Translational Simulation Improves Compliance with the NEAR4KIDS Airway Safety Bundle in a Single-center PICU

Overview

Journal Pediatr Qual Saf

Date 2021 May 28

PMID 34046538

Citations 4

Authors

Nora Colman

Jordan W Newman

Akira Nishisaki

Melinda Register

Scott E Gillespie

Kiran B Hebbar

Affiliations

Soon will be listed here.

Abstract

Methods: This was a single-center retrospective review following translational simulations to improve compliance with the NEAR4KIDS bundle . The simulation was implemented between March 2018 and December 2018. Bundle adherence was assessed 12 months before simulation and 9 months following simulation. Primary outcomes were compliance with the bundle and utilization of apneic oxygenation. The secondary outcome was the occurrence of adverse tracheal intubation-associated events.

Results: Preintervention bundle compliance was 66%, and the application of apneic oxygenation was 27.9%. Following the simulation intervention, bundle compliance increased to 93.7% ( < 0.001) and adherence to apneic oxygenation increased to 77.9% ( < 0.001). There was no difference in the occurrence of tracheal intubation-associated events.

Conclusions: Translational simulation was a safety tool that improved NEAR4KIDS bundle compliance and elucidated factors contributing to successful implementation. Through simulation, we optimized bundle customization through process improvement, fostered a culture of safety, and effectively engaged multidisciplinary teams in this quality initiative to improve adherence to best practices surrounding tracheal intubations.

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