A Quality Improvement Plan for Implementing an Innovative Organization System for Pediatric Airway Patients

Abstract

Risks of pediatric tracheostomy are well known. The objectives of this quality improvement study were to organize tracheostomy supplies into a comprehensive care kit and demonstrate that the kits improved nursing and parental comfort in providing tracheostomy care routinely and emergently. Kits were assembled using roll-up toiletry style bags and organized in a uniform fashion with necessary supplies. Nurses and parents were surveyed using a 5-point Likert-type. Feedback was overall very positive; the kits were found to ease the transition of caring for a child with a new tracheostomy from hospital to home. This intervention can easily be adapted at other pediatric institutions.

Keywords

pediatrics - tracheostomy - safety

Publikationsverlauf

Eingereicht: 12. Juli 2020

Angenommen: 25. Oktober 2020

Artikel online veröffentlicht:
04. Dezember 2020

• References

• 1 Tepas III JJ. Tracheostomy in infants and children. Ear Nose Throat J 1983; 62 (09) 484-488
• 2 Campisi P, Forte V. Pediatric tracheostomy. Semin Pediatr Surg 2016; 25 (03) 191-195
• 3 Carr MM, Poje CP, Kingston L, Kielma D, Heard C. Complications in pediatric tracheostomies. Laryngoscope 2001; 111 (11 Pt 1): 1925-1928
• 4 Lippert D, Hoffman MR, Dang P, McMurray JS, Heatley D, Kille T. Care of pediatric tracheostomy in the immediate postoperative period and timing of first tube change. Int J Pediatr Otorhinolaryngol 2014; 78 (12) 2281-2285
• 5 Shah RK, Lander L, Berry JG, Nussenbaum B, Merati A, Roberson DW. Tracheotomy outcomes and complications: a national perspective. Laryngoscope 2012; 122 (01) 25-29
• 6 Mitchell RB, Hussey HM, Setzen G. et al. Clinical consensus statement: tracheostomy care. Otolaryngol Head Neck Surg 2013; 148 (01) 6-20
• 7 Omokanye HK, Dunmade AD, Segun-Busari S. et al. Accidental decannulation of tracheostomy tubes - case series. J West Afr Coll Surg 2016; 6 (01) 108-118
• 8 Pritchett CV, Foster Rietz M, Ray A, Brenner MJ, Brown D. Inpatient nursing and parental comfort in managing pediatric tracheostomy care and emergencies. JAMA Otolaryngol Head Neck Surg 2016; 142 (02) 132-137
• 9 Thrasher J, Baker J, Ventre KM. et al. Hospital to home: a quality improvement initiative to implement high-fidelity simulation training for caregivers of children requiring long-term mechanical ventilation. J Pediatr Nurs 2018; 38: 114-121
• 10 Sandler ML, Ayele N, Ncogoza I. et al. Improving tracheostomy care in resource-limited settings. Ann Otol Rhinol Laryngol 2020; 129 (02) 181-190
• 11 Amin R, Parshuram C, Kelso J. et al. Caregiver knowledge and skills to safely care for pediatric tracheostomy ventilation at home. Pediatr Pulmonol 2017; 52 (12) 1610-1615