Quality and patient safety committee structure and activities in an academic department of anesthesiology: a narrative d
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SPECIAL ARTICLE
Quality and patient safety committee structure and activities in an academic department of anesthesiology: a narrative description Structure et activite´s d’un comite´ responsable de la qualite´ de l’acte et de la se´curite´ des patients dans un de´partement d’anesthe´siologie universitaire : une description narrative Christopher L. Pysyk, MD, FRCPC • Lucie Filteau, MD, FRCPC • Alan Baxter, BM, BS, MA, FRCA, FRCPC Received: 26 February 2019 / Revised: 9 July 2019 / Accepted: 10 July 2019 Ó Canadian Anesthesiologists’ Society 2019
Abstract Quality and patient safety (QPS) activities continue to attract more attention and are deemed an essential component of care provision by all departments of anesthesiology, but examples of the structure and processes to manage QPS matters at the department level in Canada are not well described in the literature. This narrative article highlights the creation, structure, evolution, and experiences of a QPS committee in a Canadian department of anesthesiology and pain medicine. Specific focus and case examples of the QPS committee’s use of a hospital-wide incident reporting system to monitor and respond to perioperative QPS matters are provided. Re´sume´ Les activite´s de gestion de la qualite´ de l’acte et de la se´curite´ des patients (QSP) continuent d’attirer de plus en plus d’attention et sont conside´re´es comme une composante essentielle de la prestation de soins par tous les de´partements d’anesthe´siologie, mais les exemples de la structure et des processus pour ge´rer les questions de QSP au niveau de´partemental au Canada ne sont pas bien de´crits dans la litte´rature. Cet article narratif met en lumie`re la cre´ation, la structure, l’e´volution et les expe´riences d’un comite´ responsable de la QSP dans un de´partement d’anesthe´siologie et de traitement de la
C. L. Pysyk, MD, FRCPC (&) L. Filteau, MD, FRCPC A. Baxter, BM, BS, MA, FRCA, FRCPC Department of Anesthesiology and Pain Medicine, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada e-mail: [email protected] Department of Anesthesiology and Pain Medicine, The Ottawa Hospital, General Campus, 501 Smyth Rd, Critical Care Wing 1401, Ottawa, ON K1H 8L6, Canada
douleur canadien. Nous mettons une emphase particulie`re et pre´sentons des exemples de sce´nario sur l’utilisation du comite´ de QSP d’un syste`me de rapport ˆ pital afin de surveiller et de d’incidents a` l’e´chelle de l’ho re´pondre aux questions de QSP pe´riope´ratoires.
Various approaches to the management of quality and patient safety (QPS) activities in both perioperative and non-perioperative care paradigms have been described at individual, departmental, hospital, and health-system levels.1-4 Nevertheless, the scope and context of QPS activities conducted within a Canadian department of anesthesiology and pain medicine—particularly in a department with experience using a patient safety incident reporting system—have received little focus in the literature. Recent unpublished survey results reveal that not all Canadian
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