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Sustained Improvement in the Performance of Rapid Sequence Intubation Five Years after a Quality Improvement Initiative
Many quality improvement interventions do not lead to sustained improvement, and the sustainability of healthcare interventions remains understudied. We conducted a time-series analysis to determine whether improvements in the safety of rapid sequence intubation (RSI) in our academic pediatric emerg...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Lippincott Williams & Wilkins
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8702256/ https://www.ncbi.nlm.nih.gov/pubmed/34963998 http://dx.doi.org/10.1097/pq9.0000000000000385 |
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author | Kerrey, Benjamin T. Mittiga, Matthew R. Boyd, Stephanie Frey, Mary Geis, Gary L. Rinderknecht, Andrea S. Ahaus, Karen Varadarajan, Kartik R. Luria, Joseph W. Iyer, Srikant B. |
author_facet | Kerrey, Benjamin T. Mittiga, Matthew R. Boyd, Stephanie Frey, Mary Geis, Gary L. Rinderknecht, Andrea S. Ahaus, Karen Varadarajan, Kartik R. Luria, Joseph W. Iyer, Srikant B. |
author_sort | Kerrey, Benjamin T. |
collection | PubMed |
description | Many quality improvement interventions do not lead to sustained improvement, and the sustainability of healthcare interventions remains understudied. We conducted a time-series analysis to determine whether improvements in the safety of rapid sequence intubation (RSI) in our academic pediatric emergency department were sustained 5 years after a quality improvement initiative. METHODS: There were 3 study periods: baseline (April 2009–March 2010), improvement (July 2012–December 2013), and operational (January 2014–December 2018). All patients undergoing RSI were eligible. We collected data using a structured video review. We compared key processes and outcomes with statistical process control charts. RESULTS: We collected data for 615 of 643 (96%) patient encounters with RSI performed: 114 baseline (12 months), 105 improvement (18 months), and 396 operational (60 months). Key characteristics were similar, including patient age. Statistical process control charts indicated sustained improvement of all 6 key processes and the primary outcome measure (oxyhemoglobin desaturation) throughout the 5-year operational period. CONCLUSIONS: Improvements in RSI safety were sustained 5 years after a successful improvement initiative, with further improvement seen in several key processes. Further research is needed to elucidate the factors contributing to sustainability. |
format | Online Article Text |
id | pubmed-8702256 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-87022562021-12-27 Sustained Improvement in the Performance of Rapid Sequence Intubation Five Years after a Quality Improvement Initiative Kerrey, Benjamin T. Mittiga, Matthew R. Boyd, Stephanie Frey, Mary Geis, Gary L. Rinderknecht, Andrea S. Ahaus, Karen Varadarajan, Kartik R. Luria, Joseph W. Iyer, Srikant B. Pediatr Qual Saf Individual QI projects from single institutions Many quality improvement interventions do not lead to sustained improvement, and the sustainability of healthcare interventions remains understudied. We conducted a time-series analysis to determine whether improvements in the safety of rapid sequence intubation (RSI) in our academic pediatric emergency department were sustained 5 years after a quality improvement initiative. METHODS: There were 3 study periods: baseline (April 2009–March 2010), improvement (July 2012–December 2013), and operational (January 2014–December 2018). All patients undergoing RSI were eligible. We collected data using a structured video review. We compared key processes and outcomes with statistical process control charts. RESULTS: We collected data for 615 of 643 (96%) patient encounters with RSI performed: 114 baseline (12 months), 105 improvement (18 months), and 396 operational (60 months). Key characteristics were similar, including patient age. Statistical process control charts indicated sustained improvement of all 6 key processes and the primary outcome measure (oxyhemoglobin desaturation) throughout the 5-year operational period. CONCLUSIONS: Improvements in RSI safety were sustained 5 years after a successful improvement initiative, with further improvement seen in several key processes. Further research is needed to elucidate the factors contributing to sustainability. Lippincott Williams & Wilkins 2021-02-19 /pmc/articles/PMC8702256/ /pubmed/34963998 http://dx.doi.org/10.1097/pq9.0000000000000385 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Individual QI projects from single institutions Kerrey, Benjamin T. Mittiga, Matthew R. Boyd, Stephanie Frey, Mary Geis, Gary L. Rinderknecht, Andrea S. Ahaus, Karen Varadarajan, Kartik R. Luria, Joseph W. Iyer, Srikant B. Sustained Improvement in the Performance of Rapid Sequence Intubation Five Years after a Quality Improvement Initiative |
title | Sustained Improvement in the Performance of Rapid Sequence Intubation Five Years after a Quality Improvement Initiative |
title_full | Sustained Improvement in the Performance of Rapid Sequence Intubation Five Years after a Quality Improvement Initiative |
title_fullStr | Sustained Improvement in the Performance of Rapid Sequence Intubation Five Years after a Quality Improvement Initiative |
title_full_unstemmed | Sustained Improvement in the Performance of Rapid Sequence Intubation Five Years after a Quality Improvement Initiative |
title_short | Sustained Improvement in the Performance of Rapid Sequence Intubation Five Years after a Quality Improvement Initiative |
title_sort | sustained improvement in the performance of rapid sequence intubation five years after a quality improvement initiative |
topic | Individual QI projects from single institutions |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8702256/ https://www.ncbi.nlm.nih.gov/pubmed/34963998 http://dx.doi.org/10.1097/pq9.0000000000000385 |
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