Clinical Indices to Drive Quality Improvement in Otolaryngology

Christine L Barron; Charles A Elmaraghy; Stephanie Lemle; Wallace Crandall; Richard J Brilli; Kris R Jatana

doi:10.1016/j.otc.2018.08.008

Clinical Indices to Drive Quality Improvement in Otolaryngology

Otolaryngol Clin North Am. 2019 Feb;52(1):123-133. doi: 10.1016/j.otc.2018.08.008.

Authors

Christine L Barron¹, Charles A Elmaraghy², Stephanie Lemle³, Wallace Crandall⁴, Richard J Brilli⁵, Kris R Jatana⁶

Affiliations

¹ The Ohio State University College of Medicine, 370 West 9th Avenue, Columbus, OH 43210, USA.
² Department of Pediatric Otolaryngology, Nationwide Children's Hospital, 555 South 18th Street, Suite 2A, Columbus, OH 43205, USA; Department of Otolaryngology-Head and Neck Surgery, Wexner Medical Center at Ohio State University, 915 Olentangy River Road, Columbus, OH 43212, USA.
³ Quality Improvement Services, Nationwide Children's Hospital, 700 Children's Drive, Suite 2A, Columbus, OH 43205, USA.
⁴ Quality Improvement Services, Nationwide Children's Hospital, 700 Children's Drive, Suite 2A, Columbus, OH 43205, USA; Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Ohio State University College of Medicine, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
⁵ Division of Pediatric Critical Care Medicine, Department of Pediatrics, Ohio State University College of Medicine, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
⁶ Department of Pediatric Otolaryngology, Nationwide Children's Hospital, 555 South 18th Street, Suite 2A, Columbus, OH 43205, USA; Department of Otolaryngology-Head and Neck Surgery, Wexner Medical Center at Ohio State University, 915 Olentangy River Road, Columbus, OH 43212, USA. Electronic address: Kris.Jatana@nationwidechildrens.org.

PMID: 30390736
DOI: 10.1016/j.otc.2018.08.008

Abstract

A Pediatric Tracheostomy Care Index (PTCI) was developed by the authors to standardize care and drive quality improvement efforts at their institution. The PTCI comprises 9 elements deemed essential for safe care of children with a tracheostomy tube. Based on the PTCI scores, the number of missed opportunities per patient was tracked, and interventions through a "Plan-Do-Study-Act" approach were performed. The establishment of the PTCI has been successful at standardizing, quantifying, and monitoring the consistency and documentation of care provided at the authors' institution.

Keywords: Index; Indices; Pediatric; Quality improvement; Tracheostomy; Tracheotomy.

Publication types

Review

MeSH terms

Humans
Otorhinolaryngologic Diseases / surgery*
Pediatrics
Perioperative Care / methods*
Perioperative Care / standards*
Quality Improvement / organization & administration*
Tracheostomy / adverse effects