The AAGBI Foundation is seeking to appoint an Anaesthesia Sprint Audit of Practice (ASAP) Fellow. Expressions of interest and applications are invited via a letter and CV to firstname.lastname@example.org by 31 March 2017. Telephone or face-to-face interviews may be arranged. Find out more >
About the ASAP project
Currently, the AAGBI has over 60 guidelines, with several new titles appearing each year. These are reviewed every 5 years, in a rolling renewal programme.
To date, between publication and renewal, there has been no work to assess whether anaesthetists read the guidance, follow it personally or implement it at their hospital, or whether the guidance needs to change when it is renewed. This is the purpose of Quality Assessment (QA); in short, how do we make the guidelines better?
Similarly, there has been little work to assess whether implementing guidelines improves the quality of clinical care, and few suggestions about how to go about improving care, either on a personal or an institutional level. This is the purpose of Quality Improvement (QI); in short, how can guidelines make clinical care better?
Following the successful completion of the first and second ASAP projects on anaesthesia for hip fracture, the AAGBI and AAGBI Foundation would like to replicate the ASAP process to promote a core value of the AAGBI – advancing and improving patient care and safety in the field of anaesthesia and disciplines allied to anaesthesia.
There are four strands to the ASAP project:
(1) Development and maintenance of a national network database of 200 ‘SAPpers’ who contribute hospital-level data to each ASAP project;
(2) Quality assessment. For each guideline, hospital level data will be used to (a) inform new AAGBI guideline recommendations and (b) improve AAGBI guideline recommendations during renewal;
(3) Quality Improvement. Each future AAGBI guideline will contain a ‘QAQI toolkit’, advising clinical anaesthetists how to measure quality and safety improvement both in their own practice and at their hospitals;
(4) Research. A national network for data collection will enable simple research questions to be answered quickly, either as an end in itself or to inform larger national studies. This framework could be used, for example, by AAGBI specialist societies to gather service-level data about possible RCT participation.
Most of the ASAP project output is intended for either peer-reviewed and/or online publication.