Department of Anesthesiology and Intensive Care, University Hospital Odense.
Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Curr Opin Anaesthesiol. 2022 Jun 1;35(3):357-360. doi: 10.1097/ACO.0000000000001145.
The concept of quality improvement (QI) is well implemented in pediatric anesthesia. Conductance, reporting and publishing of QI projects and -results is well described and promoted. However, the perception of quality might differ between stakeholders and beneficiaries. Based on measures of quality as perceived by healthcare professionals and pediatric patients, a pragmatic approach to choosing the relevant quality measure is suggested.
Design of QI projects is often motivated by an incentive to avoid errors and adverse events, and with an overall aim to reduce morbidity and mortality. From a patient- and parent point of view, avoidance of perioperative stress and anxiety might be a priority measure of quality.
In an attempt to embrace both perspectives of quality in pediatric anesthesia care, it is suggested to choose quality items for improvement based on patient safety, professional excellency and benignancy. By following this approach, QI is expected to remain relevant to both healthcare professionals and patients.
质量改进（QI）的概念在小儿麻醉中得到了很好的实施。QI 项目的开展、报告和发表以及结果都有很好的描述和推广。然而，利益相关者和受益人的质量感知可能存在差异。基于医护人员和儿科患者感知到的质量措施，提出了一种选择相关质量措施的实用方法。
QI 项目的设计通常是为了避免错误和不良事件，并以降低发病率和死亡率为总体目标。从患者和家长的角度来看，避免围手术期的应激和焦虑可能是质量的优先衡量标准。
为了在小儿麻醉护理中同时兼顾这两个方面的质量，建议根据患者安全、专业卓越和良性选择质量改进项目。通过这种方法，QI 将继续与医护人员和患者保持相关。
