In the 21st century, how to further improve the level of clinical anesthesiology and improve the safety of anesthesia is still the central theme of anesthesiology. The anesthesiology department is the millstone of the surgical department of the whole hospital, and if there is a case of safety problem, it will have a great influence. I was transferred from the Affiliated Hospital of the University of Medical Sciences to a municipal tertiary hospital, and was awarded the first prize for quality management of the Tianjin Health System in 1998, and a national prize for the Implementation of Planned Anesthesia to Ensure the Quality of Anesthesia. On the basis of the original work, I have made some improvements to promote clinical teaching and clinical research. After a period of work, a series of standardized system and operation system have been formed to improve the quality of anesthesia and ensure the safety of anesthesia. The following is a little personal experience for peer reference. 1, the quality control group group work by the director of the department is fully responsible for, under the two personnel specifically responsible for (daily clinical anesthesia; anesthesia planner, record sheet, summary) Dean, Medical Section for one of the members of the group to facilitate the support of the reform of the department, and overall coordination of anesthesiology and the relationship between the Department and the relevant departments. 2, the status quo investigation department many times all staff meeting to analyze the status quo, according to the clinical anesthesia due to the technical specificity of the profession, the risk is greater, and for a new discipline, so that the Department of Anesthesiology in the field of medicine belongs to the medical errors and accidents are prone to and one of the most frequent departments and with the modern anesthesia technology and drugs and rapid progress in surgical procedures. In view of the anesthesia accidents and disputes in our department over the years, the current situation of anesthesia defects and deficiencies have shown that anesthesia quality management is needed to improve anesthesia safety. The implementation rate of planned anesthesia is too low; ② the number of incomplete basic test items in preoperative preparation is too high; ③ the anesthesia record sheet lacks necessary quality control items, and the post-anesthesia summary is too simple; ③ the use of some medicines and anesthesia operation is not standardized; ④ the aging of instruments is defective; ⑤ anesthesiologists’ academic qualifications are not uniform, and their qualities are not the same, with 50% residents, 60% undergraduate students, 30% secondary school students, and 10% junior colleges; ⑥ the service attitude is not standardized; ⑥ the service attitude is not standardized; some physicians in the surgery department only focus on surgery. Some physicians in the operating room only focus on surgery and do not pay attention to the diagnosis and treatment of complications; (7) anesthesiologists relax intraoperative dynamic monitoring; (8) anesthesia consultation system is not perfect; (9) the hospital environmental factors, the social environment and other factors. 3, set the goal of first further improve the anesthesia plan, expand the implementation of planned anesthesia surface. Develop a standardized anesthesia process, revise the anesthesia routine, standardize the anesthesia record. Develop every case of anesthesia program, deal with every case of patients, to ensure the safety of anesthesia to improve the quality of anesthesia, anesthesia to eliminate the occurrence of accidents and serious errors. 4, recognize the situation and unify the idea of market economic reform, the survival of the hospital to be determined by the patients (consumers). At present, doctors’ salaries are on the low side, and the amount of compensation is unimaginable if there are complications, disputes, errors and accidents. In this environment must change the traditional concept of doctor-patient relationship, safety, quality, service attitude and so on everything to keep up with the times, or will be eliminated.