Simulation Model for Tracheotomy Education for Primary Health-Care Providers

Abstract

There is a significant need for improved tracheotomy education among primary health-care providers. Incorporating patient simulation into a comprehensive tracheotomy educational program was effective in improving provider confidence, increasing provider knowledge, and teaching the skills necessary for managing patients with a tracheotomy.

Emergency airway and ventilator procedures for community based home care staff validation of an educational program

“…Participants demonstrated statistically significant improvement in the post intervention skills test score. The magnitude of change in pre‐ to post‐test scores is similar to those reported after a comprehensive 4‐day, 32‐h instructional program and a short two hour tracheostomy focused program . Others have described tracheostomy and ventilator simulation with infants utilizing a shorter 2‐h program, however, did not include objective measures of outcomes .…”

“…Our program is the first to describe this short, risk focused, simulation program focusing on tracheostomy, and ventilator care specifically designed for HCS. Others have described the use of didactic and simulation methods to teach primary care physicians, residents, and advanced practice nurses tracheostomy care and management skills, however, none of these have included ventilator management. While tracheostomy skills are important, mastery of tracheostomy management skills alone would not achieve the goal of improved patient safety.…”

“…We found no validated evaluation tools to measure efficacy of tracheostomy and/or ventilator instruction. The work by Dorton, focused exclusively on tracheostomy education of hospital based providers, utilized a 10 question self‐assessment which included items evaluating comfort with tracheostomy management along with a 15 item objective test. These tools were completed before education, immediately and 6 months after the program.…”

“…An evaluation of existing models of education for HCS revealed various content, length, and complexity. Courses ranged from 2 h covering only tracheostomy care to a 32 h comprehensive program covering anatomy, physiology, and both tracheotomy and ventilator care. Our goal was to develop a hybrid program with both tracheostomy and ventilator content focused primarily on those events and situations most likely to result in morbidity and mortality including tracheostomy decannulation, mucus plugging, and ventilator malfunction.…”

Proyecto de seguridad del paciente traqueotomizado procedente de una unidad de cuidados críticos.

“…[6][7][8][9]. La falta de protocolos estandarizados en el seguimiento del paciente portador de cánula traqueal [10,11] y el desconocimiento de su asistencia fuera de las áreas especializadas [5,[9][10], condujo en diferentes hospitales del mundo, a la obtención de acuerdos para establecer una uniformidad de criterios en el cuidado de estos pacientes [12][13][14][15][16]. En 2013, la American Academy of Otolaryngology-Head and Neck Surgery reafirmó la importancia de una política común [17,18].…”