The potential for anesthesiologist practice feedback to reduce postoperative vomiting in an academic centre

  • Christopher L. PysykEmail author
  • Daniel J. Corsi
  • Sylvain Boet

To the Editor,

Updated Guidelines encourage each department to systematically monitor the quality of anesthetic care delivery.1 Our experience with postoperative vomiting (POV), a quality outcome of key relevance to patient and provider, is delineated through the use of an annual performance report created for each staff anesthesiologist at our tertiary care hospital.2 Using pre-, intra-, and postoperative data available from our Anesthesia Information Management System (AIMS), and coordinated by our Quality and Patient Safety Committee of the Department of Anesthesiology and Pain Medicine, the annual report provides feedback to each staff anesthesiologist regarding perioperative clinical care processes and outcomes. The individual anesthesiologist’s data are presented with overall department averages for comparison. Local research ethics board approval of our quality assurance data outcomes for publication was obtained in December 2018.

In four years of experience with the annual...


Conflicts of interest

None declared.

Editorial responsibility

This submission was handled by Dr. Hilary P. Grocott, Editor-in-Chief, Canadian Journal of Anesthesia.

Funding sources

Drs. Pysyk and Boet were supported by The Ottawa Hospital Anesthesia Alternate Funds Association.


  1. 1.
    Dobson G, Chong M, Chow L, et al. Guidelines to the Practice of Anesthesia – Revised Edition 2018. Can J Anesth 2018; 65: 76-104.Google Scholar
  2. 2.
    Wheeler K, Baxter A, Boet S, Pysyk C, Bryson GL. Performance feedback in anesthesia: a post-implementation survey. Can J Anesth 2017; 64: 681-2.CrossRefGoogle Scholar
  3. 3.
    Ivers N, Jamtvedt G, Flottorp S, et al. Audit and feedback: effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev 2012; 13: CD000259.Google Scholar
  4. 4.
    Boet S, Bryson GL, Taljaard M, et al. Effect of audit and feedback on physicians’ intraoperative temperature management and patient outcomes: a three-arm cluster randomized-controlled trial comparing benchmarked and ranked feedback. Can J Anesth 2018; 65: 1196-209.CrossRefGoogle Scholar

Copyright information

© Canadian Anesthesiologists' Society 2019

Authors and Affiliations

  • Christopher L. Pysyk
    • 1
    Email author
  • Daniel J. Corsi
    • 2
    • 4
  • Sylvain Boet
    • 1
    • 3
    • 4
  1. 1.Department of Anesthesiology and Pain Medicine, The Ottawa HospitalUniversity of OttawaOttawaCanada
  2. 2.School of Epidemiology and Public Health, OMNI Research GroupThe Ottawa Hospital Research InstituteOttawaCanada
  3. 3.Department of Innovation in Medical EducationUniversity of OttawaOttawaCanada
  4. 4.Clinical Epidemiology ProgramThe Ottawa Hospital Research InstituteOttawaCanada

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