Document Detail


Management of difficult airways using a hospital-wide "Alpha Team" approach.
MedLine Citation:
PMID:  20606209     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Airway management is germane to safe patient care. Keys to management of difficult airways (DAs) are the "Right People, Right Parts, and Right Place" (R3P3). Successful management of DA requires clinicians who have adequate training, experience, and equipment. Policies were implemented to optimize the management of DAs. One identified inpatients with potential DAs, whereas the other addressed creation and deployment of "Alpha Teams" (ATs). In the event of impending respiratory compromise, an AT was called in the same manner as a code blue. Health care providers were educated about these process changes, and ATs were tested using computerized patient simulators and self-paced observations. Testing assessed performance before, immediately after, and 30 days after the seminar. Changes in, and retention of, knowledge about DAs was analyzed. The goal of the R3P3 was to identify DAs and then to bring a well-trained hospital-wide AT to the bedside to decrease response time, rapidly establish a definitive airway, and improve survivability in an airway emergency.
Authors:
Lisa Long; Bruce Vanderhoff; Norman Smyke; L E T Shaffer; Joseph Solomon; Jill D Steuer
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Publication Detail:
Type:  Journal Article    
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 Jul-Aug
Date Detail:
Created Date:  2010-07-07     Completed Date:  2010-10-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9300756     Medline TA:  Am J Med Qual     Country:  United States    
Other Details:
Languages:  eng     Pagination:  297-304     Citation Subset:  IM    
Affiliation:
Grant Medical Center, Columbus, OH 43215, USA. llong2@ohiohealth.com
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MeSH Terms
Descriptor/Qualifier:
Airway Obstruction / therapy*
Hospital Rapid Response Team / organization & administration*
Hospitals
Humans
Intubation, Intratracheal
Ohio
Organizational Case Studies
Program Development
Program Evaluation
Review Literature as Topic
Trauma Centers

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


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