Using rate-based events to improve clinical practice.
This article describes the implementation and utilization of a continuous quality improvement (CQI) program in the identification, analysis, and correction of a rate-based event in anesthesia, in this case, intraoperative hypertension. A CQI program was implemented based on voluntary, handwritten, anonymous reports of intraoperative and postanesthesia care unit events. This CQI program detected a high incidence of intraoperative hypertension, indicated major causal factors, suggested a set of corrective measures, and allowed for measurement of their efficacy.
Gaitini
L A
LA
Department of Anesthesiology, Bnai-Zion Medical Center, Haifa, Israel. gaitini@netvision.net.il
Vaida
S J
SJ
Ben-David
B
B
Somri
M
M
Yanovski
B
B
Croitoru
M
M
Sabo
E
E
D000776:Anesthesiology / Q000592:standards*; D004496:Education, Continuing; D006745:Hospital Bed Capacity, 300 to 499; D006784:Hospitals, Teaching / Q000592:standards*; D006801:Humans; D006973:Hypertension / Q000453:epidemiology*; D015994:Incidence; D007430:Intraoperative Care / Q000592:standards*; D011182:Postoperative Care / Q000592:standards*; D019984:Quality Indicators, Health Care; D012016:Reference Values; D012308:Risk Management; D018571:Sentinel Surveillance; D017749:Total Quality Management / Q000379:methods*