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Quality and safety in pediatric anesthesia
Anna M Varughese1, Sally E Rampersad, Gina M Whitney
1From the *Department of Anesthesia, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio; †Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital and University of Washington School of Medicine, Seattle, Washington; ‡Division of Pediatric Cardiac Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee; §Department of Anesthesiology, Mayo Clinic Children's Center, Rochester, Minnesota; ‖Department of Anesthesiology and Critical Care Medicine, Welch Medical Library, Johns Hopkins University School of Medicine; and ¶Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland.
Improving health care quality and value is crucial. This article reviews quality improvement methods and their application in pediatric anesthesiology, addressing the need for better tools and clinician resources.
Area of Science:
- Healthcare Management
- Medical Quality Improvement
- Pediatric Anesthesiology
Background:
- Healthcare quality and value are key concerns for patients, professionals, and policymakers.
- Value in healthcare is defined by quality (outcomes, safety, service) in relation to cost.
- Improving quality while reducing costs is a significant challenge for healthcare organizations.
Purpose of the Study:
- To review the discipline of quality improvement (QI).
- To describe QI efforts specifically within pediatric anesthesiology.
- To highlight the need for better quality assessment tools and clinician support.
Main Methods:
- Literature review of quality improvement principles.
- Description of QI initiatives in pediatric anesthesiology.
Main Results:
- Quality measurement is essential for effective improvement.
- Clinicians often lack resources and skills for QI work.
- Existing tools for quality assessment are limited.
Conclusions:
- Quality improvement is a vital discipline for enhancing healthcare value.
- Pediatric anesthesiology faces challenges in implementing QI due to resource and skill gaps.
- Further development of QI tools and training is needed.
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