Journal article
Quality improvement in tracheostomy care: A multidisciplinary approach to standardizing tracheostomy care to reduce complications
American journal of otolaryngology, Vol.41(2), pp.102376-102376
03/01/2020
DOI: 10.1016/j.amjoto.2019.102376
PMID: 31924414
Abstract
Purpose: Develop a model for quality improvement in tracheostomy care and decrease tracheostomy-related complications.
Methods: This study was a prospective quality improvement project at an academic tertiary care hospital. A multidisciplinary team was assembled to create institutional guidelines for clinical care during the pre-operative, intra-operative, and post-operative periods. Baseline data was compiled by retrospective chart review of 160 patients, and prospective tracking of select points over 8 months in 73 patients allowed for analysis of complications and clinical parameters.
Results: Implementation of a quality improvement team was successful in creating guidelines, setting baseline parameters, and tracking data with run charts. Comparison of pre- and post-guideline data showed a trend toward decreased rate of major complications from 4.38% to 2.74% (p = 0.096). Variables including time to tracheotomy for prolonged intubation, surgical technique, day of first tracheostomy tube change, and specialty performing surgery did not show increased risk of complications. There were increased tracheostomy-related complications in cold months (p = 0.04).
Conclusions: An interdisciplinary quality improvement team can improve tracheostomy care by identifying system factors, standardizing care among specialties, and providing continuous monitoring of select data points.
Details
- Title: Subtitle
- Quality improvement in tracheostomy care: A multidisciplinary approach to standardizing tracheostomy care to reduce complications
- Creators
- Samuel J. Rubin - Boston UniversityStefanie S. Saunders - Boston UniversityJacob Kuperstock - Boston UniversityDominick Gadaleta - Boston UniversityPeter A. Burke - Boston UniversityGregory Grillone - Boston UniversityJames M. Moses - Boston UniversityJaime P. Murphy - Boston UniversityGerardo Rodriguez - Boston UniversityAndrew Salama - Boston UniversityMichael P. Platt - Boston University
- Resource Type
- Journal article
- Publication Details
- American journal of otolaryngology, Vol.41(2), pp.102376-102376
- Publisher
- Elsevier
- DOI
- 10.1016/j.amjoto.2019.102376
- PMID
- 31924414
- ISSN
- 0196-0709
- eISSN
- 1532-818X
- Number of pages
- 6
- Language
- English
- Date published
- 03/01/2020
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984694745202771
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