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Clinical Nurse Specialist Tracheostomy Management Improves Patient Outcomes
Janette Richardson1, Kellie Girardot, Jan Powers
1Parkview Health System, Fort Wayne, Indiana.
Journal of Nursing Care Quality
|January 18, 2023
Summary
A standardized tracheostomy care management process led by clinical nurse specialists (CNSs) significantly reduced hospital stays and costs. This approach improved patient outcomes for this high-risk population.
Area of Science:
- Healthcare Management
- Nursing Practice
- Patient Outcomes
Background:
- Patients with tracheostomies represent a high-risk, low-volume group associated with prolonged hospital stays and elevated healthcare expenditures.
- The complex care requirements for tracheostomy patients necessitate standardized protocols and continuous monitoring to ensure optimal health outcomes.
Purpose of the Study:
- To implement and evaluate a formal tracheostomy care management process.
- To optimize patient outcomes and reduce healthcare costs associated with tracheostomy care.
Main Methods:
- A pre/postimplementation study design was employed.
- A standardized care management process was developed and implemented, coordinated by clinical nurse specialists (CNSs).
Main Results:
- The implemented process led to a significant reduction in the average time from tracheostomy placement to discharge, decreasing from 16 to 12.9 days (P = .02).
- A notable decrease in overall length of hospital stay was observed.
- The incidence of tracheostomy-related pressure injuries was reduced.
Conclusions:
- A CNS-led care management program effectively enhances patient outcomes for individuals with tracheostomies.
- The improved patient outcomes translated into significant cost savings for the healthcare organization.
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