Reduction in harm from tracheostomy-related patient safety incidents following introduction of the National Tracheostomy Safety Project: Our experience from two hundred and eighty-seven incidents

Clinical Otolaryngology

Volumn 38, Issue 6, 2013, Pages 541-545

  Mcgrath, B A ^a   Calder, N ^b   Laha, S ^c   Perks, A ^d   Chaudry, I ^c   Bates, L ^e   Moore, J A ^a   Atkinson, D ^a  

^a MANCHESTER UNIVERSITY NHS FOUNDATION TRUST   (United Kingdom)

^b MONKLANDS HOSPITAL   (United Kingdom)

^c LANCASHIRE TEACHING HOSPITALS NHS FOUNDATION TRUST   (United Kingdom)

^d HOPE HOSPITAL   (United Kingdom)

^e ROYAL BOLTON HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ALGORITHM; ANESTHESIA; EMERGENCY CARE; HEALTH CARE PERSONNEL; HUMAN; INCIDENCE; INCIDENT REPORT; INTENSIVE CARE; LARYNGECTOMY; LETTER; MAJOR CLINICAL STUDY; MAXILLOFACIAL SURGERY; MEDICAL AUDIT; MEDICAL EDUCATION; MEDICAL INFORMATION SYSTEM; MEDICAL STAFF; OTORHINOLARYNGOLOGY; PATIENT SAFETY; PRACTICE GUIDELINE; PRIORITY JOURNAL; RESUSCITATION; RISK REDUCTION; TRACHEOSTOMY; ADULT; CHILD; POSTOPERATIVE COMPLICATIONS; PROCEDURES; PROGRAM EVALUATION; RETROSPECTIVE STUDY; SAFETY; STANDARDS; UNITED KINGDOM;

ADULT; CHILD; GREAT BRITAIN; HUMANS; INCIDENCE; PATIENT SAFETY; POSTOPERATIVE COMPLICATIONS; PROGRAM EVALUATION; RETROSPECTIVE STUDIES; SAFETY MANAGEMENT; TRACHEOSTOMY;

EID: 84890443816     PISSN: 17494478     EISSN: 17494486     Source Type: Journal    
DOI: 10.1111/coa.12177     Document Type: Letter

References (10)

1. McGrath B.A. & Thomas A.N. (2010) Patient safety incidents associated with tracheostomies occurring in hospital wards: a review of reports to the UK National Patient Safety Agency. Postgrad. Med. J. 86, 522-525
2. Thomas A.N. & McGrath B.A. (2009) Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. Anaesthesia 64, 358-365
3. Cook T.M., Woodall N., Frerk C. et al. (2011) Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: Anaesthesia. Br. J. Anaesth. 106, 617-631
4. McGrath B.A., Bates L., Atkinson D. et al. (2012) Multidisciplinary guidelines for the management of tracheostomy and laryngectomy airway emergencies. Anaesthesia 67, 1025-1041
5. Parmelli E., Flodgren G., Fraser S.G. et al. (2012) Interventions to increase clinical incident reporting in health care. Cochrane Database Syst. Rev. 8, 1-22
6. Shah R.K., Lander L., Berry J.G. et al. (2012) Tracheotomy outcomes and complications: a national perspective. Laryngoscope 122, 25-29
7. Evans S.M., Smith B.J., Esterman A. et al. (2007) Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Qual Saf Health Care 16, 169-175
8. Cameron T.S., McKinstry A., Burt S.K. et al. (2009) Outcomes of patients with spinal cord injury before and after introduction of an interdisciplinary tracheostomy team. Crit Care Resusc. 11, 14-19
9. Pandian V., Miller C.R., Mirski M.A. et al. (2012) Multidisciplinary team approach in the management of tracheostomy patients. Otolaryngol. Head Neck Surg. 147, 684-691
10. Cetto R., Arora A., Hettige R. et al. (2011) Improving tracheostomy care: a prospective study of the multidisciplinary approach. Clin. Otolaryngol. 36, 482-488