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Creating an Effective Quality Improvement (QI) Process for Airway Emergencies

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Disorders of the Neonatal Airway

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Abstract

Airway emergencies are life-threatening situations that have little tolerance for errors and require immediate responses by qualified surgeons, neonatologists, and support staff. Therefore to ensure patients do not suffer harm from airway emergencies, an airway safety program must not only have rapid and effective response processes that are reliable, but also processes that can identify and mitigate high risk situations. Principles of high reliability organizations (HRO), which include sensitivity to operations, preoccupation with failure, deference to expertise, resilience, and reluctance to simplify [1], are applied to drive a higher state of mindfulness. The goal is to cultivate a workplace culture where all providers become stakeholders and engaged in HRO practices, and eliminate unnecessary variations in healthcare delivery that can lead to miscommunication and suboptimal care. By making practice more consistent amongst providers wherever possible, we are able to better practices for better outcomes. Numerous quality improvement collaboratives have embarked on such efforts and have contributed significantly to understanding factors that affect success [2–5].

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Author information

Authors and Affiliations

  1. Division of Neonatology, The Children’s Hospital of Philadelphia, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA

    John Chuo M.D., M.S.

  2. Division of Plastic Surgery, Department of Surgery, The Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    J. Thomas Paliga

  3. Duke University School of Medicine, Durham, NC, USA

    J. Thomas Paliga

  4. Attending Neonatologist, Director Neonatal Outreach, Medical Director, Neonatal Airway Program, The Children’s Hospital of Philadelphia, Associate Professor of Clinical Pediatrics, The University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

    Janet Lioy

Authors
  1. John Chuo M.D., M.S.
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  2. J. Thomas Paliga
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  3. Janet Lioy
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Correspondence to Janet Lioy .

Editor information

Editors and Affiliations

  1. Attending Neonatologist, Director Neonatal Outreach, Medical Director, Neonatal Airway Program, The Children’s Hospital of Philadelphia, Associate Professor of Clinical Pediatrics, Department of Neonatology, The University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA

    Janet Lioy

  2. Attending Surgeon, Fellowship Director, Pediatric Otolaryngology, The Center for Pediatric Airway Disorders, The Children’s Hospital of Philadelphia, Associate Professor, Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA

    Steven E. Sobol

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Chuo, J., Paliga, J.T., Lioy, J. (2015). Creating an Effective Quality Improvement (QI) Process for Airway Emergencies. In: Lioy, J., Sobol, S. (eds) Disorders of the Neonatal Airway. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1610-8_32

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  • DOI: https://doi.org/10.1007/978-1-4939-1610-8_32

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1609-2

  • Online ISBN: 978-1-4939-1610-8

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