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It highlights a five–key-driver framework—multidisciplinary synchronous rounds, standardized protocols, targeted staff training and allocation, patient and family involvement, and data-driven improvement—used by the Global Tracheostomy Collaborative to implement proven strategies worldwide. The discussion contextualizes the burden of pediatric and adult tracheostomy, complication rates, and preventable catastrophic events.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":11,"@type":70,"position":76},"https://docshare.wps.com/template/presentations/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/multidisciplinary-tracheostomy-care-how-collaboratives-drive-quality-improvement/176481/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/multidisciplinary-tracheostomy-care-how-collaboratives-drive-quality-improvement/176481.png","ImageObject",442,249,{"name":88,"@type":89},"Clementine","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-10-19","2026-09-02",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What problem does the paper address about tracheostomy quality improvement?","Question",{"text":109,"@type":110},"Reports of successful quality-improvement initiatives exist, but best practices have not been universally adopted across settings.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What are the five key drivers to improve tracheostomy care quality?",{"text":114,"@type":110},"They include multidisciplinary synchronous ward rounds, standardized care protocols, appropriate staff training and allocation, patient and family involvement, and using data to drive improvement.",{"name":116,"@type":107,"acceptedAnswer":117},"How does the Global Tracheostomy Collaborative aim to improve outcomes for tracheostomy patients?",{"text":118,"@type":110},"It focuses on improving worldwide tracheostomy care through communication, dissemination, and implementation of strategies grounded in the five key drivers.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},176481,1790141853,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":8,"category_name":11,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":142},1374391974564,"https://ap-avatar.wpscdn.com/avatar/14000253aa45c000a9e?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779874745381141002","Multidisciplinary Tracheostomy Care: How Collaboratives Drive Quality Improvement\nJoshua R. Bedwell, MD, MS, FAAP, FACS\nBaylor College of Medicine/Texas Children’s Hospital\n\u0013 HYPERLINK \"mailto:Joshua.Bedwell@bcm.edu\" \u0014Joshua.Bedwell@bcm.edu\u0015\n6701 Fannin St., Ste. 650\nHouston, TX 77030\nVinciya Pandian, PhD, MBA, MSN, RN, ACNP-BC, FAAN\nJohns Hopkins School of Nursing\n\u0013 HYPERLINK \"mailto:vpandia1@jhu.edu\" \\t \"_blank\" \u0014vpandia1@jhu.edu\u0015\n525 N Wolfe St, Rm 442, Baltimore, MD 21205\nDavid W Roberson, MD, MBA, FACS, FRCS\nHarvard University/Children’s Hospital Boston\nDavid.Roberson@childrens.harvard.edu\nADDRESS\nBrendan A. McGrath, MBChB, MRCP, FRCA, DICM, EDIC, PGCertMedEd, AHEA, FFICM, PhD\nUniversity Hospital of South Manchester\nNHS Foundation Trust\nBrendan.Mcgrath@manchester.ac.uk\nADDRESS\nTanis S. Cameron, MA-SLP (C) CCC-SLP\nAustin Health\nTanis.Cameon@austin.org.au\nMichael J. Brenner, M.D., F.A.C.S. (Corresponding Author)\nAssociate Professor\nDepartment of Otolaryngology- -- Head & Neck Surgery\nUniversity of Michigan School of Medicine\n1500 East Medical Center Drive SPC 5312\n1904 Taubman Center\nAnn Arbor, MI 48109-5312\nPhone: 734-936-9178\nUniversity of Michigan School of Medicine\n\u0013 HYPERLINK \"mailto:mbren@med.umich.edu\" \u0014mbren@med.umich.edu\u0015\nDisclosures: None of the authors have any commercial or financial disclosures.\nSynopsis: There have been reports of successful quality improvement initiatives surrounding tracheostomy care for over a decade, but widespread adoption of best practices has not been universal.  glacial.  