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The article discusses the Peri-operative Care Summit series, which aims to address the increasing burden of surgical illness and complications. The goal of the summit is to bring together stakeholders from various sectors of surgical healthcare delivery to brainstorm ideas and develop actionable solutions. The article highlights the principles proposed at Summit I and the framework for peri-operative care presented as an example structure. The burden of surgical care is rapidly surpassing available resources, and innovative solutions are urgently needed. The article concludes by urging all stakeholders to get involved in finding solutions to this challenge. [Extracted from the article]

The IMPROVE study describes a large perioperative quality improvement project with reporting of both compliance with improvement activities and patient outcomes. It highlights the importance of such projects, as well as the challenges in implementing change and proving benefit. Challenges identified include the importance of effective training in practice change, selection of trial design and relevant quality measures, and how the context of quality improvement initiatives may influence outcomes. Quality improvement programmes of this nature, despite the difficulties with implementation and trial design, remain a high priority because of their positive influence on improving clinical practice. [ABSTRACT FROM AUTHOR]