Kohn Jocelyn, McKeon Mallory, Munhall Daphne, Blanchette Susan, Wells Sarah, Watters Karen
Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA, 02115, USA.
Department of Respiratory Care, Boston Children's Hospital, Boston, MA, 02115, USA.
Int J Pediatr Otorhinolaryngol. 2019 Jun;121:154-156. doi: 10.1016/j.ijporl.2019.03.022. Epub 2019 Mar 20.
To describe how pediatric tracheostomy emergency supplies and education are standardized with the use of "Go-bags" and to demonstrate how this has impacted tracheostomy-related adverse events.
A prospective study was completed at an urban pediatric tertiary care center. Standardized "Go-bags" of tracheostomy supplies were provided to pediatric patients with tracheostomy. All caregivers received standardized tracheostomy education. Check lists were used to monitor contents at return visits or admissions. Tracheostomy related adverse events were tracked on all patients with tracheostomy from July 2016 to May 2018, and rates were compared for patients who had received a "Go-bag" to those who had not.
292 "Go-bags" were distributed during the two-year study period. 35% were distributed by inpatient respiratory therapists, 23% by the home ventilation team, and 22% by a tracheostomy clinic nurse. Supply checks have led to more than 185 cases of emergency tracheostomy equipment replacement. 35% of tracheostomy-related adverse event (TRAE) occurred in patients who did not have a "Go-bag", while 22% of TRAEs occurred in patients who had "Go-bags".
Standardized pediatric tracheostomy care is critical to patient safety, both in and out of the hospital. Standardized tracheostomy "Go-bags" are a simple and efficient method to educate caregivers, improve the quality of care for children with tracheostomy, and ultimately reduce tracheostomy related adverse events.
描述如何通过使用“应急包”使儿科气管切开术应急用品和培训标准化，并展示这对气管切开术相关不良事件产生了怎样的影响。
在一家城市儿科三级护理中心完成了一项前瞻性研究。向患有气管切开术的儿科患者提供标准化的气管切开术用品“应急包”。所有护理人员都接受了标准化的气管切开术培训。使用检查表在复诊或入院时监测物品内容。对2016年7月至2018年5月期间所有气管切开术患者的气管切开术相关不良事件进行跟踪，并比较接受“应急包”的患者与未接受“应急包”的患者的发生率。
在为期两年的研究期间共分发了292个“应急包”。35%由住院呼吸治疗师分发，23%由家庭通气团队分发，22%由气管切开术诊所护士分发。用品检查导致了超过185例紧急气管切开术设备更换。35%的气管切开术相关不良事件（TRAE）发生在没有“应急包”的患者中，而22%的TRAE发生在有“应急包”的患者中。
标准化的儿科气管切开术护理对于患者在院内和院外的安全都至关重要。标准化的气管切开术“应急包”是一种简单有效的方法，可用于培训护理人员、提高气管切开术患儿的护理质量，并最终减少气管切开术相关不良事件。
