Quality and Safety in Anesthesia and Perioperative Care

Quality and Safety in Anesthesia and Perioperative Care offers practical suggestions for improving quality of care and patient safety in the perioperative setting. Chapters are organized into sections on clinical foundations and practical applications, and emphasize strategies that support reform at all levels, from operating room practices to institutional procedures. Written by leading experts in their fields, chapters are based on accepted safety, human performance, and quality management science and they illustrate the benefits of collaboration between medical professionals and human factors experts. The book highlights concepts such as situation awareness, staff resource management, threat and error management, checklists, explicit practices for monitoring, and safety culture. Quality and Safety in Anesthesia and Perioperative Care is a must-have resource for those preparing for the quality and safety questions on the American Board of Anesthesiology certification examinations, as well as clinicians and trainees in all practice settings.

Contents

Part I. Scientific Foundations
1. Patient Safety: A Brief History
2. Cognitive Load Theory and Patient Safety
3. Errors and Violations
4. The Human-Technology Interface
5. Deliberate Practice and Acquisition of Expertise
6. Fatigue
7. Situational Awareness
8. Creating a Culture of Safety
Part II. Clinical Applications
9. Adverse Event Prevention and Management
10. Complex Systems and Approaches to Quality Improvement
11. Crisis Resource Management and Patient Safety in Anesthesia Practice
12. Quality in Medical Education
13. Regulating Quality
14. Creating a Quality Management Program
15. Health Information Technology Use for Quality Assurance and Improvement
16. Safety in Remote Locations
17. Medication Safety
18. Operating Room Fires and Electrical Safety
19. Disruptive Behavior: The Imperative for Awareness and Action
20. Managing Adverse Events: The Aftermath and The Second Victim Effect

Keith J. Ruskin, Professor of Anesthesia and Critical Care, University of Chicago Medicine, Edited by Marjorie P. Stiegler, Associate Professor of Anesthesiology, University of North Carolina, and Edited by Stanley H. Rosenbaum, Professor of Anesthesiology, Internal Medicine and Surgery, Yale University School of Medicine

Keith J. Ruskin is a Professor of Anesthesia and Critical Care at the University of Chicago in Chicago, Illinois.

Marjorie P. Stiegler is an Associate Professor of Anesthesiology at the University of North Carolina in Chapel Hill, North Carolina.

Stanley H. Rosenbaum is a Professor of Anesthesiology, Medicine, and Surgery at Yale University School of Medicine in New Haven, Connecticut.

Contributors:

Keith Baker, MD, PhD
Associate Professor of Anaesthesia
Harvard Medical School
Massachusetts General Hospital
Boston, Massachusetts

David J. Birnbach, MD, MPH
Miller Professor and Vice Provost for Faculty Affairs
Senior Associate Dean for Quality, Safety, and Risk
Director, UM-JMH Center for Patient Safety
Miller School of Medicine
University of Miami
Miami, Florida

Amanda R. Burden, MD
Assistant Professor of Anesthesiology
Cooper University Healthcare
Camden, New Jersey

Thomas R. Chidester, PhD
Federal Aviation Administration
Civil Aerospace Medical Institute
Oklahoma City, Oklahoma

Stephan Cohn, MD
Assistant Professor of Anesthesia and Critical Care
University of Chicago
Chicago, Illinois

Jeffrey B. Cooper, PhD
Professor of Anesthesia
Harvard Medical School
Executive Director, Center for Medical Simulation
Massachusetts General Hospital
Boston, Massachusetts

Martin Culwick, MB, ChB, BSc, FANZCA, MIT
Medical Director
Australian and New Zealand Tripartite Anaesthetic Data Committee
Senior Specialist
Royal Brisbane and Women's Hospital
Brisbane, Australia

Christine Doyle, MD
Anesthesiologist and Critical Care Specialist
O'Connor Hospital
San Jose, California

Frank A. Drews, PhD
Professor Cognitive Psychology
Director of the Human Factors Certificate Program
Department of Psychology
University of Utah
Salt Lake City, Utah

Richard P. Dutton, MD, MBA
Chief Quality Officer, American Society of Anesthesiologists
Executive Director, Anesthesia Quality Institute
Clinical Associate, Department of Anesthesia and Critical Care
University of Chicago
Chicago, Illinois

David M. Gaba, MD
Professor of Anesthesiology, Perioperative and Pain Medicine
Stanford University School of Medicine
Stanford, California

Samuel Grodofsky, MD
Department of Anesthesiology and Critical Care
The Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania

Patrick J. Guffey, MD
Assistant Professor of Anesthesiology
University of Colorado
Children's Hospital Colorado
Aurora, Colorado

Elizabeth Harry, MD
Instructor in Medicine
Harvard Medical School
Brigham and Women's Hospital
Boston, Massachusetts

Michael Keane, MD
Adjunct Associate Professor
Centre for Human Psychopharmacology
Swinburne University
Adjunct Lecturer in Public Health
Monash University
Melbourne, Australia

Sheri A. Keitz, MD, PhD
Chief, Division General Internal Medicine
Vice Chair for Clinical Affairs Department of Medicine
UMass Memorial Health Care
University of Massachusetts Medical School
Worcester, Massachusetts

P. Alan Klock Jr., MD
Professor of Anesthesia and Critical Care
University of Chicago
Chicago, Illinois

Viji Kurup, MD
Associate Professor of Anesthesiology
Yale University School of Medicine
New Haven, Connecticut

Robert S. Lagasse, MD
Professor & Vice Chair, Quality Management & Regulatory Affairs
Department of Anesthesiology
Yale University School of Medicine
New Haven, Connecticut

Meghan Lane-Fall, MD, MSHP
Assistant Professor of Anesthesiology and Critical Care
The Hospital of the University of Pennsylvania
Perelman School of Medicine
University of Pennsylvania
Philadelphia, Pennsylvania

Alex Macario, MD, MBA
Professor of Anesthesiology, Perioperative and Pain Medicine
Stanford University Medical Center
Stanford, California

Alan F. Merry, FANZCA, FFPMANZCA, FRCA, FRSNZ
Professor and Head of School of Medicine
The University of Auckland
Specialist Anesthesiologist
Auckland City Hospital
Auckland, New Zealand

Michael J. Murray, MD, PhD
Professor of Anesthesiology
Mayo Clinic
Phoenix, Arizona

Loren Riskin, MD
Clinical Instructor in Anesthesiology, Perioperative and Pain Medicine
Stanford University School of Medicine
Stanford, California

Christian Schulz, MD
Department of Internal Medicine
University of Munich
Munich, Germany

Sven Staender, MD
Chairman, EBA/ESA Task Force Patient Safety
Department of Anesthesia and Intensive Care Medicine
Regional Hospital
Männedorf, Switzerland

Robert K. Stoelting, MD
President, Anesthesia Patient Safety Foundation
Emeritus Professor of Anesthesia
Indiana University School of Medicine
Indianapolis, Indiana

John Sweller, PhD
Emeritus Professor of Educational Psychology
School of Education
University of New South Wales
Sydney, Australia

Mark S. Weiss, MD
Assistant Professor of Clinical Anesthesiology and Critical Care
The Hospital of the University of Pennsylvania
Perelman School of Medicine
University of Pennsylvania
Philadelphia, Pennsylvania

Jonathan R. Zadra, PhD
Adjunct Assistant Professor of Psychology
University of Utah
Salt Lake City, Utah