Building and Maintaining Organizational Infrastructure to Attain Clinical Excellence

Kelly Lebak; Jason Lane; Richard Taus; Hansol Kim; Michael S Stecker; Michael Hall; Meghan B Lane-Fall; Mark S Weiss

doi:10.1016/j.anclin.2017.07.002

Building and Maintaining Organizational Infrastructure to Attain Clinical Excellence

Anesthesiol Clin. 2017 Dec;35(4):559-568. doi: 10.1016/j.anclin.2017.07.002.

Authors

Kelly Lebak¹, Jason Lane², Richard Taus³, Hansol Kim⁴, Michael S Stecker⁴, Michael Hall⁵, Meghan B Lane-Fall⁶, Mark S Weiss⁷

Affiliations

¹ Case Western Reserve University School of Medicine, MetroHealth Medical Center, Brecksville Ambulatory Surgery Center, Cleveland, OH 44109, USA.
² Department of Anesthesiology, Vanderbilt University Medical Center, 1301 Medical Center Drive, 4648 TVC, Nashville, TN 37232, USA.
³ SMG Radiology, Morton Hospital, 88 Washington Street, Taunton, MA 02780, USA.
⁴ Division of Angiography and Interventional Radiology, Department of Radiology, Brigham and Women's Hospital, 75 Francis Street, Midcampus SR-340, Boston, MA 02115, USA; Harvard Medical School, 25 Shattuck Street Boston, MA 02115, USA.
⁵ Department of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, 3400 Spruce Street, 6th Floor Dulles Building, Philadelphia, PA 19104, USA.
⁶ Department of Anesthesiology and Critical Care, University of Pennsylvania Perelman School of Medicine, 309 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104, USA.
⁷ Department of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, 3400 Spruce Street, 6th Floor Dulles Building, Philadelphia, PA 19104, USA. Electronic address: Mark.Weiss@uphs.upenn.edu.

PMID: 29101946
DOI: 10.1016/j.anclin.2017.07.002

Abstract

Active maintenance of highly functional teams is critical to ensuring safe, efficient patient care in the non-operating room anesthesia (NORA) suite. In addition to developing collaborative relationships and patient care protocols, individual and team training is needed. For anesthesiologists, this training must begin during residency. The training should be supplemented with continuing education in this field for providers who find themselves working in the NORA space. As NORA continues to grow, robust NORA-specific quality assurance and improvement programs will empower anesthesiologists with the tools they need to best care for these patients.

Keywords: Adverse event; Closed claims; Curriculum; Interdisciplinary/multidisciplinary; Protocols; Quality metrics; Safety; Standardization.

Publication types

Review

MeSH terms

Ambulatory Care Facilities / organization & administration*
Anesthesiology / education
Anesthesiology / methods*
Anesthesiology / organization & administration*
Humans
Quality Assurance, Health Care / methods*