Otolaryngology Consult Carts

Royer, M; Royer, Allison K.

doi:10.1177/0003489415591206

Cited by 6 publications

(2 citation statements)

References 2 publications

(2 reference statements)

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“…The development of specialty carts has been described in only a couple of studies in the plastic surgery and otolaryngology literature. 14,15 Thus, it may be difficult for all area hospitals to institute a mobile plastic surgery cart without a standardized methodology. Although the plastics cart was easily implemented in this prospective study, widespread adoption was contingent upon creation of prescriptive development and usage guidelines.…”

Section: Discussionmentioning

confidence: 99%

Development of a Plastic Surgery Supply Cart: Patient Outcomes and Quality of Care

Fahrenkopf

Eichhorn

2019

Plastic and Reconstructive Surgery - Global Open

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Background:Plastic surgeons experience unique quality issues related to the specialty nature of patient procedures. Lack of accessibility to specialty supplies is a rate-limiting variable that impacts treatment efficiency and hospital resources. This study had the following goals: (1) to develop a mobile plastic surgery cart and (2) to assess the impact of a plastic surgery cart on time to treatment of consults.Methods:Two plastic carts were developed using preexisting hospital supplies. Cart composition was designed and approved by hospital staff. A prospective study was conducted to assess overall time to treatment of patient consults throughout the hospital comparing a plastics cart versus a traditional hunt and gather methodology. One surgeon recorded time to treatment with and without the plastics cart for each consult during on-call duty hours over a 6-month period.Results:A total of 40 patients were treated for either head or neck (60%) or hand-related (40%) cases. The average time (minutes) to treatment across all procedures with the plastics cart was 3.7 ± 1.9 versus 46.3 ± 60.0 without the plastics cart. The maximum time to treatment was 9.5 minutes with the plastics cart and 3 hours without the plastics cart. