Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome?
Curr Opin Anaesthesiol
; 27(3): 323-9, 2014 Jun.
Article
em En
| MEDLINE
| ID: mdl-24717643
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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pediatria
/
Guias como Assunto
/
Lista de Checagem
/
Anestesia
Tipo de estudo:
Guideline
/
Prognostic_studies
Limite:
Adolescent
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Child
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Child, preschool
/
Humans
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Infant
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Newborn
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article