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Quality indicators for anesthesia and perioperative medicine
1Institute of Anaesthesia and Intensive Care, Hirslanden Clinic.
Current Opinion in Anaesthesiology
|January 23, 2023
Summary
Developing valid and feasible quality indicators for perioperative care is crucial for monitoring patient outcomes. Combining evidence-based and routine indicators, with patient input, can create a comprehensive set for improved care quality.
Area of Science:
- Perioperative Medicine
- Healthcare Quality Improvement
- Patient Safety
Background:
- High rates of preventable perioperative morbidity and mortality necessitate routine care quality monitoring.
- Current quality indicators lack robust evidence or routine applicability, hindering comprehensive perioperative care assessment.
- A validated gold standard for perioperative quality indicators is currently unavailable.
Approach:
- This review identifies challenges in developing perioperative quality indicators.
- It summarizes current trends and initiatives in quality indicator development.
- It outlines future perspectives for establishing suitable perioperative quality indicators.
Key Points:
- Most existing perioperative quality indicators lack strong evidence or are not suitable for routine clinical use.
- Evidence-based indicators validated for research may not translate to practical clinical settings.
- Integrating patient perspectives is crucial for developing effective quality indicators.
Conclusions:
- A core set of valid and feasible quality indicators is essential for effective perioperative care monitoring.
- Developing this core set requires matching evidence-based indicators with practical routine indicators.
- Incorporating patient views alongside indicator development will enhance the comprehensiveness and utility of quality monitoring.
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