Cargando…
Translational Simulation Improves Compliance with the NEAR4KIDS Airway Safety Bundle in a Single-center PICU
The National Emergency Airway Registry for Children (NEAR4KIDS) Airway Safety Quality Improvement (QI) Bundle is a QI tool to improve the safety of tracheal intubations. The ability to achieve targeted compliance with bundle adherence is a challenge for centers due to competing QI initiatives, lack...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8143778/ https://www.ncbi.nlm.nih.gov/pubmed/34046538 http://dx.doi.org/10.1097/pq9.0000000000000409 |
_version_ | 1783696825588383744 |
---|---|
author | Colman, Nora Newman, Jordan W. Nishisaki, Akira Register, Melinda Gillespie, Scott E. Hebbar, Kiran B. |
author_facet | Colman, Nora Newman, Jordan W. Nishisaki, Akira Register, Melinda Gillespie, Scott E. Hebbar, Kiran B. |
author_sort | Colman, Nora |
collection | PubMed |
description | The National Emergency Airway Registry for Children (NEAR4KIDS) Airway Safety Quality Improvement (QI) Bundle is a QI tool to improve the safety of tracheal intubations. The ability to achieve targeted compliance with bundle adherence is a challenge for centers due to competing QI initiatives, lack of interdisciplinary involvement, and time barriers. We applied translational simulations to identify safety and performance gaps contributing to poor compliance and remediate barriers by delivering simulation-based interventions. METHODS: This was a single-center retrospective review following translational simulations to improve compliance with the NEAR4KIDS bundle . The simulation was implemented between March 2018 and December 2018. Bundle adherence was assessed 12 months before simulation and 9 months following simulation. Primary outcomes were compliance with the bundle and utilization of apneic oxygenation. The secondary outcome was the occurrence of adverse tracheal intubation-associated events. RESULTS: Preintervention bundle compliance was 66%, and the application of apneic oxygenation was 27.9%. Following the simulation intervention, bundle compliance increased to 93.7% (P < 0.001) and adherence to apneic oxygenation increased to 77.9% (P < 0.001). There was no difference in the occurrence of tracheal intubation-associated events. CONCLUSIONS: Translational simulation was a safety tool that improved NEAR4KIDS bundle compliance and elucidated factors contributing to successful implementation. Through simulation, we optimized bundle customization through process improvement, fostered a culture of safety, and effectively engaged multidisciplinary teams in this quality initiative to improve adherence to best practices surrounding tracheal intubations. |
format | Online Article Text |
id | pubmed-8143778 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-81437782021-05-26 Translational Simulation Improves Compliance with the NEAR4KIDS Airway Safety Bundle in a Single-center PICU Colman, Nora Newman, Jordan W. Nishisaki, Akira Register, Melinda Gillespie, Scott E. Hebbar, Kiran B. Pediatr Qual Saf Individual QI projects from single institutions The National Emergency Airway Registry for Children (NEAR4KIDS) Airway Safety Quality Improvement (QI) Bundle is a QI tool to improve the safety of tracheal intubations. The ability to achieve targeted compliance with bundle adherence is a challenge for centers due to competing QI initiatives, lack of interdisciplinary involvement, and time barriers. We applied translational simulations to identify safety and performance gaps contributing to poor compliance and remediate barriers by delivering simulation-based interventions. METHODS: This was a single-center retrospective review following translational simulations to improve compliance with the NEAR4KIDS bundle . The simulation was implemented between March 2018 and December 2018. Bundle adherence was assessed 12 months before simulation and 9 months following simulation. Primary outcomes were compliance with the bundle and utilization of apneic oxygenation. The secondary outcome was the occurrence of adverse tracheal intubation-associated events. RESULTS: Preintervention bundle compliance was 66%, and the application of apneic oxygenation was 27.9%. Following the simulation intervention, bundle compliance increased to 93.7% (P < 0.001) and adherence to apneic oxygenation increased to 77.9% (P < 0.001). There was no difference in the occurrence of tracheal intubation-associated events. CONCLUSIONS: Translational simulation was a safety tool that improved NEAR4KIDS bundle compliance and elucidated factors contributing to successful implementation. Through simulation, we optimized bundle customization through process improvement, fostered a culture of safety, and effectively engaged multidisciplinary teams in this quality initiative to improve adherence to best practices surrounding tracheal intubations. Lippincott Williams & Wilkins 2021-05-19 /pmc/articles/PMC8143778/ /pubmed/34046538 http://dx.doi.org/10.1097/pq9.0000000000000409 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Individual QI projects from single institutions Colman, Nora Newman, Jordan W. Nishisaki, Akira Register, Melinda Gillespie, Scott E. Hebbar, Kiran B. Translational Simulation Improves Compliance with the NEAR4KIDS Airway Safety Bundle in a Single-center PICU |
title | Translational Simulation Improves Compliance with the NEAR4KIDS Airway Safety Bundle in a Single-center PICU |
title_full | Translational Simulation Improves Compliance with the NEAR4KIDS Airway Safety Bundle in a Single-center PICU |
title_fullStr | Translational Simulation Improves Compliance with the NEAR4KIDS Airway Safety Bundle in a Single-center PICU |
title_full_unstemmed | Translational Simulation Improves Compliance with the NEAR4KIDS Airway Safety Bundle in a Single-center PICU |
title_short | Translational Simulation Improves Compliance with the NEAR4KIDS Airway Safety Bundle in a Single-center PICU |
title_sort | translational simulation improves compliance with the near4kids airway safety bundle in a single-center picu |
topic | Individual QI projects from single institutions |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8143778/ https://www.ncbi.nlm.nih.gov/pubmed/34046538 http://dx.doi.org/10.1097/pq9.0000000000000409 |
work_keys_str_mv | AT colmannora translationalsimulationimprovescompliancewiththenear4kidsairwaysafetybundleinasinglecenterpicu AT newmanjordanw translationalsimulationimprovescompliancewiththenear4kidsairwaysafetybundleinasinglecenterpicu AT nishisakiakira translationalsimulationimprovescompliancewiththenear4kidsairwaysafetybundleinasinglecenterpicu AT registermelinda translationalsimulationimprovescompliancewiththenear4kidsairwaysafetybundleinasinglecenterpicu AT gillespiescotte translationalsimulationimprovescompliancewiththenear4kidsairwaysafetybundleinasinglecenterpicu AT hebbarkiranb translationalsimulationimprovescompliancewiththenear4kidsairwaysafetybundleinasinglecenterpicu |