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.

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Standardized care provided by a specialized multidisciplinary tracheostomy team is associated with fewer tracheostomy-related complications and improves standard of care.

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Factors associated with successful early and late tracheostomy decannulation in adults have not yet been definitively established in the literature. Identification of these factors would enable health care professionals to inform patients of the likely course of care, enable appropriate resource allocation and follow up care using best available evidence, and ascertain targets for intervention. The aim of this study was to identify factors associated with successful early and late tracheostomy decannulation in adult patients in a large metropolitan tertiary acute hospital.

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In 2004, a multidisciplinary team (MDT) tracheostomy care model was developed to care for patients with a tracheostomy who were outside of the intensive care setting. The three main components of the MDT care model are: a tracheostomy care bundle checklist, an educational program for staff on the dedicated wards where patients with a tracheostomy are cared for and a dedicated MDT who attend a weekly tracheostomy ward round. We have critically reviewed how the care model is currently working to reassess its effectiveness. In addition, we have looked at the financial savings brought about by the reduction in length of stay in the high dependency setting.

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Improving Tracheostomy Care (ITC) is a three-year Quality Improvement (QI) programme guiding the implementation of the Global Tracheostomy Collaborative’s (GTC) resources into 20 diverse UK sites. QI is required to address the concerns of patients who experience variable or inconsistent standards of care, resulting in dissatisfaction. HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a patient satisfaction survey required for all hospitals in the United States providing Medicaid services and for the UK NHS Patient Experience Framework. We aimed to evaluate the variability in satisfaction between participating sites using HCAHPS, and the impact of the QI project on such variability.

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