Quality and safety in pediatric anesthesia: How can guidelines, checklists, and initiatives improve the outcome?

Nancy S. Hagerman, Anna Varughese, C. Dean Kurth

Research output: Contribution to journalReview article

Abstract

Purpose of Review: Cognitive aids are tangible or intangible instruments that guide users in decision-making and in the completion of a complex series of tasks. Common examples include mnemonics, checklists, and algorithms. Cognitive aids constitute very effective approaches to achieve well tolerated, high quality healthcare because they promote highly reliable processes that reduce the likelihood of failure. This review describes recent advances in quality improvement for pediatric anesthesiology with emphasis on application of cognitive aids to impact patient safety and outcomes. RECENT FINDINGS: Quality improvement encourages the examination of systems to create stable processes and ultimately high-value care. Quality improvement initiatives in pediatric anesthesiology have been shown to improve outcomes and the delivery of efficient and effective care at many institutions. The use of checklists, in particular, improves adherence to evidence-based care in crisis situations, decreases catheter-associated bloodstream infections, reduces blood product utilization, and improves communication during the patient handoff process. Use of this simple tool has been associated with decreased morbidity, fewer medical errors, improved provider satisfaction, and decreased mortality in nonanesthesia disciplines as well. SUMMARY: Successful quality improvement initiatives utilize cognitive aids such as checklists and have been shown to optimize pediatric patient experience and anesthesia outcomes and reduce perioperative complications.

Original languageEnglish (US)
Pages (from-to)323-329
Number of pages7
JournalCurrent Opinion in Anaesthesiology
Volume27
Issue number3
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Fingerprint

Quality Improvement
Checklist
Anesthesia
Guidelines
Pediatrics
Safety
Anesthesiology
Patient Handoff
Catheter-Related Infections
Medical Errors
Quality of Health Care
Patient Safety
Decision Making
Communication
Morbidity
Mortality

Keywords

  • Checklists
  • cognitive aids
  • initiatives
  • pediatric anesthesia
  • quality

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Quality and safety in pediatric anesthesia : How can guidelines, checklists, and initiatives improve the outcome? / Hagerman, Nancy S.; Varughese, Anna; Kurth, C. Dean.

In: Current Opinion in Anaesthesiology, Vol. 27, No. 3, 01.01.2014, p. 323-329.

Research output: Contribution to journalReview article

@article{ba86c801f4024d4aac1014f39c5e3510,
title = "Quality and safety in pediatric anesthesia: How can guidelines, checklists, and initiatives improve the outcome?",
abstract = "Purpose of Review: Cognitive aids are tangible or intangible instruments that guide users in decision-making and in the completion of a complex series of tasks. Common examples include mnemonics, checklists, and algorithms. Cognitive aids constitute very effective approaches to achieve well tolerated, high quality healthcare because they promote highly reliable processes that reduce the likelihood of failure. This review describes recent advances in quality improvement for pediatric anesthesiology with emphasis on application of cognitive aids to impact patient safety and outcomes. RECENT FINDINGS: Quality improvement encourages the examination of systems to create stable processes and ultimately high-value care. Quality improvement initiatives in pediatric anesthesiology have been shown to improve outcomes and the delivery of efficient and effective care at many institutions. The use of checklists, in particular, improves adherence to evidence-based care in crisis situations, decreases catheter-associated bloodstream infections, reduces blood product utilization, and improves communication during the patient handoff process. Use of this simple tool has been associated with decreased morbidity, fewer medical errors, improved provider satisfaction, and decreased mortality in nonanesthesia disciplines as well. SUMMARY: Successful quality improvement initiatives utilize cognitive aids such as checklists and have been shown to optimize pediatric patient experience and anesthesia outcomes and reduce perioperative complications.",
keywords = "Checklists, cognitive aids, initiatives, pediatric anesthesia, quality",
author = "Hagerman, {Nancy S.} and Anna Varughese and Kurth, {C. Dean}",
year = "2014",
month = "1",
day = "1",
doi = "10.1097/ACO.0000000000000078",
language = "English (US)",
volume = "27",
pages = "323--329",
journal = "Current Opinion in Anaesthesiology",
issn = "0952-7907",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Quality and safety in pediatric anesthesia

T2 - How can guidelines, checklists, and initiatives improve the outcome?

AU - Hagerman, Nancy S.

AU - Varughese, Anna

AU - Kurth, C. Dean

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Purpose of Review: Cognitive aids are tangible or intangible instruments that guide users in decision-making and in the completion of a complex series of tasks. Common examples include mnemonics, checklists, and algorithms. Cognitive aids constitute very effective approaches to achieve well tolerated, high quality healthcare because they promote highly reliable processes that reduce the likelihood of failure. This review describes recent advances in quality improvement for pediatric anesthesiology with emphasis on application of cognitive aids to impact patient safety and outcomes. RECENT FINDINGS: Quality improvement encourages the examination of systems to create stable processes and ultimately high-value care. Quality improvement initiatives in pediatric anesthesiology have been shown to improve outcomes and the delivery of efficient and effective care at many institutions. The use of checklists, in particular, improves adherence to evidence-based care in crisis situations, decreases catheter-associated bloodstream infections, reduces blood product utilization, and improves communication during the patient handoff process. Use of this simple tool has been associated with decreased morbidity, fewer medical errors, improved provider satisfaction, and decreased mortality in nonanesthesia disciplines as well. SUMMARY: Successful quality improvement initiatives utilize cognitive aids such as checklists and have been shown to optimize pediatric patient experience and anesthesia outcomes and reduce perioperative complications.

AB - Purpose of Review: Cognitive aids are tangible or intangible instruments that guide users in decision-making and in the completion of a complex series of tasks. Common examples include mnemonics, checklists, and algorithms. Cognitive aids constitute very effective approaches to achieve well tolerated, high quality healthcare because they promote highly reliable processes that reduce the likelihood of failure. This review describes recent advances in quality improvement for pediatric anesthesiology with emphasis on application of cognitive aids to impact patient safety and outcomes. RECENT FINDINGS: Quality improvement encourages the examination of systems to create stable processes and ultimately high-value care. Quality improvement initiatives in pediatric anesthesiology have been shown to improve outcomes and the delivery of efficient and effective care at many institutions. The use of checklists, in particular, improves adherence to evidence-based care in crisis situations, decreases catheter-associated bloodstream infections, reduces blood product utilization, and improves communication during the patient handoff process. Use of this simple tool has been associated with decreased morbidity, fewer medical errors, improved provider satisfaction, and decreased mortality in nonanesthesia disciplines as well. SUMMARY: Successful quality improvement initiatives utilize cognitive aids such as checklists and have been shown to optimize pediatric patient experience and anesthesia outcomes and reduce perioperative complications.

KW - Checklists

KW - cognitive aids

KW - initiatives

KW - pediatric anesthesia

KW - quality

UR - http://www.scopus.com/inward/record.url?scp=84900425037&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84900425037&partnerID=8YFLogxK

U2 - 10.1097/ACO.0000000000000078

DO - 10.1097/ACO.0000000000000078

M3 - Review article

C2 - 24717643

AN - SCOPUS:84900425037

VL - 27

SP - 323

EP - 329

JO - Current Opinion in Anaesthesiology

JF - Current Opinion in Anaesthesiology

SN - 0952-7907

IS - 3

ER -