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Identification of Fail Points for Discharging Pediatric Patients With New Tracheostomy and Ventilator

Sarah A Sobotka1, Lindsey P Hird-McCorry2, Denise M Goodman3

  • 1Department of Pediatrics, University of Chicago, Chicago, Illinois; ssobotka@peds.bsd.uchicago.edu.

Hospital Pediatrics
|August 20, 2016
PubMed

Insights

Caregiver training and state agency approval for home care are key to efficiently discharging ventilated children. Initiating these processes earlier, upon tracheostomy placement, can shorten hospital stays.

Area of Science:

  • Pediatric Pulmonology
  • Healthcare Management

Background:

  • The Pulmonary Habilitation Program trains caregivers for home care of ventilated children.
  • The program serves approximately 100 children within a children's hospital setting.

Purpose of the Study:

  • To identify opportunities for more efficient and effective discharge processes.
  • To improve the discharge process for children requiring home ventilation.

Main Methods:

  • Standardizing electronic documentation for discharge.
  • Implementing process-specific tracking for discharge milestones.
  • Describing the discharge process iteratively with a multidisciplinary team.

Main Results:

  • Nonmedical factors like parent training and home nursing significantly impact hospital stay duration.
  • Children had a median length of stay of 141 days.
  • Identified key milestones and team involvement in the discharge process.

Conclusions:

  • Initiating state agency applications and caregiver training earlier, upon tracheostomy placement, can expedite discharges.
  • Streamlining the discharge process is crucial for reducing prolonged hospitalizations.
Abstract

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