Elevating Tracheostomy Care Through Data-Driven Innovation: What Can Education, Evidence-Based Practice, and Quality Improvement Learn from One Another?

Tracheostomy (Warrenville, Ill.) Pub Date : 2024-01-01 Epub Date: 2024-06-30
Michael J Brenner, Vinciya Pandian
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Abstract

The past decade has witnessed unprecedented progress in tracheostomy care, through communication, dissemination, and implementation of key drivers including interprofessional education, team-based care, standardized protocols, patient and family engagement, and data-driven practice. Improved safety, efficiency, and quality of tracheostomy care reflects contributions from fields of competency-based education, evidence-based practice, and quality improvement. These elements are interconnected, reinforcing one another to enhance patient care. Competency-based interactive education emphasizes active and practical learning through simulations and case studies, which enhance the clinical skills essential for high-quality care. These educational strategies are grounded in clinical research, ensuring that care practices are continually updated and aligned with the latest evidence, thereby bridging the gap between research findings and clinical application. Quality improvement processes such as Plan-Do-Study-Act (PDSA) cycles refine care delivery in real-world settings. Implementation science promotes the uptake of evidence-based practices, ensuring that discoveries translate to improved health outcomes, quality of care, and overall system performance. In each of these domains, patient and family engagement ensures alignment with patient needs and values. The Global Tracheostomy Collaborative leverages this integrated approach through international educational symposia and webinars, comprehensive data analyses, and a learning community that promotes innovative technologies like in situ simulation and augmented and virtual reality. Together, these approaches enhance the learning and application of best practices in tracheostomy care. The continuous, dynamic interaction of education, research, and quality improvement, grounded in patient-centered care, fosters excellence and innovation in care of patients with tracheostomy.

通过数据驱动的创新提升气管造口护理水平:教育、循证实践和质量改进可以相互借鉴什么?
过去十年间,通过交流、传播和实施包括跨专业教育、团队护理、标准化协议、患者和家属参与以及数据驱动实践在内的关键驱动因素,气管切开护理取得了前所未有的进展。气管造口术护理安全性、效率和质量的提高反映了能力本位教育、循证实践和质量改进等领域的贡献。这些要素相互关联,相辅相成,共同提升患者护理水平。以能力为基础的互动教育强调通过模拟和案例研究进行积极而实用的学习,从而提高高质量护理所必需的临床技能。这些教育策略以临床研究为基础,确保护理实践不断更新并与最新证据保持一致,从而缩小研究成果与临床应用之间的差距。质量改进流程,如计划-实施-研究-行动(PDSA)循环,完善了实际环境中的护理服务。实施科学促进循证实践的采用,确保研究成果转化为更好的医疗效果、护理质量和整体系统性能。在上述每个领域,患者和家属的参与都能确保与患者的需求和价值观保持一致。全球气管造口术协作组通过国际教育研讨会和网络研讨会、综合数据分析以及推广现场模拟、增强现实和虚拟现实等创新技术的学习社区,充分利用这种综合方法。这些方法共同促进了气管造口护理最佳实践的学习和应用。教育、研究和质量改进的持续、动态互动,以患者为中心的护理为基础,促进了气管造口术患者护理的卓越和创新。
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