Perioperative Patient Safety Priorities

APSF’s 2020-2021 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. Preventing, detecting, 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

2. Safety in non-operating room locations such as endoscopy 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

3. Culture of safety: the importance of teamwork and promoting collegial personnel interactions to support patient safety

APSF Activities:

  • APSF addressed this issue in its 2017 ASA Annual Meeting workshop, as well as in APSF Newsletter articles and presentations
  • The 2019 Pierce Lecture by Jeff Cooper, Ph.D. highlighted this issue; his remarks were published in February 2020 APSF Newsletter
  • APSF has supported 1 research grant on this issue in the past 5 years

4. 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
  • APSF will co-host a consensus workgroup on drug labeling in 2021 with the Institute for Safe Medication Practices
  • Multiple APSF Newsletter articles have been published on this issue in 2020

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. Hospital-acquired infections and environmental microbial contamination and transmission

APSF Activities:

7. Patient-related communication issues, handoffs, and transitions of care

APSF Activities:

8. 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

9. Anesthesia professionals and burnout

APSF Activities:

10. Distractions in procedural areas

APSF Activities: