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Updated: Jun 1, 2026
10:06
Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
Published on: May 18, 2019
Model for best practice: nurse practitioner facilitated percutaneous tracheostomy service
Summary
The addition of a nurse practitioner to a tracheostomy service significantly improved the standard and efficiency of care. Patient outcomes did not show significant differences, but the role offers an innovative approach for managing tracheostomy patients.
Area of Science:
- Healthcare Management
- Nursing Practice
- Surgical Services
Background:
- A percutaneous tracheostomy service was established in 2005.
- A tracheostomy nurse practitioner role was created in 2007 to enhance patient care.
- This role aimed to provide comprehensive care for tracheostomy patients.
Purpose of the Study:
- To evaluate the impact of a tracheostomy nurse practitioner on the standard of care.
- To assess the effect on the efficiency of care delivery.
- To determine improvements in patient outcomes following percutaneous tracheostomy.
Main Methods:
- A retrospective review of electronic health records and charts was conducted.
- 110 patients undergoing percutaneous tracheostomy in 2006 and 2008 were analyzed (n=55 per year).
- Data on standard of care, efficiency (timeliness), and patient outcomes (LOS, complications) were collected.
Main Results:
- Statistically significant improvements were observed in 4 out of 7 standard of care measures, including screening tool use, consent completeness, time-out performance, and postoperative order set utilization.
- A significant improvement in the timeliness of the tracheostomy service was also noted.
- No significant differences were found in patient outcome measures such as intensive care unit length of stay, hospital length of stay, or documented complications.
Conclusions:
- The implementation of a nurse practitioner-facilitated tracheostomy service led to significant enhancements in the standard and efficiency of care.
- This advanced practice nursing role presents an innovative model for managing tracheostomy patients.
- Other institutions can adopt this model to improve care quality and efficiency.
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