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Identifying and improving knowledge deficits of emergency airway management of tracheotomy and laryngectomy patients: a pilot patient safety initiative.

El-Sayed IH, Ryan S, Schell H, Rappazini R, Wang SJ - Int J Otolaryngol (2010)

Bottom Line: Postintervention, these numbers improved for all groups.Furthermore, 80% of respiratory therapists reported encountering the EAA form in an emergent situation and found it useful.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, CA 94115, USA.

ABSTRACT
Objectives. To evaluate the knowledge base of hospital staff regarding emergent airway management of tracheotomy and laryngectomy patients, and the impact of the introduction of a bedside airway form. Methods. Cross-sectional surveys of physicians, nurses, and respiratory therapists at a tertiary care hospital prior to and 24 months after introduction of a bedside Emergency Airway Access (EAA) form. Results. Pre- and postintervention surveys revealed several knowledge deficits. Preintervention, 37% of medical internists and 19% overall did not know that laryngectomy patients cannot be orally ventilated, and 67% of internists could not identify the purpose of stay sutures in recently created tracheotomies. Postintervention, these numbers improved for all groups. Furthermore, 80% of respiratory therapists reported encountering the EAA form in an emergent situation and found it useful. Conclusion. A knowledge deficit is identified in caregivers expected to provide emergency management of patients with airway anatomy altered by subspecialty surgeons. Safety initiatives such as the EAA form may improve knowledge among providers.

No MeSH data available.


Found Emergency Airway Form helpful in the situation?
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Related In: Results  -  Collection


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fig11: Found Emergency Airway Form helpful in the situation?

Mentions: The majority of hospital caregivers were aware of the EAA form twenty-four months after its introduction, but medical internists and general surgeons were least aware of the forms' existence (Figure 9). Figure 10 demonstrates that every group except for internal medicine physicians encounters substantial numbers of emergent situations involving patients with altered airways. Predictably, respiratory therapists encountered these events with the highest frequency. They were also the group that found the EAA form most helpful in these situations (Figure 11). A high proportion of all groups, except for the medical internists, reported recent education/training on emergent airway management (Figure 12).


Identifying and improving knowledge deficits of emergency airway management of tracheotomy and laryngectomy patients: a pilot patient safety initiative.

El-Sayed IH, Ryan S, Schell H, Rappazini R, Wang SJ - Int J Otolaryngol (2010)

Found Emergency Airway Form helpful in the situation?
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2877199&req=5

fig11: Found Emergency Airway Form helpful in the situation?
Mentions: The majority of hospital caregivers were aware of the EAA form twenty-four months after its introduction, but medical internists and general surgeons were least aware of the forms' existence (Figure 9). Figure 10 demonstrates that every group except for internal medicine physicians encounters substantial numbers of emergent situations involving patients with altered airways. Predictably, respiratory therapists encountered these events with the highest frequency. They were also the group that found the EAA form most helpful in these situations (Figure 11). A high proportion of all groups, except for the medical internists, reported recent education/training on emergent airway management (Figure 12).

Bottom Line: Postintervention, these numbers improved for all groups.Furthermore, 80% of respiratory therapists reported encountering the EAA form in an emergent situation and found it useful.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, CA 94115, USA.

ABSTRACT
Objectives. To evaluate the knowledge base of hospital staff regarding emergent airway management of tracheotomy and laryngectomy patients, and the impact of the introduction of a bedside airway form. Methods. Cross-sectional surveys of physicians, nurses, and respiratory therapists at a tertiary care hospital prior to and 24 months after introduction of a bedside Emergency Airway Access (EAA) form. Results. Pre- and postintervention surveys revealed several knowledge deficits. Preintervention, 37% of medical internists and 19% overall did not know that laryngectomy patients cannot be orally ventilated, and 67% of internists could not identify the purpose of stay sutures in recently created tracheotomies. Postintervention, these numbers improved for all groups. Furthermore, 80% of respiratory therapists reported encountering the EAA form in an emergent situation and found it useful. Conclusion. A knowledge deficit is identified in caregivers expected to provide emergency management of patients with airway anatomy altered by subspecialty surgeons. Safety initiatives such as the EAA form may improve knowledge among providers.

No MeSH data available.