Global Tracheostomy Collaborative: The Future of Quality Improvement Strategies

Autor: Asit Arora, A. Narula, David W. Roberson, Sheila Enamandram, Alon Peltz, Roland Hettige
Rok vydání: 2013
Předmět:
Zdroj: Current Otorhinolaryngology Reports. 2:13-19
ISSN: 2167-583X
DOI: 10.1007/s40136-013-0034-5
Popis: 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.
Databáze: OpenAIRE