Multidisciplinary Tracheostomy Care How Collaboratives Drive Quality Improvement

被引：49

作者：

Bedwell, Joshua R. ^{[1
]}

Pandian, Vinciya ^{[2
]}

Roberson, David W. ^{[3
]}

McGrath, Brendan A. ^{[4
]}

Cameron, Tanis S. ^{[5
]}

Brenner, Michael J. ^{[6
]}

机构：

[1] Texas Childrens Hosp, Baylor Coll Med, 6701 Fannin St,Suite 650, Houston, TX 77030 USA

[2] Johns Hopkins Sch Nursing, 525 North Wolfe St,Room 442, Baltimore, MD 21205 USA

[3] Global Tracheost Collaborat, 165 Russett Rd, West Roxbury, MA 03122 USA

[4] Manchester Univ Hosp NHS Fdn Trust, Wythenshawe Hosp, Acute Intens Care Unit, Southmoor Rd, Manchester M23 9LT, Lancs, England

[5] Austin Hlth, 3rd Floor Lance Townsend Bldg,POB 5555, Heidelberg, Vic 3084, Australia

[6] Univ Michigan, Dept Otolaryngol Head & Neck Surg, Sch Med, 1500 East Med Ctr Dr SPC 5312,1904 Taubman Ctr, Ann Arbor, MI 48109 USA

来源：

OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA | 2019年 / 52卷 / 01期

关键词：

Tracheostomy; Tracheotomy; Quality improvement; Collaborative; Patient safety; PEDIATRIC TRACHEOSTOMY; TEAM-APPROACH; MANAGEMENT; EDUCATION; PATIENT; CAREGIVERS; OUTCOMES;

D O I：

10.1016/j.otc.2018.08.006

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

There have been reports of successful quality-improvement initiatives surrounding tracheostomy care for more than a decade, but widespread adoption of best practices has not been universal. Five key drivers have been found to improve the quality of care for tracheostomy patients: multidisciplinary synchronous ward rounds, standardization of care protocols, appropriate interdisciplinary education and staff allocation, patient and family involvement, and use of data to drive improvement. The Global Tracheostomy Collaborative is a quality-improvement collaborative dedicated to improving the care of tracheostomy patients worldwide through communication, dissemination, and implementation of proven strategies based on these 5 key drivers.

引用

页码：135 / 147

页数：13

共 35 条

[1] A Multidisciplinary Children's Airway Center: Impact on the Care of Patients With Tracheostomy [J].

Abode, Kathleen A. ;

Drake, Amelia F. ;

Zdanski, Carlton J. ;

Retsch-Bogart, George Z. ;

Gee, Amanda B. ;

Noah, Terry L. .

PEDIATRICS, 2016, 137 (02)

[2] Improving knowledge, technical skills, and confidence among pediatric health care providers in the management of chronic tracheostomy using a simulation model [J].

Agarwal, Amit ;

Marks, Nancy ;

Wessel, Valerie ;

Willis, Denise ;

Bai, Shasha ;

Tang, Xinyu ;

Ward, Wendy L. ;

Schellhase, Dennis E. ;

Carroll, John L. .

PEDIATRIC PULMONOLOGY, 2016, 51 (07) :696-704

[3]

Agency for Healthcare Research and Quality, 2013, GUID PAT FAM ENG HOS

[4]

Agency for Healthcare Research and Quality, 2014, STAT HOSP STAYS

[5]

[Anonymous], 2003, IHI INNOVATION SERIE

[6] Simulation training for primary caregivers in the neonatal intensive care unit [J].

Arnold, Jennifer ;

Diaz, Maria Carmen G. .

SEMINARS IN PERINATOLOGY, 2016, 40 (07) :466-472

[7] Development of a tracheostomy scoring system to guide airway management after major head and neck surgery [J].

Cameron, M. ;

Corner, A. ;

Diba, A. ;

Hankins, M. .

INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2009, 38 (08) :846-849

[8]

Cameron TS, 2009, CRIT CARE RESUSC, V11, P14

[9] Improving tracheostomy care: a prospective study of the multidisciplinary approach [J].

Cetto, R. ;

Arora, A. ;

Hettige, R. ;

Nel, M. ;

Benjamin, L. ;

Gomez, C. M. H. ;

Oldfield, W. L. G. ;

Narula, A. A. .

CLINICAL OTOLARYNGOLOGY, 2011, 36 (05) :482-488

[10] Tracheostomy: Epidemiology, Indications, Timing, Technique, and Outcomes [J].

Cheung, Nora H. ;

Napolitano, Lena M. .

RESPIRATORY CARE, 2014, 59 (06) :895-915

← 1 2 3 4 →