Tracheostomy Thursday: Journey of a Staff-driven COVID-19 Initiative to International Recognition

Gallagher, Mary Anne; Torrieri, Lisa Anne

doi:10.1097/01.asw.0000855032.27670.be

Cited by 1 publication

(3 citation statements)

References 19 publications

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“…Prevention of pressure injuries covered six themes across six studies: triaging (4), adapted safety guidelines (1), modified procedures (5), team communication (3), information technology (1), and education (1). Multidisciplinary and interprofessional teams were developed in one study with the goal of reducing workloads and standardizing processes 57 , while another study described establishment of a dedicated team to handle tracheostomies 58 . Two studies used novel pathway management by reorganizing the ICU 59 and developing a prone positioning protocol and strategy 60 .…”

Section: Prevention Of Pressure Injuriesmentioning

confidence: 99%

“…Of these, care pathways were employed to improve surgical safety and pressure injury and falls. The use of remodeled surgical 25,27,36,58 pathways, streamlined pathways 26 and mitigating plans 29,30,59 , along with reorganization of units 25,59 were suggested to improve patient acuity and reduce staffing burden. Hygiene procedures were modified 49 and in-home testing for colonoscopy 17 was incorporated to improve diagnostic safety.…”

Section: Triaging and Care Pathwaysmentioning

confidence: 99%

“…A unique, pharmacologic approach to stress testing 18 was used to improve diagnostic safety. Novel guidelines were implemented across four studies spanning pressure injuries and falls 58 and surgical safety 30,36,38 , and using a pivot plan 37 to allow resumption of elective surgeries. The pivot plan was developed to help find safe pathways for elective surgeries during a pandemic, and consisted of guidance to support a resumption of services across procedural areas.…”

Section: Adapted Safety Guidelinesmentioning

confidence: 99%

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Interventions to Improve Patient Safety During the Covid-19 Pandemic: A Systematic Review

Wu,

Trigg,

Zhang

et al. 2024

Preprint

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ObjectiveTo summarize the literature on health care interventions to reduce harm to patients caused by the COVID-19 pandemic across six domains: medication errors, diagnostic errors, surgical errors, health care-associated infections, pressure injuries, and falls.MethodsWe performed a mixed methods systematic review, with the intention to present results narratively. We combined parallel searches and experiential evidence across each domain of interest. We included studies published between 11 March 2020 and 28 August 2023 that reported an intervention in response to an identified patient safety issue. We identified 13,019 unique articles across the six domains. Of these, 590 full texts were assessed for eligibility. Seven were included for the medication safety domain; seven for diagnostic safety; 32 for surgical safety; 11 for health care-associated infections; six for the pressure injuries; and two for falls (Annex C). Overall, a total of 61 unique articles were included – four articles were represented across more than one domain.FindingsThere were few rigorous evaluations of specific interventions to reduce patient harm caused by the pandemic. Adjustments in treatments, triage, and procedures, and use of risk stratification tools reduced delays and permitted more elective surgery and diagnostic testing to proceed, improvements in medication safety practices, and prevention of health care-associated infections. Publications emphasized the importance of implementing existing practices and following the latest guidelines to prevent health care-associated infections, medication errors, pressure injuries and falls.ConclusionThere is little research on interventions to reduce patient harm caused in health care settings during the COVID-19 pandemic. Interventions focused on preventing nosocomial transmission of COVID-19, and on permitting access to urgent surgical and diagnostic needs. A few studies tested strategies to reduce new risks imposed by the pandemic for medication errors, health care-associated infections, pressure injuries, and falls. They also urged extra efforts to implement existing practices and following the latest guidelines already known to be effective. Development of high-reliability health systems and health care organizations to protect patients and health workers from harm, will be essential to mitigating the impact of future pandemics within the objectives of the Global Patient Safety Action Plan 2021-2030.

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