Index. Note: Page numbers of article titles are in boldface type.

Transcription

1 Index Note: Page numbers of article titles are in boldface type. A Acute pain, outcomes assessment of evidence-based guidelines and registries, Adverse event tracking, improved, with anesthesia information management systems, 61 Aging. See Geriatrics. American College of Surgeons National Surgical Quality Improvement Program, Anesthesia care, quality of, cultural change at a hospital system level, effect of teamwork and communication in the OR on outcomes, 1 11 in pain management, medication safety in the perioperative period, multidisciplinary education to improve, outcomes research using quality improvement databases, preventing postoperative complications in the elderly, promoting palliative care in the ICU, reduction of regulated medical waste, simulation and quality improvement, clinical outcomes, educational outcomes, features of high-quality simulators, for identifying latent errors, for maintenance of certification in anesthesiology, 22 history of simulators, skills transfer, translational research, 14 using information technology to improve, using real-time clinical decision support to improve, Anesthesia information management systems (AIMS), for real-time clinical decision support, decision support to improve quality based on, cost-effectiveness, 65 detection of outliers, 65 improving quality of information transfer, 65 operational, reminders for adherence to clinical guidelines, event reporting and tracking to improve quality, improvements in adverse event tracking, 61 improvements in data capture and record quality, Anesthesiology Clin 29 (2011) doi: /s (11) anesthesiology.theclinics.com /11/$ see front matter ª 2011 Elsevier Inc. All rights reserved.

2 170 Index Anesthesia (continued) provider-level reporting of quality measures, future of, 66 introduction to, core functionality, history and market penetration, major vendors and systems, limitations of, Anesthesia simulation, and quality improvement in anesthesiology, Anesthesiologists, challenges to attention of in the OR, 35 improving quality through multidisciplinary education, Anesthesiology, certification in, simulation for maintenance of, 22 Aspiration, preventing pulmonary postoperative complications in the elderly, 90 Auditory display, development of, for improved quality in the OR, Augmented vigilance. See Vigilance. B Bariatric surgery, improving quality through Web-based multidisciplinary education, Behavior, teamwork and communication in the OR, effect on outcomes of, 1 11 Beta-blockers, preventing cardiac postoperative complications in the elderly, 91 C Cancer pain, outcomes assessment of evidence-based guidelines and registries, Cardiac complications, postoperative, prevention of in the elderly, process measures and quality, 93 quality initiatives based on randomized controlled trials and clinical guidelines, Certification, in anesthesiology. simulation for maintenance of, 22 Chronic pain, outcomes assessment of evidence-based guidelines and registries, Clinical decision support. See Decision support. Communication, and teamwork in the OR, effect on outcomes, 1 11 methodological challenges of research on, 5 8 outcome measures, 8 9 regulatory challenges, 9 10 simulation vs. observation, 9 Comorbidities, preventing neurologic postoperative complications in the elderly, 85 Complications, postoperative. See Postoperative complications. Computer workstations. See Information technology. Costs, reduction of regulated medical waste using Lean Sigma, Culture change, at hospital system level to improve quality and patient safety, creation of Housestaff Quality Council by Department of Anesthesiology, results of,

3 Index 171 D Data capture, improved, with anesthesia information management systems, Databases, outcomes research using quality improvement (QI), challenges in evaluating intraoperative interventions, considerations for study design using QI data, institutional review boards and, 78 legal and ethical challenges, limitations of existing QI data, need for QI data in clinical research, overview of existing QI databases, American College of Surgeons National Surgical Quality Improvement Program, National Anesthesia Outcomes Registry, 75 National Registry of Cardiopulmonary Resuscitation, 75 Society for Ambulatory Anesthesia Clinical Outcomes Registry, 75 Society of Thoracic Surgeons, value of surgical QI data in perioperative research, 76 Decision support, augmented vigilance and, for improved process-of-care quality performance, integrated, for improved quality in the OR, improvements from current technology, real-time, with anesthesia information management systems, Delirium, preventing postoperative neurologic complications in the elderly, quality control initiatives, based on analysis of prospective and randomized data sets, based on randomized controlled trials, 84 Drugs. See Medication safety. Dying, promoting palliative care in the ICU, E Ecological interface design, development of, for improved quality in the OR, 33 Education, mutlidisciplinary. See Multidisciplinary education. Elderly patients. See Geriatrics. Electrocardiograms, preventing cardiac postoperative complications in the elderly, 92 End-of-life care, promoting palliative care in the ICU, barriers to, case study for, 111, 112, 116, 117, 118, 119 death and dying patients in, 113 definition of palliative care, guidelines for, interventions for, moral distress and, 117 quality defects and palliative care, who should provide, 118 Errors, medication, safety in the perioperative setting, operating room milieu, perioperative standards and regulations, reporting errors, 142

