Clinical Indices to Drive Quality Improvement in Otolaryngology

被引:7
作者
Barron, Christine L. [1 ]
Elmaraghy, Charles A. [2 ,3 ]
Lemle, Stephanie [4 ]
Crandall, Wallace [4 ,5 ]
Brilli, Richard J. [6 ]
Jatana, Kris R. [2 ,3 ]
机构
[1] Ohio State Univ, Coll Med, 370 West 9th Ave, Columbus, OH 43210 USA
[2] Nationwide Childrens Hosp, Dept Pediat Otolaryngol, 555 South 18th St,Suite 2A, Columbus, OH 43205 USA
[3] Ohio State Univ, Wexner Med Ctr, Dept Otolaryngol Head & Neck Surg, 915 Olentangy River Rd, Columbus, OH 43212 USA
[4] Nationwide Childrens Hosp, Qual Improvement Serv, 700 Childrens Dr,Suite 2A, Columbus, OH 43205 USA
[5] Ohio State Univ, Coll Med, Nationwide Childrens Hosp, Div Pediat Gastroenterol Hepatol & Nutr,Dept Pedi, 700 Childrens Dr, Columbus, OH 43205 USA
[6] Ohio State Univ, Coll Med, Nationwide Childrens Hosp, Div Pediat Crit Care Med,Dept Pediat, 700 Childrens Dr, Columbus, OH 43205 USA
关键词
Index; Indices; Pediatric; Tracheostomy; Tracheotomy; Quality improvement; NECK-CANCER; PRESSURE ULCERS; CARE PATHWAYS; HEAD; SURGERY; IMPLEMENTATION; PREVENTION; IMPACT;
D O I
10.1016/j.otc.2018.08.008
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
A Pediatric Tracheostomy Care Index (PTCI) was developed by the authors to standardize care and drive quality improvement efforts at their institution. The PTCI comprises 9 elements deemed essential for safe care of children with a tracheostomy tube. Based on the PTCI scores, the number of missed opportunities per patient was tracked, and interventions through a "lan-Do-Study-Act" approach were performed. The establishment of the PTCI has been successful at standardizing, quantifying, and monitoring the consistency and documentation of care provided at the authors ' institution.
引用
收藏
页码:123 / 133
页数:11
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