This document outlines the quality improvement process for anesthesia care at Srinagarind Hospital. It describes 5 key stages: 1) pre-op patient assessment, 2) intra-operative care following clinical practice guidelines and using monitoring equipment, 3) post-anesthesia care in the PACU by qualified staff, 4) post-op follow-up visits, and 5) continuous quality improvement through identifying opportunities for improvement, reviewing outcomes, sharing knowledge, and updating guidelines and manuals. The overall goal is to provide safe and effective anesthesia care through monitoring at all stages of the perioperative process.