Matches in SemOpenAlex for { <https://semopenalex.org/work/W3114612689> ?p ?o ?g. }
Showing items 1 to 81 of
81
with 100 items per page.
- W3114612689 abstract "Aims/Objectives/Background Emergency airway management outside a controlled theatre environment has been previously associated with a high rate of adverse events. Several initiatives to improve safety (such as video laryngoscopy, checklists, simulation training etc..) have been studied in isolation. It remains unclear as to whether these interventions have been embedded in the Emergency Department (ED) and whether they offer cumulative marginal gains in safety. Methods/Design A prospective 3-year service evaluation delivered at a major trauma and neurosciences centre between 2016 and 2019. We designed a rolling quality improvement program to mitigate procedural airway risk through collaborative multidisciplinary team (MDT) working, education and transparent metrics. PDSA cycles included documentary guidance (including flowcharts and checklists), high fidelity simulation training, equipment redesign, prefilled medications and mandatory reporting items (figure 1). Abstract 292 Figure 1 Abstract 292 Figure 2 Primary induction agents selected throughout the study period Abstract 292 Figure 3 Results/Conclusions We analysed prospectively collected data on 1181 intubation episodes outside a theatre environment over a 39 month period, of which 575 (48.7%) were performed out of hours and 635 (53.8%) were performed in the ED. Bedside consultant presence and periprocedural checklist use both showed a sustained increase during the study period. Use of ketamine and thiopentone as primary induction agents increased and decreased, respectively (figure 2). Cricoid pressure and video laryngoscopy (VL) utilisation rates remained relatively static throughout, as did a first pass success (FPS) rate of between 83.0 to 93.5%. Composite major complications (including sustained hypotension and/or critical hypoxia) were significantly reduced during the study period, as demonstrated via statistical process chart (SPC) mapping (figure 3). In conclusion, we found a quality improvement program to be associated with a sustained reduction in the risk of major complications following emergency airway management. This improvement was not explained by simple direct changes in procedural care, such as the use of VL or technique changes resulting in improved FPS, but may have been influenced by unknown confounding variables." @default.
- W3114612689 created "2021-01-05" @default.
- W3114612689 creator A5018218777 @default.
- W3114612689 creator A5035319361 @default.
- W3114612689 creator A5036775362 @default.
- W3114612689 creator A5039022276 @default.
- W3114612689 creator A5065198986 @default.
- W3114612689 date "2020-11-23" @default.
- W3114612689 modified "2023-09-27" @default.
- W3114612689 title "292 Emergency airway management outside the operating room; a three year prospective service evaluation and quality improvement project" @default.
- W3114612689 doi "https://doi.org/10.1136/emj-2020-rcemabstracts.22" @default.
- W3114612689 hasPublicationYear "2020" @default.
- W3114612689 type Work @default.
- W3114612689 sameAs 3114612689 @default.
- W3114612689 citedByCount "0" @default.
- W3114612689 crossrefType "journal-article" @default.
- W3114612689 hasAuthorship W3114612689A5018218777 @default.
- W3114612689 hasAuthorship W3114612689A5035319361 @default.
- W3114612689 hasAuthorship W3114612689A5036775362 @default.
- W3114612689 hasAuthorship W3114612689A5039022276 @default.
- W3114612689 hasAuthorship W3114612689A5065198986 @default.
- W3114612689 hasBestOaLocation W31146126891 @default.
- W3114612689 hasConcept C105922876 @default.
- W3114612689 hasConcept C136264566 @default.
- W3114612689 hasConcept C141071460 @default.
- W3114612689 hasConcept C15744967 @default.
- W3114612689 hasConcept C159110408 @default.
- W3114612689 hasConcept C162324750 @default.
- W3114612689 hasConcept C180747234 @default.
- W3114612689 hasConcept C188816634 @default.
- W3114612689 hasConcept C194828623 @default.
- W3114612689 hasConcept C27415008 @default.
- W3114612689 hasConcept C2776888792 @default.
- W3114612689 hasConcept C2777120189 @default.
- W3114612689 hasConcept C2778716859 @default.
- W3114612689 hasConcept C2779356329 @default.
- W3114612689 hasConcept C2780378061 @default.
- W3114612689 hasConcept C2780724011 @default.
- W3114612689 hasConcept C2780978852 @default.
- W3114612689 hasConcept C42219234 @default.
- W3114612689 hasConcept C545542383 @default.
- W3114612689 hasConcept C71405471 @default.
- W3114612689 hasConcept C71924100 @default.
- W3114612689 hasConceptScore W3114612689C105922876 @default.
- W3114612689 hasConceptScore W3114612689C136264566 @default.
- W3114612689 hasConceptScore W3114612689C141071460 @default.
- W3114612689 hasConceptScore W3114612689C15744967 @default.
- W3114612689 hasConceptScore W3114612689C159110408 @default.
- W3114612689 hasConceptScore W3114612689C162324750 @default.
- W3114612689 hasConceptScore W3114612689C180747234 @default.
- W3114612689 hasConceptScore W3114612689C188816634 @default.
- W3114612689 hasConceptScore W3114612689C194828623 @default.
- W3114612689 hasConceptScore W3114612689C27415008 @default.
- W3114612689 hasConceptScore W3114612689C2776888792 @default.
- W3114612689 hasConceptScore W3114612689C2777120189 @default.
- W3114612689 hasConceptScore W3114612689C2778716859 @default.
- W3114612689 hasConceptScore W3114612689C2779356329 @default.
- W3114612689 hasConceptScore W3114612689C2780378061 @default.
- W3114612689 hasConceptScore W3114612689C2780724011 @default.
- W3114612689 hasConceptScore W3114612689C2780978852 @default.
- W3114612689 hasConceptScore W3114612689C42219234 @default.
- W3114612689 hasConceptScore W3114612689C545542383 @default.
- W3114612689 hasConceptScore W3114612689C71405471 @default.
- W3114612689 hasConceptScore W3114612689C71924100 @default.
- W3114612689 hasLocation W31146126891 @default.
- W3114612689 hasOpenAccess W3114612689 @default.
- W3114612689 hasPrimaryLocation W31146126891 @default.
- W3114612689 hasRelatedWork W11240203 @default.
- W3114612689 hasRelatedWork W12599231 @default.
- W3114612689 hasRelatedWork W19578567 @default.
- W3114612689 hasRelatedWork W20898788 @default.
- W3114612689 hasRelatedWork W2601067 @default.
- W3114612689 hasRelatedWork W3834381 @default.
- W3114612689 hasRelatedWork W6391123 @default.
- W3114612689 hasRelatedWork W7135341 @default.
- W3114612689 hasRelatedWork W8494133 @default.
- W3114612689 hasRelatedWork W99728 @default.
- W3114612689 isParatext "false" @default.
- W3114612689 isRetracted "false" @default.
- W3114612689 magId "3114612689" @default.
- W3114612689 workType "article" @default.