada aos pacientes (BRASIL, 1994;BRASIL, 2008;JANKOWSKI;WALSH, 2019, SANTOS, et al 2008.…”

Section: D)unclassified

Anestesia ambulatorial: avaliação da eficácia, desfechos clínicos e satisfação dos pacientes

Silva¹

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Em tempos sombrios como os que vivemos, dedico este trabalho e meus pensamentos a todas as vítimas da brutal pandemia que atingiu a humanidade no ano de 2020 e ainda permanece nos devastando em 2021.A todos os meus amigos e colegas, enfermeiros, médicos, técnicos e auxiliares de enfermagem, fisioterapeutas, dentistas e tantos outros profissionais da saúde que enfrentam sequelas permanentes devido a longos períodos de hospitalização e aos que perderam suas vidas no nobre cumprimento do dever de salvar vidas e zelar pela dignidade humana... Vocês honraram o juramento que fizeram e merecem ter seus nomes cravados nos livros de história e em nossos corações, são verdadeiros heróis e assim serão lembrados, muito obrigado! A todos que acreditam no poder da ciência e da evolução humana, levantemos nossas cabeças e continuemos a lutar... AGRADECIMENTOS O presente trabalho foi realizado com apoio da Coordenação de Aperfeiçoamento de Nível Superior -Brasil (CAPES) -Código de Financiamento 001.A toda a minha família: À minha filha Clara, ainda pequena em estatura, mas gigante em meu coração, aprendo todos os dias com você e consigo enxergar o mundo por novos ângulos depois da sua chegada, tudo o que faço é para você e por você, te amo e agradeço ao universo a oportunidade de ser seu pai. Jacqueline, minha esposa querida e companheira de vida, sem a qual muitos projetos nunca seriam realizados, obrigado pelos dias ao seu lado, por compartilhar seus conhecimentos de forma tão doce e particular, por se dedicar a nossa família e por ser a melhor mãe e esposa do mundo, amo você! À minha mãe Maria de Jesus e ao meu irmão Daniel, obrigado pelo companheirismo da vida inteira, pela formação, pela força, resiliência, dedicação e pelo exemplo diário em como ser uma pessoa melhor. O que eu seria sem vocês? Amo vocês demais! A toda a família da minha mãe, pai e esposa. Obrigado pelo suporte e por sempre estarem a nosso lado... Agradeço imensamente ao meu orientador:Prof. Dr. Luís Vicente Garcia, muito obrigado pela paciência, pelos ensinamentos diários que transcendem a sala de aula, tenho o privilégio e a honra de trabalhar ao seu lado e aprender todos os dias com cada conduta, comportamento, exemplo de comprometimento e com o respeito pela vida dos pacientes. Tenho o senhor como um grande mestre e assim o levarei pela vida! Aos Docentes do Serviço de Anestesiologia do HCFMRP-USP:

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Leveraging the Existing Anesthesia Information Management System to Improve Anesthesia Quality Assurance Outcome Reporting

et al. 2021

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Introduction Tracking measures of quality over time has been shown to improve care within institutions and across health systems. Perioperative quality assurance (QA) tracking by anesthesia departments in the Military Health System (MHS) has not used a uniform system integrated into the workflow of anesthesia providers. The purpose of this study was to demonstrate that the use of the embedded QA outcome reporting feature in the anesthesia information management system (AIMS) increased the rate of reporting compared to the current paper reporting system in a military anesthesia department. Materials and Methods An electronic outcome reporting mechanism embedded in the AIMS was activated as an alternative to paper QA outcome reporting. The proportion of anesthesia cases per month in a 12-month period with a reported QA outcome was compared to the previous year in which only the paper reporting system was used. The total number of cases in each time period with an outcome reported was compared using chi square for proportions, and systems were evaluated using the Statistical Process Control methodology. This project was evaluated and determined to be exempt from review by our institutional review board. Results There was a 389.8% increase in the number of cases with a QA outcome reported after the implementation of the outcome reporting function integrated into the AIMS (χ2 = 207.72; P <.001, Table I). Systems before and after the intervention were stable, and special cause variation was noted only at the point of implementation of the electronic reporting system. Anesthesia providers were surveyed and felt that the addition of QA reporting to the AIMS made QA reporting more likely. Conclusions The use of an electronic QA outcome reporting method integrated into the AIMS dramatically increased the likelihood that a QA outcome would be reported. The decreased administrative burden of the integrated outcome reporting system was likely the primary reason for this increase. This study was limited by the fact that it was done in a single institution; however, the size and timing of the increase clearly indicate that the intervention was the reason for improved reporting. Electronic health record upgrades should consider incorporating QA reporting into the AIMS across the MHS. These measures could allow for system-wide improvement, evaluation, and evidence-based education on their own, but also by facilitating participation in the American Society of Anesthesiologists’ Anesthesia Quality Institute’s National Anesthesia Clinical Outcomes Registry. This report serves as a valuable example to institutions and perioperative leaders in the MHS of how to improve the robustness of perioperative QA reporting such that it could be used to validate and improve the value of care.

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Quality Improvement in Ambulatory Anesthesia

Cited by 3 publications

References 25 publications

Problem-Based Learning Discussion to Introduce Quality Improvement to Residents in the Perioperative Setting

Problem-Based Learning Discussion to Introduce Quality Improvement to Residents in the Perioperative Setting

Anestesia ambulatorial: avaliação da eficácia, desfechos clínicos e satisfação dos pacientes

Leveraging the Existing Anesthesia Information Management System to Improve Anesthesia Quality Assurance Outcome Reporting

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