KPI

KPI, Key Performance Indicator 

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• The improvement in quality of anesthesia services can be brought about by many measures.
• There is no end to the number of quality indicators has been observed by various literary observations.
• Identify barriers associated with performance improvement initiatives.
• Understand anesthesiology related quality improvement and patient safety indicators and how to improve individual clinical practice to meet departmental and national standards.

KPI for the last year and this year

• Post-Operative Pain Score ≤4 at 15 mins after admission at PACU.
• Post-Operative Pain Score ≤4 at 30 mins after admission at PACU.
• Post-Operative Nausea & Vomiting incidence in Elective & Emergency Cases.
• Antibiotic Compliance in Electively operated cases.
• Normoglycemia in Electively operated cases.
• Normothermia in Non-Electively operated cases.

Goals

• The ultimate goal would be to provide quality care with no harm to each and every perioperative patient at HMC. Our department has long been a leader in driving the research that ultimately improves the quality of patient care.
• Promote a culture of safety to maintain a safe and professional work environment for anaesthesiology residents.
• Teach key principles of quality improvement methodologies and facilitate efforts to optimize quality of care for patients and families.
• Disseminate quality improvement and patient safety indicators relevant to the practice of anesthesiology and raise awareness of individual and departmental practice relative to national performance and standards.
• Attributes of QI: Appropriateness, availability, continuity, effectiveness, efficacy, prevention, respect and caring, safety, timeliness
• QI Using Automated Data Sources

The Quality Improvement (QI) committee:

Includes faculty, residents and technicians from the department. Members evaluate cases from our self-reporting system. We are committed to develop local performance measures in quality and safety that can be compared with national and peer-group benchmarks to identify future improvement areas. And finally, by encouraging active participation at the meeting and during our M&M conference, we want to engage our trainees to learn about, participate in and lead quality projects.

Objectives:

Quality committee brings together members from anesthesia to develop insights and recommendations on how to improve perioperative patient safety. Anesthesia staff will be able to:

1. Identify patient safety concerns & opportunities for improvement in healthcare systems.
2. Understand the adverse event reporting and review processes used by the Department of Anesthesiology.
3. Apply quality improvement methods and work in interdisciplinary teams aimed to improve the efficiency and effectiveness of patient care systems.
4. To Improve our understanding of recognition, rescue, and resilience in the deteriorating perioperative patient. 
5. Develop ideas and recommendations that will lead to solutions to end “failure to rescue”.

Quality and Safety Improvement Committee improvement efforts included:

• Implementation of a standardized pre-procedure “time-out” prior to invasive procedures performed by the anesthesia care team
• Improvement of communication processes for transport of our most critically ill patients between the operating room and intensive care units
• Introduction of Emergency Manuals to provide guidelines that help clinicians with crisis management in specific situations of uncommon but life-threatening emergencies
• Standardization of handoff processes and workflows whenever a change in anesthesia provider occurs
• Standardization of operating room anesthesia tray set up and turnover processes between cases