Five “key drivers” have been found to improve the quality of care for tracheostomyof such patients: (1) Multidisciplinary synchronous ward rounds, (2) Standardization of care protocols, (3) Appropriate staff training and allocation, (4) Patient and family involvement and (5) Use of data to drive improvement.  The Global Tracheostomy Collaborative is a Quality Improvement Collaborative dedicated to improving the care of tracheostomy patients worldwide through communication, dissemination, and implementation of proven strategies based on these five key drivers.\nKey Words: Tracheostomy, Tracheotomy, Quality Improvement, Collaborative, Patient Safety\n\u000f\nIntroduction\nIn the United States of America (USA), >100,000 tracheostomies are performed annually; about 4000 of these are performed in children.\u0013 ADDIN EN.CITE \u0013 ADDIN EN.CITE.DATA \u0015\u00141,2\u0015 The in-hospital mortality for patients who undergo tracheostomy is approximately 20%, with the majority of these deaths caused by the underlying disease rather than directly due to the tracheostomy.\u0013 ADDIN EN.CITE \u0013 ADDIN EN.CITE.DATA \u0015\u00143\u0015 Extrapolation of survey data suggests a crude annual estimate of approximately 1,000 catastrophic events and approximately 500 tracheotomy-related deaths in the United States.\u0013 ADDIN EN.CITE \u003CEndNote>\u003CCite>\u003CAuthor>Das\u003C/Author>\u003CYear>2012\u003C/Year>\u003CRecNum>465\u003C/RecNum>\u003CDisplayText>\u003Cstyle face=\"superscript\">4\u003C/style>\u003C/DisplayText>\u003Crecord>\u003Crec-number>465\u003C/rec-number>\u003Cforeign-keys>\u003Ckey app=\"EN\" db-id=\"tvtwzfpe89tsd6ewwrupxesbevxvwp0fazdd\" timestamp=\"1441228373\">465\u003C/key>\u003C/foreign-keys>\u003Cref-type name=\"Journal Article\">17\u003C/ref-type>\u003Ccontributors>\u003Cauthors>\u003Cauthor>Das, P.\u003C/author>\u003Cauthor>Zhu, H.\u003C/author>\u003Cauthor>Shah, R. K.\u003C/author>\u003Cauthor>Roberson, D. W.\u003C/author>\u003Cauthor>Berry, J.\u003C/author>\u003Cauthor>Skinner, M. L.\u003C/author>\u003C/authors>\u003C/contributors>\u003Cauth-address>School of Clinical Medicine, University of Cambridge, Addenbrookes Hospital, Cambridge, UK.\u003C/auth-address>\u003Ctitles>\u003Ctitle>Tracheotomy-related catastrophic events: results of a national survey\u003C/title>\u003Csecondary-title>Laryngoscope\u003C/secondary-title>\u003Calt-title>The Laryngoscope\u003C/alt-title>\u003C/titles>\u003Cperiodical>\u003Cfull-title>Laryngoscope\u003C/full-title>\u003C/periodical>\u003Cpages>30-7\u003C/pages>\u003Cvolume>122\u003C/volume>\u003Cnumber>1\u003C/number>\u003Cedition>2011/12/21\u003C/edition>\u003Ckeywords>\u003Ckeyword>Catastrophic Illness\u003C/keyword>\u003Ckeyword>Data Collection\u003C/keyword>\u003Ckeyword>Humans\u003C/keyword>\u003Ckeyword>Postoperative Complications/epidemiology/etiology\u003C/keyword>\u003Cke","cbCaim4dVjioU48m","https://ap.wps.com/l/cbCaim4dVjioU48m","docx",109539,26,"English","# Introduction\n## Burden of tracheostomy and risks\n## Key drivers for quality improvement\n## Global Tracheostomy Collaborative approach","[{\"question\":\"What problem does the paper address about tracheostomy quality improvement?\",\"answer\":\"Reports of successful quality-improvement initiatives exist, but best practices have not been universally adopted across settings.\"},{\"question\":\"What are the five key drivers to improve tracheostomy care quality?\",\"answer\":\"They include multidisciplinary synchronous ward rounds, standardized care protocols, appropriate staff training and allocation, patient and family involvement, and using data to drive improvement.\"},{\"question\":\"How does the Global Tracheostomy Collaborative aim to improve outcomes for tracheostomy patients?\",\"answer\":\"It focuses on improving worldwide tracheostomy care through communication, dissemination, and implementation of strategies grounded in the five key drivers.\"}]","Multidisciplinary Tracheostomy Care - How Collaboratives Drive Quality Improvement | DOCX",1788324609,9]