Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/23330
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dc.contributor.authorBrenner, Michael J-
dc.contributor.authorPandian, Vinciya-
dc.contributor.authorGraham, Dionne A-
dc.contributor.authorMilliren, Carly E-
dc.contributor.authorZaga, Charissa J-
dc.contributor.authorMorris, Linda L-
dc.contributor.authorBedwell, Joshua R-
dc.contributor.authorDas, Preety-
dc.contributor.authorZhu, Hannah-
dc.contributor.authorLee Y Allen, John-
dc.contributor.authorPeltz, Alon-
dc.contributor.authorChin, Kimberly-
dc.contributor.authorSchiff, Bradley A-
dc.contributor.authorRandall, Diane M-
dc.contributor.authorSwords, Chloe-
dc.contributor.authorFrench, Darrin-
dc.contributor.authorWard, Erin-
dc.contributor.authorSweeney, Joanne M-
dc.contributor.authorWarrillow, Stephen J-
dc.contributor.authorArora, Asit-
dc.contributor.authorNarula, Anthony-
dc.contributor.authorMcGrath, Brendan A-
dc.contributor.authorCameron, Tanis S-
dc.contributor.authorRoberson, David W-
dc.date2020-05-23-
dc.date.accessioned2020-06-01T05:37:22Z-
dc.date.available2020-06-01T05:37:22Z-
dc.date.issued2020-07-
dc.identifier.citationBritish journal of anaesthesia 2020; 125(1): e104-e118en
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/23330-
dc.description.abstractThere is growing recognition of the need for a coordinated, systematic approach to caring for patients with a tracheostomy. Tracheostomy-related adverse events remain a pervasive global problem, accounting for half of all airway-related deaths and hypoxic brain damage in critical care units. The Global Tracheostomy Collaborative (GTC) was formed in 2012 to improve patient safety and quality of care, emphasising knowledge, skills, teamwork, and patient-centred approaches. Inspired by quality improvement leads in Australia, the UK, and the USA, the GTC implements and disseminates best practices across hospitals and healthcare trusts. Its database collects patient-level information on quality, safety, and organisational efficiencies. The GTC provides an organising structure for quality improvement efforts, promoting safety of paediatric and adult patients. Successful implementation requires instituting key drivers for change that include effective training for health professionals; multidisciplinary team collaboration; engagement and involvement of patients, their families, and carers; and data collection that allows tracking of outcomes. We report the history of the collaborative, its database infrastructure and analytics, and patient outcomes from more than 6500 patients globally. We characterise this patient population for the first time at such scale, reporting predictors of adverse events, mortality, and length of stay indexed to patient characteristics, co-morbidities, risk factors, and context. In one example, the database allowed identification of a previously unrecognised association between bleeding and mortality, reflecting ability to uncover latent risks and promote safety. The GTC provides the foundation for future risk-adjusted benchmarking and a learning community that drives ongoing quality improvement efforts worldwide.en
dc.language.isoeng-
dc.subjectadverse eventsen
dc.subjectlength of stayen
dc.subjectpatient safetyen
dc.subjectquality improvementen
dc.subjectstandardised careen
dc.subjecttracheostomyen
dc.titleGlobal Tracheostomy Collaborative: data-driven improvements in patient safety through multidisciplinary teamwork, standardisation, education, and patient partnership.en
dc.typeJournal Articleen
dc.identifier.journaltitleBritish journal of anaesthesiaen
dc.identifier.affiliationUniversity of Michigan, Ann Arbor, MI, USAen
dc.identifier.affiliationManchester University NHS Foundation Trust and University of Manchester, Manchester, UKen
dc.identifier.affiliationAustin Health, Melbourne, VIC, Australiaen
dc.identifier.affiliationJohns Hopkins University, Baltimore, MD, USAen
dc.identifier.affiliationBoston Children's Hospital, Boston, MA, USAen
dc.identifier.affiliationNorthwestern University Feinberg School of Medicine, Shirley Ryan Ability Lab, Chicago, IL, USAen
dc.identifier.affiliationBaylor College of Medicine, Texas Children's Center, Houston, TX, USAen
dc.identifier.affiliationGuy's and St Thomas' NHS Foundation Trust, London, UKen
dc.identifier.affiliationUniversity of Oxford and Oxford University Hospitals NHS Foundation Trust, Oxford, UKen
dc.identifier.affiliationHarvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USAen
dc.identifier.affiliationMontefiore Medical Center, Bronx, NY, USAen
dc.identifier.affiliationMemorial Regional Health System, Fort Lauderdale, FL, USAen
dc.identifier.affiliationAddenbrooke's Hospital, Cambridge, UKen
dc.identifier.affiliationUnited Regional Health Care System, Wichita Falls, TX, USAen
dc.identifier.affiliationGuy's and St Thomas' NHS Foundation Trust, London, UKen
dc.identifier.affiliationImperial Healthcare, London, UKen
dc.identifier.affiliationBayhealth Medical Group, Milford, Global Tracheostomy Collaborative, Raleigh, NC, USAen
dc.identifier.doi10.1016/j.bja.2020.04.054en
dc.type.contentTexten
dc.identifier.pubmedid32456776-
dc.type.austinJournal Article-
dc.type.austinReview-
local.name.researcherCameron, Tanis S
item.grantfulltextnone-
item.openairetypeJournal Article-
item.languageiso639-1en-
item.fulltextNo Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
crisitem.author.deptSpeech Pathology-
crisitem.author.deptTracheostomy Review and Management Service-
crisitem.author.deptSpeech Pathology-
crisitem.author.deptIntensive Care-
crisitem.author.deptSpeech Pathology-
crisitem.author.deptTracheostomy Review and Management Service-
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