• Br J Anaesth · May 2022

    Editorial Comment

    Improving safety and outcomes in perioperative care: does implementation matter?

    • Guy L Ludbrook and Carol J Peden.
    • Royal Adelaide Hospital, Adelaide, Australia; The University of Adelaide, Adelaide, Australia. Electronic address: guy.ludbrook@sa.gov.au.
    • Br J Anaesth. 2022 May 1; 128 (5): 747-751.

    AbstractThe IMPROVE study describes a large perioperative quality improvement project with reporting of both compliance with improvement activities and patient outcomes. It highlights the importance of such projects, as well as the challenges in implementing change and proving benefit. Challenges identified include the importance of effective training in practice change, selection of trial design and relevant quality measures, and how the context of quality improvement initiatives may influence outcomes. Quality improvement programmes of this nature, despite the difficulties with implementation and trial design, remain a high priority because of their positive influence on improving clinical practice.Crown Copyright © 2022. Published by Elsevier Ltd. All rights reserved.

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