Global Tracheostomy Collaborative: The Future of Quality Improvement Strategies

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• 作者：Sheila S. Enamandram (1)
  Alon Peltz (2) (3)
  Asit Arora (4)
  Antony A. Narula (4)
  David W. Roberson (5)
  Roland Hettige (6)
  
• 关键词：Collaborative ; Tracheostomy ; Outcomes ; Quality improvement
• 刊名：Current Otorhinolaryngology Reports
• 出版年：2014
• 出版时间：March 2014
• 年：2014
• 卷：2
• 期：1
• 页码：13-19
• 全文大小：351 KB
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• 作者单位：Sheila S. Enamandram (1)
  Alon Peltz (2) (3)
  Asit Arora (4)
  Antony A. Narula (4)
  David W. Roberson (5)
  Roland Hettige (6)
  
  1. Department of Otolaryngology, Boston Children’s Hospital, Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA
  2. Department of Medicine, Boston Children’s Hospital, Boston, MA, USA
  3. Department of Pediatrics, Boston Medical Center, Boston, MA, USA
  4. Department of Otolaryngology, St Mary’s Hospital, Paddington, North Thames Deanery, London, UK
  5. Departments of Otolaryngology, Otology and Laryngology, Boston Children’s Hospital, Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA
  6. Department of Otolaryngology, Royal Berkshire Hospital, Oxford Deanery, 187 Headley Way, Headington, Oxford, OX3 7ST, UK
  
• ISSN：2167-583X

文摘

Patients who undergo tracheostomy are an extremely heterogeneous, often critically ill group, who can often experience significant morbidity and mortality. The challenge of measuring and improving the quality of care for this diverse patient population has remained. There have been several publications within the last year highlighting advances in both quality monitoring and risk prevention strategies in tracheostomy care. This article reviews those recent key developments and introduces a model to facilitate the development and dissemination of good-practice in tracheostomy management. The majority of literature focuses on single-institution interventions with a paucity of widely generalizable evidence available. Other fields of medicine have faced similar challenges and have used quality improvement collaboratives to good effect. This article describes the innovative model for improving tracheostomy related outcomes called the Global Tracheostomy Collaborative (GTC). The GTC aims to provide the foundation necessary to translate data and knowledge into local quality change by opening lines of communication, disseminating high quality information and sharing best practices, supported by clinical data. A quality improvement collaborative may provide a new tool to link exemplar institutions, share clinical data, conduct research, develop metrics and—ultimately—improve the care and quality of life for all tracheostomy patients.