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Standardizing Tracheostomy Discharge Education Using an Interdisciplinary Hand-off Form: A Quality Improvement Study
Ashly Ninan1,2, Lisa M Grubb2, Michael J Brenner3
1Johns Hopkins Bayview Medical Center.
A standardized tracheostomy discharge form improved communication and nurse satisfaction for patients transitioning home. This quality improvement project highlights the feasibility of such tools for safer patient care.
Area of Science:
- Quality Improvement
- Patient Safety
- Healthcare Communication
Background:
- Adults discharged with tracheostomies face risks like dislodgement and infection.
- Inconsistent discharge education and communication practices fragment care.
Purpose of the Study:
- To assess the feasibility and impact of a standardized tracheostomy discharge handoff form.
- To improve interdisciplinary communication and patient safety during hospital-to-home transitions.
Main Methods:
- Prospective pretest-posttest design using a knowledge translation framework.
- Implementation of a standardized interdisciplinary handoff form for tracheostomy discharge education.
- Anonymous electronic surveys to assess perceived understanding, communication, and satisfaction.
Main Results:
- The standardized form was feasible to implement.
- Perceived interdisciplinary communication significantly improved.
- Two-thirds of nurses reported satisfaction with the tool.
Conclusions:
- A standardized tracheostomy discharge handoff form can improve communication and satisfaction.
- Further research should explore electronic health record integration and patient-reported outcomes.
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