Multidisciplinary Tracheostomy Care: How Collaboratives Drive Quality Improvement

Otolaryngol Clin North Am. 2019 Feb;52(1):135-147. doi: 10.1016/j.otc.2018.08.006. Epub 2018 Oct 5.

Abstract

There have been reports of successful quality-improvement initiatives surrounding tracheostomy care for more than a decade, but widespread adoption of best practices has not been universal. Five key drivers have been found to improve the quality of care for tracheostomy patients: multidisciplinary synchronous ward rounds, standardization of care protocols, appropriate interdisciplinary education and staff allocation, patient and family involvement, and use of data to drive improvement. The Global Tracheostomy Collaborative is a quality-improvement collaborative dedicated to improving the care of tracheostomy patients worldwide through communication, dissemination, and implementation of proven strategies based on these 5 key drivers.

Keywords: Collaborative; Patient safety; Quality improvement; Tracheostomy; Tracheotomy.

Publication types

  • Review

MeSH terms

  • Humans
  • Interdisciplinary Communication*
  • Patient Care Team / organization & administration
  • Patient Safety
  • Perioperative Care / methods
  • Perioperative Care / standards*
  • Quality Improvement / organization & administration*
  • Tracheostomy / adverse effects*