Next Steps
In the coming weeks, we will widely implement this timeout process at
the UPMC Oakland campus. Adherence rates and provider feedback will be
tracked. In addition, the OR staff will observe several sessions of the
tracheostomy time-out by different providers to determine if any
adjustments can be made for ease of use. We will determine which parts
of the time-out are deemed important and if any parts appear
nonessential. A revised version will then be created and sent to
providers again for feedback.
References
- Yu F, Yan L, Wang N, et al. Quantitative Detection and Viral Load
Analysis of SARS-CoV-2 in Infected Patients. Clinical Infectious
Diseases . 2020. doi:10.1093/cid/ciaa345
- Bahl P, Doolan C, Silva CD, Chughtai AA, Bourouiba L, Macintyre CR.
Airborne or droplet precautions for health workers treating COVID-19?The Journal of Infectious Diseases . 2020.
doi:10.1093/infdis/jiaa189
- Using Personal Protective Equipment (PPE). Centers for Disease Control
and Prevention.
https://www.cdc.gov/coronavirus/2019-ncov/hcp/using-ppe.html.
Published April 3, 2020. Accessed April 20, 2020.
- Parker N, Schiff B, Fritz M, et al. Tracheotomy Recommendations During
the COVID-19 Pandemic. American Academy of Otolaryngology-Head and
Neck Surgery.
https://www.entnet.org/content/tracheotomy-recommendations-during-covid-19-pandemic.
Published April 2, 2020. Accessed April 21, 2020.
- Harrison L, Ramsden J, et al. Tracheostomy guidance during the
COVID-19 Pandemic.
https://www.entuk.org/tracheostomy-guidance-during-covid-19-pandemic.
Accessed April 21, 2020.
- Michetti CP, Burlew CC, Bulger EM, Davis KA, Spain DA. Performing
tracheostomy during the Covid-19 pandemic: guidance and
recommendations from the Critical Care and Acute Care Surgery
Committees of the American Association for the Surgery of
Trauma. Trauma Surgery & Acute Care Open . 2020;5(1).
doi:10.1136/tsaco-2020-000482
- Schultz P, Morvan J-B, Fakhry N, et al. French consensus regarding
precautions during tracheostomy and post-tracheostomy care in the
context of COVID-19 pandemic. European Annals of
Otorhinolaryngology, Head and Neck Diseases . 2020.
doi:10.1016/j.anorl.2020.04.006
- Feldman J, Loeb R, Philip J. FAQ on Anesthesia Machine Use,
Protection, and Decontamination During the COVID-19 Pandemic.
Anesthesia Patient Safety Foundation.
https://www.apsf.org/faq-on-anesthesia-machine-use-protection-and-decontamination-during-the-covid-19-pandemic/.
Accessed April 21, 2020.
- Newkirk JD. Preventing Surgical Mishaps. Clinics in Plastic
Surgery . 2013;40(3):475-487. doi:10.1016/j.cps.2013.04.011
- Degani A, Wiener EL. Cockpit Checklists: Concepts, Design, and
Use. Human Factors: The Journal of the Human Factors and
Ergonomics Society . 1993;35(2):345-359.
doi:10.1177/001872089303500209
- Weiser TG, Haynes AB, Lashoher A, et al. Perspectives in quality:
designing the WHO Surgical Safety Checklist. International
Journal for Quality in Health Care . 2010;22(5):365-370.
doi:10.1093/intqhc/mzq039
- Haynes AB, Weiser TG, Berry WR, et al. A Surgical Safety Checklist to
Reduce Morbidity and Mortality in a Global Population. New
England Journal of Medicine . 2009;360(5):491-499.
doi:10.1056/nejmsa0810119