Perioperative Patient Safety Priorities

APSF’s 2021 Perioperative Patient Safety Priorities and Ongoing Activities

The following list contains our top 10 priorities and notes the activities for each that we have done in the past 5 years. The summary of activities is not exhaustive.

1. Culture of safety, inclusion and diversity

APSF Activities:

2. Teamwork, collegial communication and multidisciplinary collaboration

APSF Activities:

3. Preventing, detecting, determining pathogenesis, and mitigating clinical deterioration in the perioperative period

    1. Early warning systems in all perioperative patients
    2. Monitoring for patient deterioration
      1. Postoperative continuous monitoring on the hospital floor
      2. Opioid-induced ventilatory impairment and monitoring
      3. Early sepsis
    3. Early recognition and response to decompensating patient
APSF Activities:

  • The 2019 APSF Stoelting Conference was dedicated to this topic
  • This topic has been highlighted in 2020 APSF Newsletter issues and APSF-sponsored panels and presentations
  • APSF is collaborating with American Society of Anesthesiologists (ASA) and other subspecialty organizations to address specific issues related to this topic
  • APSF will support prototype development for several models that may reduce failure-to-rescue
  • APSF has supported 2 research grants on this issue in the past 5 years

4. Safety in non-operating room locations such as endoscopy, cardiac catheterization, and interventional radiology suites

APSF Activities:

  • APSF has addressed aspects of this issue recently in APSF Newsletter articles (e.g., June 2020)
  • APSF has supported 3 research grants on this issue in the past 5 years

5. Perioperative delirium, cognitive dysfunction, and brain health

APSF Activities:

  • The APSF supports this ASA-American Association of Retired Persons initiative
  • This issue is addressed in our October 2020 APSF Newsletter
  • APSF has supported 3 research grants on this issue in the past 5 years

6. Prevention and mitigation of opioid-related harm in surgical patients

APSF Activities:

  • This issue has been addressed in 11 articles in the APSF Newsletter since 2016
  • APSF has supported one research grant on this issue in the past 5 years
  • APSF supports ongoing efforts in the U.S. Congress, Joint Commission, and regulatory agencies to promote postoperative monitoring of patients who have received opioids

7. Medication safety

    1. Drug effects
    2. Labeling issues
    3. Shortages
    4. Technology issues (e.g., barcoding, RFID)
    5. Processes for avoiding and detecting errors
APSF Activities:

  • The 2018 APSF Stoelting Conference was dedicated to this topic
  • APSF presented panels at the 2019 ASA and New York State Society of Anesthesiologists’ annual meetings
  • Multiple APSF Newsletter articles have been published on this issue in 2020
  • APSF will co-host a summit in 2021 with the Institute for Safe Medication Practices

8. Emerging infectious diseases (including but not limited to COVID-19), including patient management, guideline development, equipment modification, and determination of operative risk

APSF Activities:

9. Clinician safety: Occupational health and wellness

APSF Activities:

  • Clinician safety (including burnout) will be will be the topic of the 2021 APSF Stoelting Conference
  • Five articles on this issue has been published in the APSF Newsletter
  • APSF has supported one research grant on this issue since 2016

10. Airway management difficulties, skills, and equipment

APSF Activities:

  • Several APSF articles have addressed this issue in recent APSF Newsletter articles
  • APSF has supported 3 research grants on this issue in the past 5 years