4 172 Index Errors (continued ) techniques and technology solutions, types of errors, G Geriatrics, preventing postoperative complications in the elderly, cardiac complications, neurologic complications, pulmonary complications, promotion of end-of-life palliative care in the ICU, Guidelines, clinical, reminders for adherence to with anesthesia information management systems, H Head-mounted displays, development of, for improved quality in the OR, 34 Heads-up display, development of, for improved quality in the OR, 34 Health care quality. See Quality of care and Quality improvement. Hospitals, culture change at hospital system level to improve quality and patient safety, creation of Housestaff Quality Council by Department of Anesthesiology, results of, reduction of regulated medical waste using Lean Sigma, Housestaff quality council, creation of, for culture change and quality improvement at hospital system level, Hypertension, preventing cardiac postoperative complications in the elderly, I Information technology, anesthesia information management systems (AIMS) for real-time clinical decision support, decision support to improve quality based on, cost-effectiveness, 65 detection of outliers, 65 operational, event reporting and tracking to improve quality, future of, 66 introduction to, core functionality, history and market penetration, major vendors and systems, limitations of, use of to improve quality in the OR, current state, advanced integrated graphical displays, 33 anesthesiologist as integrator, 35 auditory display development, ecological interface design, 33 graphical, numerical and waveform displays, 31 heads up or head-mounted displays, 34

5 Index 173 monitor development, 35 virtual reality, effects of augmented vigilance and decision support, workload distribution and decision support engines, mobile devices, open versus closed platforms, potential limitations, moving toward integrated decision support, improvements from current technology, Institutional review boards, role in oversight of quality improvement databases, 78 Intensive care unit (ICU), promotion of end-of-life palliative care in, L Latent errors, use of anesthesia simulation on for identifying, Lean Sigma, reduction of regulated medical waste using, Lung expansion, preventing pulmonary postoperative complications in the elderly, M Medical waste, regulated, reduction of using Lean Sigma, Medication management, preventing neurologic postoperative complications in the elderly, Medication safety, in the perioperative setting, operating room milieu, perioperative standards and regulations, reporting errors, 142 techniques and technology solutions, types of errors, Mobile devices, for mobile anesthesiologists, open versus closed platforms, potential limitations of, Monitor development, for improved quality in the OR, 31, 35 Moral distress, among ICU clinicians, palliative care and, 117 Multidisciplinary education, improving quality through, bariatric surgery web model, definition, effective use in anesthesia, 103 effectiveness of, necessity in anesthesia, obstetrics team training, orthopedic team, N National Anesthesia Clinical Outcomes Registry, 75 National Registry of Cardiopulmonary Resuscitation, 75 Neurologic complications, postoperative, prevention of in the elderly, delirium quality control initiatives, based on analysis of prospective and randomized data sets, based on randomized controlled trials, 84

6 174 Index Neuromuscular blockade, long-acting, preventing pulmonary postoperative complications in the elderly, 89 New York-Presbyterian Hospital, culture change at hospital system level to improve quality and patient safety, creation of Housestaff Quality Council by Department of Anesthesiology, results of, O Obstetrics, improving quality through team training and multidisciplinary education, Operating room (OR), anesthesia information management systems in, medication safety in, teamwork and communication in, effect on outcomes, 1 11 methodological challenges of research on, 5 8 outcome measures, 8 9 regulatory challenges, 9 10 simulation vs. observation, 9 using information technology to improve quality in, Orthopedics, improving quality through team training and multidisciplinary education, Outcome measures, in translational research on anesthesia simulation, Outcomes, clinical, effect of anesthesia simulation on, effect of teamwork and communication in the OR on, 1 11 methodological challenges of research on, 5 8 outcome measures, 8 9 regulatory challenges, 9 10 simulation vs. observation, 9 patient-centered, for quality assurance and assessment in pain management, Outcomes research, using quality improvement (QI) databases, challenges in evaluating intraoperative interventions, considerations for study design using QI data, institutional review boards and, 78 legal and ethical challenges, limitations of existing QI data, need for QI data in clinical research, overview of existing QI databases, value of surgical QI data in perioperative research, 76 P Pain management, preventing neurologic postoperative complications in the elderly, quality assurance and assessment in, ensuring pain is managed through a quality assurance mandate, outcomes assessment of evidence-based guidelines and registries,

