Setting performance standards for an anesthesia department

Journal of Clinical Anesthesia
T S Vitez, A Macario

Abstract

The Stanford University Department of Anesthesia established performance standards by identifying aspects of their service that were related to an important "customer's" perception of quality. A "quality grid" targeted service attributes that surgeons scored high for importance and low for performance. Control charts and flow charts helped establish reasonable performance levels for "timely first case starts" and "turnaround time." Control charts indicated that a reasonable performance standard for timely first case starts was "less than 20% of first case delays will be related to anesthesia activities." For turnaround time, the standard was set at "less than 10% of all turnaround times will be greater than 15 minutes, because of anesthesia-related activities." After instituting performance standards, the performance for first case start times improved from a 36% defective rate to a 9% defective rate. Anesthesia-related delays in turnaround times stabilized at a 16% defective rate. Using appropriate service standards can improve performance.

References

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Citations

Jun 1, 2000·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·S Le MayJ F Hardy
Oct 4, 2003·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Sigurd Fasting, Sven E Gisvold
Feb 24, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·A Macario, A Vasanawala
Jul 30, 2005·Journal of Medical Systems·Fatma Pakdil, Timothy N Harwood
Jun 2, 2011·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Ruth E WachtelJohannes Ledolter
Sep 17, 2013·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Richard H EpsteinSorin J Brull
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Oct 5, 2007·Quality & Safety in Health Care·Johan ThorMats Brommels
Apr 19, 2008·Acta Anaesthesiologica Scandinavica·R MarjamaaO Kirvelä
Apr 6, 2016·Annals of Medicine and Surgery·W W AngC M Gupte
Mar 21, 2016·Journal of Medical Systems·York ChenRichard D Urman
Dec 14, 2004·Journal of Clinical Anesthesia·Paul J St JacquesMichael S Higgins
Dec 3, 2014·American Journal of Surgery·Mitchell H TsaiDavid W McFadden
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Jul 28, 2006·Anesthesiology·Andreas SeimWarren S Sandberg
Sep 27, 2006·Anesthesia and Analgesia·Alejandro EscobarPaul G Barash
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Apr 18, 2009·Anesthesia and Analgesia·Danielle MasurskyNancy A Nussmeier
Jan 8, 2011·Anesthesia and Analgesia·Danielle MasurskyNancy A Nussmeier
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Oct 3, 2006·Current Opinion in Anaesthesiology·T Pasch, A Zollinger
May 26, 2005·Anesthesiology·Franklin DexterJohannes Ledolter

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