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Published on: May 18, 2019
Multidisciplinary Pediatric Tracheostomy Teams
Yann-Fuu Kou1, Stephen R Chorney2, Romaine F Johnson2
1Department of Otolaryngology, University of Texas Southwestern Medical Center, 2001 Inwood Road 6th Floor, Dallas, TX 75390, USA; Division of Pediatric Otolaryngology, Children's Medical Center Dallas, 2350 North Stemmons Freeway, Dallas, TX 75207, USA.
Insights
Multidisciplinary tracheostomy teams improve care for medically complex children. These teams enhance patient safety and clinical outcomes for pediatric patients with tracheostomies.
Area of Science:
- Pediatric Critical Care Medicine
- Patient Safety Initiatives
Background:
- Neonatal and pediatric critical care advances lead to more medically complex children requiring tracheostomies.
- These vulnerable children face risks from comorbidities, tracheostomy procedures, equipment issues, and caregiver limitations.
Purpose of the Study:
- To review current evidence on multidisciplinary tracheostomy teams for pediatric patients.
- To offer insights into the future development of these specialized care programs.
Main Methods:
- Literature review of studies on multidisciplinary tracheostomy teams.
- Analysis of quality metrics and clinical outcomes associated with team implementation.
Main Results:
- Multidisciplinary tracheostomy teams are effective in addressing patient safety concerns.
- Implementation of these teams correlates with improvements in quality metrics and clinical outcomes.
Conclusions:
- Multidisciplinary tracheostomy teams are crucial for managing medically complex pediatric patients.
- Further development and research into these programs are essential for advancing care.
Abstract:
Advances in neonatal and pediatric critical care have resulted in a growing population of medically complex children with a tracheostomy. These children are vulnerable to adverse events from underlying comorbidities, risks of tracheostomy, equipment malfunction, and caregiver inexperience. Multidisciplinary tracheostomy teams have emerged as effective initiatives to address these patient safety concerns. Improvements in quality metrics and clinical outcomes can occur after implementation of a multidisciplinary tracheostomy team. This review provides updates on the evidence for multidisciplinary pediatric tracheostomy teams and offers perspectives on the future direction of these programs.
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