Decreasing Telephone Calls for Tympanostomy Tube Otorrhea: A Pilot Study
| Autor: | Vijay A. Patel, Jonathan A. Harounian, Michele M. Carr |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Quality management medicine.medical_treatment Pilot Projects Run chart Signs and symptoms 03 medical and health sciences Patient safety Postoperative Complications 0302 clinical medicine Patient Education as Topic 030225 pediatrics Humans Medicine Postoperative Period Prospective Studies Tympanostomy tube Child Ear Diseases 030223 otorhinolaryngology business.industry Guideline medicine.disease Middle Ear Ventilation Quality Improvement Telephone Clinical Practice Treatment Outcome Otorhinolaryngology Child Preschool Cohort Female Medical emergency business |
| Zdroj: | Ear, Nose & Throat Journal. 98:81-84 |
| ISSN: | 1942-7522 0145-5613 |
| DOI: | 10.1177/0145561319828363 |
| Popis: | The “Clinical Practice Guideline: Tympanostomy Tubes in Children” published in 2013 by the American Academy of Otolaryngology—Head and Neck Surgery Foundation encourages that an “educational video, or other teaching aid, should be developed to illustrate how parents/caregivers” may manage postoperative complications such as tube otorrhea; however, the current literature is devoid of such patient safety and quality improvement measures. Our objective was to develop an effective educational model to assist parents and caregivers in understanding the signs and symptoms of tympanostomy tube (TT) otorrhea and how to independently institute the appropriate otologic treatment. A 3.5 × 2-inch instructional card was designed to illustrate TT otorrhea and describe the subsequent steps necessary to obtain and institute the appropriate medical therapy. This was distributed to caregivers of all patients undergoing TT placement in September 2016; patients undergoing TT placement in May 2016 served as the preintervention control cohort. Group comparisons were made before and after implementation of the educational model by number of telephone calls our clinic triaged regarding untreated TT otorrhea, as documented within the electronic medical record. A total of 30 sets of TT were placed in September 2016, compared to 27 sets of TT in May 2016. Postoperatively, a run chart revealed a significant shift (ie, 7 consecutive points) in the number of telephone calls received (16-5 calls) after establishment of the proposed educational model. This clinical experience demonstrates the utility of patient-driven management of TT otorrhea through ancillary educational material. Given the superiority of topical otic therapy, continued translation efforts are needed for continued focus on practice implementation and dissemination. |
| Databáze: | OpenAIRE |
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