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- Alexander K Quick, Alex Macario, John G Brock-Utne, Richard A Jaffe, and Bassam Kadry.
- From the Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Stanford, California.
- A A Case Rep. 2015 Sep 1;5(5):88-90.
AbstractPowerful entities are pushing physicians to become more involved with quality improvement (QI). We report a QI project to standardize and improve the ergonomics of the anesthesia medication and supply cart. Simply obtaining approval to make minor changes to the cart involved 54 phone calls, 164 e-mails, 4 presentations, 2 forms, 9 meetings, and 4 months of time. Confusion over fiscal matters further delayed the project by an additional 3 months. A combination of competing regulations, administrative overprocessing, and the lack of dedicated QI financial resources made simple improvements a challenge. The costs of participating in QI deserve attention.
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