The Perioperative Quality Initiative (POQI) Consensus Conferences By Timothy E Miller,MD; Julie K Thacker, MD & Tong J Gan, MD, FHS, FRCA T he Perioperative Quality Initiative (POQI) is a recently formed international, multidisciplinary non-profit organization whose intent is to organize a series of consensus conferences on topics of interest related to perioperative medicine. Each consensus conference will aim to provide an objective, dispassionate distillation of the literature related to the chosen topics, and then to produce a consensus statement that interprets the available data, identifies unanswered questions and most importantly offers recommendations to improve patient care. The POQI consensus conference process consists of three stages: pre-conference planning, conference, and post-conference.1 During the pre-conference phase, the POQI conference directors select topics for which there is an apparent need for a consensus statement from a group of international experts to offer recommendations for patient care. Work groups are then assembled to review each topic. The work group consists of a chair, co-chair, and several delegates who are experts in at least one of the topics that will be discussed. Each work group will thoroughly review the literature, generate a bibliography of relevant Delegates at the 1st POQI Consensus Conference. literature, and identify a list of important questions to be addressed in the final consensus manuscript. The POQI conference itself is an intensive 2-day interactive face-to-face meeting where delegates debate and question the key issues in each topic. Post-conference, each workgroup finalizes a consensus statement on their topic for publication in a peer-reviewed journal. Delegates are expected to contribute to the preparation of each manuscript during the process. The first two POQI Consensus Conferences were supported by the American Society for Enhanced Recovery (ASER) and Evidence-Based Perioperative Medicine (EBPOM). The 1st POQI Consensus Conference took place 6 in Durham, NC on March 4th-5th 2016. The conference focused on “Enhanced Recovery for colorectal surgery”. The four discussion topics chosen were: 1. Perioperative fluid management – how can we best manage fluid within an Enhanced Recovery Pathways (ERP) for colorectal surgery2 2. Perioperative analgesia – how can we best manage pain within an ERP for colorectal surgery? 3. Preventing nosocomial infection – how can we best prevent nosocomial infection within an ERP for colorectal surgery 4. Measurement and quality – how can we measure the of quality of care within an ERP for colorectal surgery These manuscripts have all been accepted for publication, and at the time of print are either published or will be published shortly in Perioperative Medicine https://perioperativemedicinejournal. biomedcentral.com The 2nd POQI Consensus Conference took place at Stony Brook University in Stony Brook, NY on December 2nd-ˇ3rd 2016, and was entitled “Key Concepts within Enhanced Recovery Pathways.” The three chosen topics were: 1. Perioperative nutrition - how can we best manage preoperative and postoperative nutritional status within an ERP? ASER ALERT • VOLUME 2, ISSUE 1 • aserhq.org
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