Dissemination of Patient Centered Outcomes in Anesthesia Care

描述(由申请人提供)：在麻醉护理中传播以患者为中心的结果麻醉严重并发症的发生率很低，但不是零。影响患者舒适度的并发症，如疼痛管理不当或围手术期恶心和呕吐，是常见和令人不安的事件。安全性和舒适性决定了患者对麻醉护理的满意度，以及患者接受手术的意愿。经历不良后果的患者需要额外的资源，并降低医疗保健的效率。美国麻醉学家协会(ASA)是世界上最大的麻醉师继续医学教育提供者，也是公共教育的重要来源。麻醉质量研究所(AQI)是由ASA创建的，旨在通过开发国家麻醉临床结果注册中心(NACOR)来改善围手术期护理。AQI招募麻醉实践者来提交管理、临床和结果数据；150个实践者参加了NACOR，占美国麻醉师和外科设施的10%以上。NACOR目前包括400多万个病例，并将在今年内扩大一倍。有机会改善以患者为中心的麻醉结果，使用AQI数据来确定护理方面的空白，这些空白可以通过为患者和提供者提供的ASA教育材料来填补。NACOR将被用于创建衡量患者对麻醉的满意度的基准。将对数据进行分析，以确定不同提供商之间的结果差异，并确定高和低离群值。查明结果差异将导致根据最佳做法编制多套ASA教育材料，以弥补已查明的知识差距。将向AQI实践和提供者提供教育材料和持续的绩效报告。此外，差距分析将导致针对患者本身的教育媒体，重点是患者在围手术期可以做些什么来提高自己的安全性和舒适性。随着时间的推移，将跟踪以患者为中心的结果的变化，并评估哪些教育干预在患者、提供者和实践层面最有效。

DESCRIPTION (provided by applicant): Dissemination of Patient Centered Outcomes in Anesthesia Care The rate of serious complications from anesthesia is low, but not zero. Complications that affect patient comfort, such as inadequate pain management or perioperative nausea and vomiting, are common and disturbing occurrences. Safety and comfort determine patient satisfaction with anesthesia care, and patient willingness to undergo procedures. Patients who experience adverse outcomes require additional resources and decrease the efficiency of healthcare. The American Society of Anesthesiologists (ASA) is the largest provider of continuing medical education for anesthesiologists in the world, and an important source for public education. The Anesthesia Quality Institute (AQI) was created by ASA to improve perioperative care through development of the National Anesthesia Clinical Outcomes Registry (NACOR). The AQI recruits anesthesia practices to submit administrative, clinical and outcome data; 150 practices participate in NACOR, representing more than 10% of anesthesiologists and surgical facilities in the US. NACOR includes more than 4 million cases now and will double in size within the year. An opportunity exists to improve patient-centered anesthesia outcomes, using AQI data to identify gaps in care that can be filled with ASA educational materials for patients and providers. NACOR will be used to create benchmarks for measures of patient satisfaction with anesthesia. Data will be analyzed to determine the variation in outcomes across providers and to identify high and low outliers. Identification of outcome variation will lead to creation of bundles of ASA educational material based on best practices, to close identified gaps in knowledge. Educational materials and ongoing performance reports will be deployed to AQI practices and providers. In addition, gap analysis will lead to educational media targeted at patients themselves, with a focus on what the patient can do to improve their own safety and comfort in the perioperative period. Changes in patient-centered outcomes will be tracked over time, with assessment of which educational interventions are most effective at the patient, provider and practice level.