Jane Simpson, Gerasimos Chatzidamianos, Ian Fletcher, Luis Perpetuo, Fiona J R Eccles
A new scale measuring adaptive perceived control for people with Parkinson's: Initial construction and further validation
Journal of the neurological sciences
spinal anesthesia long history effective safe technique avoid general anesthesia infants undergoing surgery however spinal anesthesia rarely used primary anesthetic population institution healthcare improvement initiative aimed increase percentage successful spinal placements primary anesthetic infants undergoing circumcision open orchidopexy hernia repair 11 50 december 31 2019 sustain rate 6 months interdisciplinary team created key driver diagram implemented following interventions education nurses surgeons patient families focused anesthesiologist training infant spinal procedure premedication availability supplies surgical schedule optimization team collected data retrospectively reviewing electronic medical records cerner north kansas city mo primary outcome percentage infants undergoing circumcision open orchidopexy hernia repair received successful spinal primary anesthetic team tracked measure evaluated using statistical process control chart august 1 2018 february 29 2020 researchers identified 470 infants 235 preintervention 235 postintervention underwent circumcision open orchidopexy inguinal hernia repair following interventions project statistically significant increase successful spinal placement 11 45 p 00001 quality improvement project successfully increased percentage patients receiving spinal anesthesia specific surgical procedures increasing number patients underwent successful spinal anesthesia placement