Perioperative Quality Improvement

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.

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