Laryngology/Broncho‐Esophagology

Session Description: A landmark study found that in intensive care units (ICUs), tracheostomy incidents accounted for up to half of all airway-related deaths and hypoxic brain damage. Multidisciplinary adult pediatric teams have achieved dramatic reductions adverse events improved patient outcomes, but dissemination highly reliable practices has lagged. This panel addresses this gap by providing a strategy rapid performance improvement with specific building blocks enhancing care. Five key drivers-multidisciplinary ward rounds, standardized protocols, interdisciplinary education staff allocation, family involvement, using data drive improvement-can result transformative change. We present from 4 institutions, turnkey solutions lessons learned the creation teams. cover index procedure decannulation discharge, discussing obstacles encountered how they are overcome. After presenting institution-level experience, we report on largest implementation these principles date, drawing prospectively captured patient-level global nearly 10,000 cases. take deep dive into 3-year-long, 20-hospitalwide multipronged involved mixedmethods analysis, tracking, benchmarking demonstrate powerful, statistically significant effects reducing hospital ICU length stay, ventilator duration, time cuff deflation, first vocalization, oral intake, prevalence anxiety depression, cost savings, projected at >$15,000 per patient. While heterogeneity is defining feature tracheostomy, across age geographies, multidisciplinary game changer In addition, imperatives COVID-19 pandemic necessitated additional measures relation aerosol-generating procedures. curate salient practical evidence-based recommendations. Outcome Objectives: (1) Present discuss creating team. (2) Leverage data-science ongoing efforts improve outcomes. (3) Compare approaches different systems context COVID-19.