Journal article
Pediatric Tracheostomy Emergency Readiness Assessment Tool: International Consensus Recommendations
The Laryngoscope, Vol.133(12), pp.3588-3601
12/01/2023
DOI: 10.1002/lary.30674
PMCID: PMC10710770
PMID: 37114735
Abstract
Objective: To achieve consensus on critical steps and create an assessment tool for actual and simulated pediatric tracheostomy emergencies that incorporates human and systems factors along with tracheostomy-specific steps.
Methods: A modified Delphi method was used. Using REDCap software, an instrument comprising 29 potential items was circulated to 171 tracheostomy and simulation experts. Consensus criteria were determined a priori with a goal of consolidating and ordering 15 to 25 final items. In the first round, items were rated as "keep" or "remove". In the second and third rounds, experts were asked to rate the importance of each item on a 9-point Likert scale. Items were refined in subsequent iterations based on analysis of results and respondents' comments.
Results: The response rates were 125/171 (73.1%) for the first round, 111/125 (88.8%) for the second round, and 109/125 (87.2%) for the third round. 133 comments were incorporated. Consensus (>60% participants scoring >= 8, or mean score >7.5) was reached on 22 items distributed across three domains. There were 12, 4, and 6 items in the domains of tracheostomy-specific steps, team and personnel factors, and equipment respectively.
Conclusions: The resultant assessment tool can be used to assess both tracheostomy-specific steps as well as systems factors affecting hospital team response to simulated and clinical pediatric tracheostomy emergencies. The tool can also be used to guide debriefing discussions of both simulated and clinical emergencies, and to spur quality improvement initiatives.
Details
- Title: Subtitle
- Pediatric Tracheostomy Emergency Readiness Assessment Tool: International Consensus Recommendations
- Creators
- Elliot Schiff - Albert Einstein College of MedicineSohit P. KanotraEvan J. Propst - University of TorontoKarthik Balakrishnan - Lucile Packard Children's HospitalKaalan Johnson - University of WashingtonDavid W. Lounsbury - Albert Einstein College of MedicineMichael J. Brenner - University of MichiganMarc-Mina Tawfik - Albert Einstein Coll Med, Bronx, NY 10467 USAJeffrey P. SimonsEric MoredduBriac ThierryEric GantwerkerDavid R. WhitePaul HongMargo K. McKennaDavid W. Molter - Albert Einstein College of MedicineMarlene SomaMike J. RutterNeha A. PatelLiane B. Johnson - Seattle Children's HospitalStephen R. ChorneyJohn D. ProsserDouglas R. SidellGresham T. RichterBrandon S. HopkinsMarc Gibber - Albert Einstein College of MedicineClarice ClemmensSoham RoyDerek J. LamSukgi ChoiJason MayMatthew T. BriggerCraig S. DerkayWei-Chung HsuScott SchraffJohnathan D. McGinnJonathan B. IdaMichel NassarJoshua R. BedwellReza RahbarMichele TorreScott E. MannDavid A. Zopf - Albert Einstein College of MedicineRobert ChunErynne A. FaucettMaja SvrakicSam J. DanielMathieu BergeronSeth M. PranskyLyndy J. WilcoxNira A. GoldsteinRomaine F. Johnson - Seattle Children's HospitalMichael E. McCormickCatherine K. HartKara K. PrickettSanjay R. ParikhLily H. P. NguyenMarilena TrozziGlenn E. GreenJeremy D. PragerGene LiuMeredith N. LindJohn Dahl - Seattle Children's HospitalLauren A. BohmKatherine R. KavanaghDeepak MehtaRavindhra G. ElluruNeil BatemanKara D. MeisterJosh WiedermannRyan BelcherJohn Russell - Seattle Children's HospitalJonathan WalshJames KearneyRichard NicollasPrasanth PattisapuKaren WattersMark E. GerberKelly M. MalloyTiffany P. RaynorElliot Regenbogen - Albert Einstein College of MedicineR. Paul BoeschPierre FayouxJohn Jack ManoukianTrina C. UwieraAlanna M. WindsorMichael S. WeinstockTaher ValikaHamdy El-HakimBenjamin E. HartleyJorge E. SpratleyShazia PeerClaire M. LawlorJean-Philippe VaccaniClare M. RichardsonCarlton J. ZdanskiJill JeffeKishore SanduJohn M. CarterAnn W. PlumScott RickertLuv R. JaviaJennifer LavinCharles M. MyerNikhila P. RaolJoseph PiccioneErnest D. GomezNicholas J. SmithNancy BaumanCatherine DohertyNoel JabbourLindsay SobinMatthew BromwichBrendan A. McGrathUdayan K. ShahRobin T. CottonMurad HuseinMarie Eva RossiAlessandro de AlarconMark VolkRobert F. WardApril LandryTsung-yen HsiehRichard J. SmithPhillip LosavioChristina J. Yang - Albert Einstein College of MedicinePediatric Tracheostomy Emergency Readiness Workgroup
- Resource Type
- Journal article
- Publication Details
- The Laryngoscope, Vol.133(12), pp.3588-3601
- DOI
- 10.1002/lary.30674
- PMID
- 37114735
- PMCID
- PMC10710770
- NLM abbreviation
- Laryngoscope
- ISSN
- 0023-852X
- eISSN
- 1531-4995
- Publisher
- Wiley
- Number of pages
- 14
- Grant note
- UL1TR001073 / NIH/National Center for Advancing Translational Science (NCATS) Einstein Montefiore CTSA; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS)
- Language
- English
- Date published
- 12/01/2023
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Molecular Physiology and Biophysics; Anatomy and Cell Biology; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Otolaryngology; Internal Medicine
- Record Identifier
- 9984548288702771
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