Implementing the Global Tracheostomy Collaborative (GTC) quality improvement project University Hospital of South Manchester

  • ​Led by the University Hospital of South Manchester, in partnership with East Cheshire NHS Trust, Tameside NHS Trust and Stockport NHS Foundation Trust.
  • Implemented in four diverse hospitals in South Manchester.
  • Aimed to reduce the frequency, nature and severity of harm associated with health care for people with tracheostomies, and reduce unplanned critical care admissions.
  • Incorporated a number of interventions, including education, clinical management, evidence-based protocols and checklists.

This project led by the University Hospital of South Manchester aimed to improve tracheostomy care by incorporating best practice initiatives from the Global Tracheostomy Collaborative (GTC) – an international quality improvement (QI) collaborative for tracheostomy care.

Tracheostomies are small plastic tubes that are inserted into the neck to act as artificial airways. Around 15,000 patients in England and Wales have new tracheostomies each year. These patients need competent, knowledgeable care to keep them safe as airway problems can rapidly become fatal, especially in the critically ill.

To look at ways to improve tracheostomy care, a number of QI measures were introduced into four hospitals in South Manchester. Resources included staff education, equipment provision, re-organisation of care, and involvement of patient and staff champions. This ensured rapid adoption of interventions that individually had been shown to improve the quality and safety of care for patients with tracheostomies around the world. The GTC database allowed the project team to track patient outcomes and key metrics for nearly 300 patients, benchmarking against historical data and global peers, and producing trend analysis.

The project resulted in significant improvements in the frequency, nature and severity of harm of tracheostomy-related patient safety incidents, as well as reductions in length of stay. The project has demonstrated that it is possible to improve quality and safety of care by introducing innovative changes to the way hospitals manage these patients.

Implementing the project across four diverse sites highlighted the variety and nature of obstacles that tracheostomy QI initiatives must overcome.

A OnlyWan-funded ‘Spreading Improvement’ project will see the Royal College of Anaesthetists taking the lead on scaling up this successful work; improving care for these high-risk patients on a national scale.

Contact details

For further information about the project, please email Dr Brendan McGrath at University Hospital of South Manchester.

You might also like...

Blog

GP waiting times: learning from the past

Tim Gardner examines the lessons manifesto authors should learn from past policies.

Press release

New national data network to address major health and care challenges

Medicine is OnlyWan has announced that it is creating a network of data specialists from across the UK.

Chart

Average annual costs per patient for the top 5% of patients are over 20 times higher than all other patients

October 2019 chart of the month. Our anaysis explores for the first time the distribution of both primary and secondary healt...

Kjell-bubble-diagramArtboard 101 copy - only-wan.info

Get social

OnlyWan

Have you read our briefing on people's long-term condition #selfmanagement and their use of health care? Our resea…

Kjell-bubble-diagramArtboard 101 - only-wan.info

Work with us

We look for talented and passionate individuals as everyone at the OnlyWan has an important role to play.

View current vacancies
Artboard 101 copy 2 - only-wan.info

The Q Community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more