Tracheostomy care is an important priority for many health care systems. We identified a lack of clinical ownership for non-cancer head and neck community tracheostomy patients. An application to NHS England led to a project to study the potential role of a TCP for non-cancer head and neck. The aims were (1) improve patient safety (2) reduce number of admissions and length of stay (3) identify patients suitable for decannulation.
A multidisciplinary Tracheostomy Management Service (TMS) was implemented at the Royal Brisbane and Women’s Hospital (RBWH) as an Intensive Care Outreach Service to provide expert consultation to support wards managing patients with a tracheostomy. Consumers and clinicians were identified as key stakeholders from the outset to inform service implementation and development of procedural resources and educational frameworks. The aim was to partner with consumers and clinicians to better understand their concerns and improve the journey for the patient with a tracheostomy in the RBWH.
The Global Tracheostomy Collaborative (GTC) is a Quality Improvement (QI) collaborative conceived to help healthcare providers improve the care they deliver. Inadequate care can leave patients feeling anxious, and the potentially life-threatening or life-changing experiences associated with tracheostomy can lead to depression. The Improving Tracheostomy Care (ITC) program has implemented the GTC resources into 20 diverse UK NHS hospitals. The aim of this project was to evaluate the impact of the ITC program on patient anxiety and depression, assessed using the Hospital Anxiety and Depression Scale (HADS).
In 1981, a child in the US was discharged home dependent on medical technology. Since then, it is widely acknowledged this cohort of children should live at home. However, most countries are still reactive in their approach to care. The aim of this study was to explore knowledge and challenges caring for children technology dependent in the home care setting. Knowledge was specifically asked in relation to best practice caring for a child / young person requiring tracheostomy care and challenges nurses’ face caring for this cohort of children in the homecare setting.
Globally there are considerable patient safety risks associated with children who have tracheostomies. Within our institution, concerns were noted regarding the risk of serious avoidable tracheostomy morbidity. The Paediatric Working Party of National Tracheostomy Safety Project (NTSP) was established in 2014.