Proyecto de seguridad del paciente traqueotomizado procedente de una unidad de cuidados críticos.
Introduction and objective: A patient with a tracheostomy has a high morbidity and mortality when comes to a general ward from the critical care unit. This situation has led us to develop a quality and safety program, to improve care and reduce the number of incidents that could endanger his life. M...
| Autores: | , , , , , |
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| Tipo de documento: | artigo |
| Data de publicação: | 2018 |
| País: | España |
| Recursos: | Universidad de Salamanca (USAL) |
| Repositório: | GREDOS. Repositorio Institucional de la Universidad de Salamanca |
| OAI Identifier: | oai:gredos.usal.es:10366/137838 |
| Acesso em linha: | http://hdl.handle.net/10366/137838 |
| Access Level: | Acceso aberto |
| Palavra-chave: | Otorrinolaringología nariz garganta oídos Audiología y otología sordera Otorhinolaryngology ENT Audiology and otology deafness |
| Resumo: | Introduction and objective: A patient with a tracheostomy has a high morbidity and mortality when comes to a general ward from the critical care unit. This situation has led us to develop a quality and safety program, to improve care and reduce the number of incidents that could endanger his life. Method: Adapting to our environment the recommendations of literature, the program is composed of four elements: standardized information, training of the staff involved, patient follow up and general scheme. Results: The elaborate documentation, offers the way of assessing a patient with tracheostomy, and carry out its assistance. Through interactive workshops, this information is transmitted to the staff responsible for these patients. The periodic inspection by an Otolaryngologist (ENT), an ENT nurse and an intensive care physician, allows to register the clinical situation and possible complications, applying specific protocols of decannulation and swallowing. Finally, we add a set of general rules, to decrease variability. Discussion: The multidisciplinary care in the patient with a tracheostomy is a complex intervention where the lack of previous data, the important number of neurocritical ill patients, the multiplicity of general wards that can accommodate these patients and its clinical diversity, make difficult proper monitoring. Conclusions: We are confident that this project can reach its goals, improving the quality and safety of patient carrier of a tracheal cannula. |
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