Outcomes
intraoperative hypotension, hypothermia, postoperative acute kidney injury, diabetes
NEUROMUSCULAR BLOCKADE, SURGICAL SITE INFECTION, HYPERGLYCEMIA, SECONDARY, DIABETES
The primary outcomes were avoidance of hypothermia, defined as the proportion of patients who had a final recorded intraoperative core temperature greater than 36 °C, and avoidance of hyperglycemia, defined as the proportion of patients with diabetes who had a blood glucose level of 180 mg/dL or lower on arrival to the postanesthesia recovery area. These outcomes were selected because they were viewed as clinically meaningful opportunities for quality improvement and were plausibly affected by ACT-OR communication.Secondary outcomes included intraoperative hypotension, temperature monitoring, timely antibiotic redosing, intraoperative glucose evaluation and management, neuromuscular blockade monitoring, ventilator management, and volatile anesthetic overuse. Clinical outcomes included 30-day mortality, 30-day readmission, and postoperative acute kidney injury. Due to limited data availability, planned analysis of intraoperative awareness and surgical site infection outcomes were not conducted. Definitions of the primary, secondary, and clinical outcomes are provided in eTable 1 in 