7 Index 175 acute pain, cancer pain and palliative are, chronic pain, patient-centered outcomes, Palliative care, at end of life, promotion of in the ICU, barriers to, case study for, 111, 112, 116, 117, 118, 119 death and dying patients in, 113 definition of palliative care, guidelines for, interventions for, moral distress and, 117 quality defects and palliative care, who should provide, 118 cancer pain and, outcomes assessment of evidence-based guidelines and registries, Patient-centered outcomes, for quality assurance and assessment in pain management, Postoperative complications, prevention of in the elderly, cardiac complications, neurologic complications, pulmonary complications, Pulmonary complications, postoperative, prevention of in the elderly, quality initiatives based on randomized controlled trials and clinical guidelines, 88 risk factors, Q Quality assurance, and assessment in pain management, ensuring pain is managed through a quality assurance mandate, outcomes assessment of evidence-based guidelines and registries, acute pain, cancer pain and palliative are, chronic pain, patient-centered outcomes, Quality defects, and palliative care in the ICU, Quality improvement (QI), culture change at hospital system level to improve quality and patient safety, creation of Housestaff Quality Council by Department of Anesthesiology, results of, outcomes research using QI databases, challenges in evaluating intraoperative interventions, considerations for study design using QI data, institutional review boards and, 78 legal and ethical challenges, limitations of existing QI data, need for QI data in clinical research, overview of existing QI databases, value of surgical QI data in perioperative research, 76 simulation and, clinical outcomes, 19 20

8 176 Index Quality (continued ) educational outcomes, features of high-quality simulators, for identifying latent errors, for maintenance of certification in anesthesiology, 22 history of simulators, skills transfer, translational research, 14 through multidisciplinary education, bariatric surgery web model, definition, effective use in anesthesia, 103 effectiveness of, necessity in anesthesia, obstetrics team training, orthopedic team, Quality of anesthesia care, cultural change at a hospital system level, effect of teamwork and communication in the OR on outcomes, 1 11 methodological challenges of research on, 5 8 outcome measures, 8 9 regulatory challenges, 9 10 simulation vs. observation, 9 in end-of-life care, in pain management, medication safety in the perioperative period, mutlidisciplinary education to improve, outcomes research using quality improvement (QI) databases, preventing postoperative complications in the elderly, cardiac complications, neurologic complications, pulmonary complications, reduction of regulated medical waste, simulation and quality improvement, using information technology to improve, current state, effects of augmented vigilance and decision support, mobile devices, moving toward integrated decision support, using real-time clinical decision support to improve, R Real-time data, for clinical decision support, with anesthesia information management systems, Reporting, of medication errors, Reporting, of quality measures, improved, with anesthesia information management systems, 61 62

9 Index 177 Research, on effect of teamwork and communication in the OR on outcomes, 1 11 outcomes, using quality improvement (QI) databases, challenges in evaluating intraoperative interventions, considerations for study design using QI data, institutional review boards and, 78 legal and ethical challenges, limitations of existing QI data, need for QI data in clinical research, overview of existing QI databases, value of surgical QI data in perioperative research, 76 S Safety, medication. See Medication safety. patient, culture change at hospital system level to improve quality and, creation of Housestaff Quality Council by Department of Anesthesiology, results of, Sedatives, preventing neurologic postoperative complications in the elderly, 86 Simulation, and quality improvement in anesthesiology, clinical outcomes, educational outcomes, features of high-quality simulators, for identifying latent errors, for maintenance of certification in anesthesiology, 22 history of simulators, skills transfer, translational research, 14 Society for Ambulatory Anesthesia Clinical Outcomes Registry, 75 Society of Thoracic Surgeons, National Adult Cardiac Surgery Database, Statins, preventing cardiac postoperative complications in the elderly, 91 Surgery, preventing postoperative complications in the elderly, teamwork and communication in the OR, effect on outcomes of, 1 11 T Team training, improving quality through multidisciplinary education, in anesthesia, 103 in bariatric surgery, in obstetrics, in orthopedics, Teamwork, and communication in the OR, effect on outcomes, 1 11 methodological challenges of research on, 5 8 outcome measures, 8 9 regulatory challenges, 9 10 simulation vs. observation, 9 Technology, information. See Information technology. Thermoregulation, preventing cardiac postoperative complications in the elderly, 92 Translational research, definition of, 14 simulation and quality improvement in anesthesiology, 13 28

10 178 Index V Vigilance, using information technology to improve quality in the OR, augmented, and improvement of process-of-care quality performance, current state of single parameter augmented, Virtual reality, development of, for improved quality in the OR, W Waste disposal, reduction of regulated medical waste using Lean Sigma, Web-based education, improving quality through multidisciplinary education,