Document Detail


Airway registry: a performance improvement surveillance project of emergency department airway management.
MedLine Citation:
PMID:  20505111     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to determine if use of a standardized airway data collection sheet can survey airway management practices in an emergency department. Success rates and trends from the authors' facility have been benchmarked against the National Emergency Airway Registry (NEAR). This study included all patients requiring invasive airway management during a 21-month period (July 1, 2005, through March 31, 2007). An audit form was developed and implemented to collect data on intubations. During the study period, 224 patients required invasive airway control. Of all airways managed by emergency medicine residents, the intubation success rate was 99% (200/203; 95% confidence interval [CI] = 96%-100%), with 3% of those (6/203; 95% CI = 1%-6%) requiring more than 3 attempts; 3 patients (1%; 95% CI = 0%-4%) could not be intubated and required a surgical airway. Use of an airway registry based on the NEAR registry as a benchmark of rates and types of successful intubation allows comparison of airway practices.
Authors:
Michael P Phelan; Jonathan Glauser; Ho-Wang A Yuen; Elizabeth Sturges-Smith; Stefanie E Schrump
Publication Detail:
Type:  Journal Article     Date:  2010-05-26
Journal Detail:
Title:  American journal of medical quality : the official journal of the American College of Medical Quality     Volume:  25     ISSN:  1555-824X     ISO Abbreviation:  Am J Med Qual     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-09-13     Completed Date:  2011-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9300756     Medline TA:  Am J Med Qual     Country:  United States    
Other Details:
Languages:  eng     Pagination:  346-50     Citation Subset:  IM    
Affiliation:
Cleveland Clinic Emergency Services Institute, Cleveland, OH 44195, USA. PhelanM@ccf.org
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MeSH Terms
Descriptor/Qualifier:
Airway Management / standards*
Clinical Competence / standards
Emergency Service, Hospital*
Humans
Intubation, Intratracheal / methods,  standards*
Medical Audit
Quality Assurance, Health Care / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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