Affiliation:
1. Department of Otolaryngology Loyola University Medical Center Maywood Illinois USA
2. Department of Anesthesiology University of Illinois Chicago Illinois USA
3. Department of Nursing Loyola University Medical Center Maywood Illinois USA
4. Office of Patient Safety Loyola University Medical Center Maywood Illinois USA
5. Department of Pediatrics, Ronald McDonald's Children's Hospital Loyola University Medical Center Maywood Illinois USA
Abstract
AbstractObjectiveTo describe a multidisciplinary approach to and results from the creation of a difficult airway response team (DART) to address the management of inpatient loss of airway events.MethodsDescription of an interprofessional process to establish and sustain a DART program at a tertiary care hospital. An Institutional Review Board‐approved retrospective review of the quantitative results was conducted from November 2019 through March 2021.ResultsAfter establishing the existing processes for difficult airway management, a focus on “work as imagined” identified 4 pillars to address the goal for the project of bringing the right providers with the right equipment to the right patients at the right time through DART equipment carts, an expanded DART code team, a screening tool to identify patients with at‐risk airways and unique messaging for DART code alerts. “Work as done” was assessed through simulations. Educational efforts included further simulations and group teaching. Sustainability was achieved through ongoing e‐learning and bidirectional feedback. During the period of study, there were 40,752 patients admitted and 28,013 (69%) screens completed. At‐risk airways were identified in 4282 admissions (11%), most commonly due to a history of a difficult airway (19%) and elevated body mass index (16%). The DART responded to 126 codes. There were no airway‐related deaths or serious adverse events.DiscussionA successful DART program was created, optimized, and sustained using components of interprofessional meetings, simulation, bidirectional feedback, and quantitative analysis.Implications for PracticeThe techniques described can serve to guide groups who identify a quality improvement project that involves interactions between multiple stakeholders.
Subject
Otorhinolaryngology,Surgery
Cited by
1 articles.
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