The goal of medical quality management (QM) is to improve patient outcomes and increase the efficiency of medical services. Anesthesia quality management is an important guarantee of anesthesia safety. The implementation of an anesthesia quality management (QM) program can be briefly summarized in seven steps: 1. Designate the person responsible for implementing departmental QM and build a team Successful QM depends on the physician responsible for QM and his or her team. This person can be the department head or deputy head, or a QM specialist, who should organize other physicians and establish a QM committee or departmental QM team to collect, analyze, and review QM data and propose a response plan. The members of the QM management team should communicate smoothly and trust each other, and report to the department director and other members of the department in a timely manner the achievements and problems found by the QM team as well as the corresponding correction plans. 2, the development of anesthesia adverse event measurement indicators anesthesia quality management covers the structure, process and results of the three links, its assessment and evaluation need to be measurable, meaningful quality indicators, so the anesthesia quality control indicators are mainly for these three links. While anesthesia outcome indicators are particularly important for anesthesia patient safety and the operational efficiency of healthcare, structural and process indicators should not be neglected. Anesthesia quality management can be assessed and evaluated by monitoring anesthesia adverse events. Anesthesia adverse event metrics can include any variable from how many patients die (mortality) to how often the hospital replaces light bulbs in the locker room. Indicators can reflect structure (how many providers, how many operating rooms), process (how many patients received perioperative antibiotics), and outcome (how many patients died). Indicator measurement analysis rectification indicator re-measurement 3, collect data, establish anesthesia quality management database anesthesia quality data generally from electronic anesthesia records or hospital information system. The database is created by manual filling or by “automatic capture” of electronic information. There are commercial products available to help with this process, and many departments have developed their own databases in paper or electronic form. 4. Report anesthesia quality management to the department and hospital on a regular basis. Some data should be reported as incidence: (e.g., headache after dural puncture). Data should be reported monthly or quarterly. Trends that can be observed on the data. Data (especially outcomes) are confounded by external factors and should be reported after risk adjustment is implemented. For example, trauma center reporting includes: anesthesia mortality (incidence), quarterly reporting (observed trends), adjustment for severity of patient injury, and comparison with other trauma center mortality rates. 5. Review of abnormal events In general, anesthesia complications are rare, and statistical evaluation often requires large numbers. Abnormal events (e.g., critical errors) should be submitted to the QM committee for review and discussion. The discussion should focus on what happened and how to prevent it from happening again. When many unusual events occur, they should be “focused reviews” by experts who are responsible for identifying possible causes and possible solutions. Medicine is “more art than science,” so individual cases and abnormal events are as important as numerical assessments. Sometimes quality can be improved through simple data reporting or discussion of unusual events, especially for rare but serious events, which are the basis for traditional “morbidity and mortality” meetings. Public presentation of data can be used to improve quality by leveraging peer pressure, for example, to improve compliance with systems, norms, and standards by medical staff. Most anesthesia quality management activities should be done on a departmental level because people are sensitive to their own work environment. Most serious adverse events turn out to be systemic problems, not problems of individual errors. Analysis and discussion of events should focus on systemic improvements to prevent recurrence. Address practice issues by searching the anesthesia literature and going to professional websites such as AQI, ASA, and CSA for recommendations for corrective action. 7. Re-measure and collect data and make full use of IT data to enable us to identify problem areas. Information technology helps QM data accumulate and makes QM easy and effective. Regular reporting increases anesthesiologists’ confidence in QM results. Anesthesia QM should strive to achieve: integrate metrics measurement reports into clinical practice, and make data collection and analysis a daily task.