RT Book, Section A1 Falk, Scott A. A1 Lane-Fall, Meghan B. A1 Fleisher, Lee A. A2 Longnecker, David E. A2 Mackey, Sean C. A2 Newman, Mark F. A2 Sandberg, Warren S. A2 Zapol, Warren M. SR Print(0) ID 1144114749 T1 Quality Improvement in Anesthesia: Taking a Generative, Not Reactive, Approach T2 Anesthesiology, 3e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071848817 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1144114749 RD 2024/04/23 AB KEY POINTSHealth care practitioners are increasingly expected to demonstrate that they deliver high-quality, high-value care.Quality improvement in health care traces its roots to industrial safety improvement.The use of systematic, well-specified methods to define and address problems, first described in industry, is applicable to quality improvement in health care.Multiple methodologies are used to undertake quality improvement projects in health care. Three commonly used methodologies are FOCUS-PDSA (Find, Organize, Clarify, Understand, Select, Plan, Do, Study, and Act), Six Sigma, and Lean.Quality improvement methodologies all have analogous steps: problem definition, measurement, analysis, implementation, and controlling the process in question.Human factors engineering, important in quality improvement, includes physical ergonomics, cognitive ergonomics, and organizational ergonomics.There are parallels between quality improvement operations and research. Researchers use many of the same strategies as people conducting quality improvement work, and researchers’ expertise can be leveraged in problem definition, measurement, analysis, and implementation phases of quality improvement projects.The distinction between quality improvement operations and research is sometimes unclear. People conducting quality improvement work should consider consultation with their institutional review board to determine whether a proposed quality improvement project might be considered research.