Improving UK Tracheostomy Care
Safer, better care
Reducing costs
Improving UK Tracheostomy Care
Safer, better care
Reducing costs
Interim results
2018
Current care
Global Tracheostomy Collaborative sites
Safety
Preventable harm in 30% of cases
Education, equipment, training
Poorly thought out care
Inadequate responses
Significant reduction in harm
Delays, readmissions and harm contribute to the costs of care
ICU bed around £2,000 per day
£3.2 million
Projected saving on ICU length of stay reduction alone (based on 2,000 patients)
Cost of care
Hospital stay
Un-coordinated care
Lack of multidisciplinary teams
Unclear / competing pathways
Silo working
Early results from 1,241 patients: significantly reduced hospital stay
Eating & drinking
Communication
Delays in starting oral intake
Lack of ICU Speech & Language Therapists (SLTs)
Under-used FEES endoscopic assessment & fear of feeding trials
100% SLT on ICU
More patients seen within 48hrs
by SLT
Faster first oral intake
Increased use of FEES
Delays in vocalisation attempts
Fear of cuff deflation
Under-used 'Speaking Valves'
Under-used alternative techniques
Significantly earlier vocalisation
New techniques ('ACV') used in ICU
Part of a global community of healthcare providers, patients and their families
20 sites
1100
patients:
what to improve
1200 staff:
how to improve
Improving Tracheostomy Care
Our research
Our methods
Rapidly implement global best practices
Over 2,000 patient episodes:
Evaluate, compare
learn
NCEPOD 2014 On the right Track? www.ncepod.org.uk
McGrath et al. Evaluating the impact.... https://bmjopenquality.bmj.com/content/6/1/bmjqir.u220636.w7996
Thomas & McGrath. Patient safety incidents associated with the airway... https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-2044.2008.05784.x
Global Tracheostomy Collaborative reports www.globaltrach.org
Data sources
www.tracheostomy.org.uk