The Global Tracheostomy Collaborative has created a community where a multidisciplinary team of healthcare professionals, patients and families are empowered to learn and continuously improve the outcomes of patients with tracheostomies. Over 100,000 people in the U.S. alone receive tracheostomies every year. Of this number 20% do not survive, not necessarily as a result of the procedure, but from the critical illness or condition that prompted the procedure. However, complications and adverse events around tracheostomies are reported in 10-20% of cases. Few of these events happen in the operating room; more often they occur during the postoperative period while the patient is still in the hospital or recovering at home. Some complications are catastrophic, since if a tracheostomy comes out or is blocked the patient cannot breathe and can die quickly.
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The concept of a “Quality Improvement Collaborative” came from a white paper published by the Institute of Healthcare Improvement in 2003 describing a method devised to generate ‘breakthrough’ improvement in care by bringing together a diverse team from a hospital or organization to work together in a focused topic area. Elements of the strategy included assembling teams from different organizations or specialties and a focus on an urgent need to improve a single aspect of care that was shared by all participants. The end result is for the team to agree on best practices, to change their methods, track their results and share the outcomes of their collaboration. The movement is now widespread in the health care sector and over 120 papers have been published.
5 GTC Best Practices
- TEAM BASED
- CARE STANDARD PROTOCOLS
- STAFF EDUCATION AND ASSIGNMENT
- CAREGIVER INVOLVEMENT
- DATA COLLECTION
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