Amulya Vankayalapati , Michelle Coleman , Janet N. Germann , Michelle A. Tate , Theresia Tuttle , Lisa Mack , Dan Benscoter , Catherine K. Hart , Matthew M. Smith
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引用次数: 0
Abstract
Objective
Describe the varied components (staff education, system capability, family education) of a multidisciplinary, inpatient pediatric tracheostomy team.
Methods
After its initiation in January 2019, a multidisciplinary tracheostomy team at a tertiary pediatric medical center developed an improvement plan with multiple interventions, utilizing a mixed methodology of features from Lean in Medicine and the Institute for Healthcare Model for Improvement. Interventions included education modules, the creation of a house-wide collaborative, adjustments to the electronic documentation tab, and the initiation of real-time reporting of adverse events. Outcomes included head-of-bed emergency equipment compliance, frequency of a pre-tracheostomy care talk, documentation accuracy in the electronic medical record, and adherence to standards-of-care regarding pediatric patients with tracheostomies.
Results
Interventions were implemented, and data was collected from January 2019 to June 2024. With the implementation of multiple tracheostomy team interventions, head-of-bed emergency equipment compliance increased from 55 % to 100 % over the course of 4 years. Additionally, the frequency of pre-tracheostomy care talks provided to patients scheduled to receive a tracheostomy increased by 400 % over the span of nine months. Changes in documentation accuracy and adherence to standards-of-care were variable.
Conclusions
The pediatric tracheostomy team succeeded in increasing head-of-bed emergency equipment compliance and opportunities for caregiver education. This study demonstrates the additive benefits of a multi-faceted project to improving care in pediatric tracheostomy patients.
期刊介绍:
The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.