Help in tracheostomy management- introducing RT Tracheostomy Care (Trach-care)
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2023
Reduce ICU readmissions by 50% and adverse events for tracheostomised patients through daily RT-led rounds. RT-led care improved safety, reduced complications, and enhanced tracheostomy management across the wards.
Year Submitted: 2023
Published Date: 31 December 2023
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign
About this Content
Aims
Reduce ICU readmissions by 50% and adverse events for tracheostomised patients through daily RT-led rounds.
Background
Ineffective tracheostomy management in wards resulted in prolonged ventilation, adverse events, and high ICU readmission rates.
Methods
Introduced daily respiratory therapist (RT) reviews, created workflows for RT notification, and provided tracheostomy care education for nurses.
Results
Reduced ICU readmissions from 7 to 1 and cut median time to decannulation by 55%, from 58.6 days to 32.2 days.
Conclusion
RT-led care improved safety, reduced complications, and enhanced tracheostomy management across the wards.
Lessons Learnt
Multidisciplinary collaboration and continuous staff education are critical to improving patient outcomes.
Keywords
Tracheostomy, Respiratory Therapy, ICU Readmissions, Care Standardization
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Allied Health, Nursing, Medical |
Applicable Specialty or Discipline | Pulmonology, Surgery |
Project Lead(s) | Imelda Pasion |
Project Member(s) | Julipie Manalansan |
Connect with this contributor!
Imelda Pasion - imelda_pasion@nuhs.edu.sg
Project Attachment
C_365_NTFGH_QM_2023_Help_in_tracheostomy_management_introducing_RT_tracheostomy_Care_Trach_care.pdf