Pediatric Tracheostomy Emergency Readiness Assessment Tool: International Consensus Recommendations Article

Full Text via DOI: 10.1002/lary.30674 Web of Science: 000992487000001

Cited authors

  • Schiff E, Propst EJ, Balakrishnan K, Johnson K, Lounsbury DW, Brenner MJ, Tawfik MM, Simons JP, Moreddu E, Thierry B, Gantwerker E, White DR, Hong P, McKenna MK, Molter DW, Soma M, Rutter MJ, Patel NA, Chorney SR, Johnson LB, Prosser JD, Sidell DR, Richter GT, Hopkins BS, Gibber M, Clemmens C, Roy S, Lam DJ, Choi S, May J, Brigger MT, Derkay CS, Hsu WC, Schraff S, McGinn JD, Ida JB, Nassar M, Bedwell JR, Rahbar R, Torre M, Mann SE, Zopf DA, Chun R, Faucett EA, Svrakic M, Daniel SJ, Bergeron M, Pransky SM, Wilcox LJ, Goldstein NA, Johnson RF, McCormick ME, Hart CK, Prickett KK, Parikh SR, Nguyen LHP, Trozzi M, Green GE, Prager JD, Liu G, Lind MN, Dahl J, Bohm LA, Kavanagh KR, Mehta D, Elluru RG, Bateman N, Meister KD, Wiedermann J, Belcher R, Russell J, Walsh J, Kearney J, Nicollas R, Pattisapu P, Watters K, Gerber ME, Malloy KM, Raynor TP, Regenbogen E, Boesch RP, Fayoux P, Kanotra SP, Manoukian JJ, Uwiera TC, Windsor AM, Weinstock MS, Valika T, El-Hakim H, Hartley BE, Spratley JE, Peer S, Lawlor CM, Vaccani JP, Richardson CM, Zdanski CJ, Jeffe J, Sandu K, Carter JM, Plum AW, Rickert S, Javia LR, Lavin J, Myer CM, Raol NP, Piccione J, Gomez ED, Smith NJ, Bauman N, Doherty C, Jabbour N, Sobin L, Bromwich M, McGrath BA, Shah UK, Cotton RT, Husein M, Rossi ME, de Alarcon A, Volk M, Ward RF, Landry A, Hsieh TY, Smith RJ, Losavio P, Yang CJ

Abstract

  • Objective: To achieve consensus on critical steps and create an assessment tool for actual and simulated pediatric tracheostomy emergencies that incorporates human and systems factors along with tracheostomy-specific steps.Methods: A modified Delphi method was used. Using REDCap software, an instrument comprising 29 potential items was circulated to 171 tracheostomy and simulation experts. Consensus criteria were determined a priori with a goal of consolidating and ordering 15 to 25 final items. In the first round, items were rated as "keep" or "remove". In the second and third rounds, experts were asked to rate the importance of each item on a 9-point Likert scale. Items were refined in subsequent iterations based on analysis of results and respondents' comments.Results: The response rates were 125/171 (73.1%) for the first round, 111/125 (88.8%) for the second round, and 109/125 (87.2%) for the third round. 133 comments were incorporated. Consensus (>60% participants scoring >= 8, or mean score >7.5) was reached on 22 items distributed across three domains. There were 12, 4, and 6 items in the domains of tracheostomy-specific steps, team and personnel factors, and equipment respectively.Conclusions: The resultant assessment tool can be used to assess both tracheostomy-specific steps as well as systems factors affecting hospital team response to simulated and clinical pediatric tracheostomy emergencies. The tool can also be used to guide debriefing discussions of both simulated and clinical emergencies, and to spur quality improvement initiatives.

Publication date

  • 2023

Published in

International Standard Serial Number (ISSN)

  • 0023-852X

Number of pages

  • 14