Perioperative Patient Safety Priorities

APSF’s 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. Thank you to all of the APSF family who served with a Patient Safety Priorities Advisory Group (PSPAG) from 2021-2022. The 2023-2026 PSPAG information will be updated when they have begun their work.

APSF Activities:

Culture of Safety

Teamwork

Clinician Safety

  • 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

Advisory Group:

  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

Advisory Group:

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

Advisory Group:

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

Advisory Group:

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

2022 APSF Medication Safety Patient Safety Priority Group Recommendations:

  1. The APSF should optimize the use of prefilled syringes and pre-prepared infusions to reduce chance for dilution/labeling errors and potentially minimize waste
  2. The APSF should implement point of care electronic medication scanning for medication checks and clinical decision support prior to medication administration, with auditory (spoken) and displayed medication name, alerts and other critical information
  3. The APSF should work with regulatory bodies and manufacturers to standardize medication vials and distinguish medications by class with color coded labels to reduce errors
  4. The APSF should recommend the use of standard concentrations of medications across patient care areas (e.g., emergency department, ICU, perioperative environments)
  5. The APSF should develop online resource highlighting best medication safety practices (toolbox, checklists, whitepapers, etc.) tailored for anesthesia professionals who practice in facilities with fewer resources than large health systems or academic institutions, such as surgery centers, office-based settings, and community hospitals

APSF Activities:

  • The 2018 APSF Stoelting Conference and 2024 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 sponsored a Summit in 2021 with the Institute for Safe Medication Practices

Advisory Group:

APSF Activities:

Advisory Group: