Recurrent themes from national reports have identified deficiencies in training staff, bedside equipment and the infrastructure required to safely manage patients with tracheostomies leading to patient harm, and increased mortality.
Attend the Society of Critical Care Medicine's (SCCM) upcoming webcast, Tracheostomy Management and the Role of the Tracheostomy Teams, and learn more about tracheostomy indications and complications and how developing a multidisciplinary tracheostomy team can improve patient outcomes.
Reports have identified issues related to the management of tracheostomies, including deficiencies in staff training, bedside equipment and infrastructure. These issues may lead to patient harm and increased mortality rates. The United Kingdom’s National Confidential Enquiry into Patient Outcome and Death (NCEPOD) in 2014 reported nearly 30% of patients with tracheostomies experience a safety accident. Measurable harm occurs in 60% to 70% of these incidences, ranging from intensive care unit (ICU) readmission, increased length of stay, hypoxic brain injury and death. The same report noted that most staff did not have the level of competency required to care for patients with tracheostomies.
Institutions that create multidisciplinary tracheostomy teams have been able to demonstrate significant improvements in quality and safety. In a study by McGrath et al, implementation of hospital-wide education and development of a multidisciplinary tracheostomy team showed a significant reduction in patient harm over a yearlong period. Staff surveys revealed improved understanding and familiarity with tracheostomy management. Median hospital length of stay was reduced by 6 days and time to commencement of diet was reduced by 5 days.
In this webcast, Linda Morris PhD, APRN, co-author of the book Tracheostomies: The Complete Guide, will discuss her extensive experience in tracheostomy management. Brendan McGrath will focus on the role of multidisciplinary tracheostomy teams in improving care and his published paper, “Evaluating the quality improvement impact of the Global Tracheostomy Collaborative in four diverse NHS hospitals.” This webcast is supported by the SCCM Physician Assistant specialty section.
- Describe the indications for tracheostomy in critically ill patients.
- Recognize the immediate and long-term complications related to tracheostomy
- Recognize the importance of a multidisciplinary tracheostomy team in reducing immediate and long-term complications
Linda L. Morris, BSN, CCNS, MSN, PhD, FCCM
Director, Nursing Research
Northwestern University Feinberg School of Medicine
Chicago, Illinois, USA
Brendan A McGrath, MB, ChB, FRCP, FRCA, EDIC, DICM, PGCertMedEd, AHEA, FFICM, MAcMedEd, PhD
Manchester University Hospital
Manchester, England, United Kingdom
Joanne Wozniak, MS, PA-C
Lead Advanced Practitioner, Pulmonary Critical Care
Lahey Hospital & Medical Center
Sutton, Massachusetts, USA
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