Europe PMC

This website requires cookies, and the limited processing of your personal data in order to function. By using the site you are agreeing to this as outlined in our privacy notice and cookie policy.

Identification of Fail Points for Discharging Pediatric Patients With New Tracheostomy and Ventilator.

Author information

Affiliations

  • 1. Department of Pediatrics, University of Chicago, Chicago, Illinois;
      Authors
    • Sobotka SA 1
    (1 author)
  • 2. Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois; and.
      Authors
    • Hird-McCorry LP 2
    (1 author)
  • 3. Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
      Authors
    • Goodman DM 3
    (1 author)

ORCIDs linked to this article

Hospital Pediatrics, 18 Aug 2016, 6(9):552-557
https://doi.org/10.1542/hpeds.2015-0277 PMID: 27538680 

Abstract 

Background and objectives

The core mission of the Pulmonary Habilitation Program is to train and prepare caregivers for the care of a ventilated child in the home. It exists within a free-standing children's hospital. The program is supported by a multidisciplinary staff and serves ∼100 children. Through standardizing electronic documentation with process-specific tracking for the discharge process, the Pulmonary Habilitation Program team sought to identify intervention opportunities for more efficient and effective discharges.

Methods

The process of discharge was described using an iterative process, with the multidisciplinary team and discharge milestones noted in the medical chart.

Results

Several nonmedical factors contribute to prolonged hospital stays, including parent training, approval from the state agency for home care, and staffing of home nursing. Children had median lengths of stay of 141 days (interquartile range, 68 to 177).

Conclusions

As a result of this initial investigation, application to the state agency and training for caregivers have been initiated sooner, when a tracheostomy is first placed.

Full text links 

Read article at publisher's site: https://doi.org/10.1542/hpeds.2015-0277

Read article for free, from open access legal sources, via Unpaywall: https://hosppeds.aappublications.org/content/hosppeds/6/9/552.full.pdfUnpaywall

References 

Articles referenced by this article (10)

Citations & impact 

Impact metrics

14
Citations
Jump to Citations

Citations of article over time

Alternative metrics

Altmetric item for https://www.altmetric.com/details/10788393
Altmetric
Discover the attention surrounding your research
https://www.altmetric.com/details/10788393

Article citations

Go to all (14) article citations

Similar Articles 

To arrive at the top five similar articles we use a word-weighted algorithm to compare words from the Title and Abstract of each citation.