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Quality Assurance and Quality Improvement in the Labor and Delivery Setting.

TitleQuality Assurance and Quality Improvement in the Labor and Delivery Setting.
Publication TypeJournal Article
Year of Publication2021
AuthorsKjaer K
JournalAnesthesiol Clin
Volume39
Issue4
Pagination613-630
Date Published2021 Dec
ISSN1932-2275
Abstract

Quality assurance (QA) is the maintenance of a desired level of quality, whereas quality improvement (QI) is the continuous process of creating systems to make things better. Implementation science promotes the systematic uptake of best practices. Bundles are a structured list of best practices whereas toolkits provide the necessary details, rationale, and implementation materials, such as sample policies and protocols. Metrics that can guide care on the labor and delivery (L&D) floor may be related to team structure (obstetric, multidisciplinary, anesthetic), processes (patient monitoring, team effects), and outcomes (postpartum hemorrhage, venous thromboembolism). Multiple anesthetic quality metrics have been proposed, including the mode of anesthesia for cesarean delivery.

DOI10.1016/j.anclin.2021.08.010
Alternate JournalAnesthesiol Clin
PubMed ID34776100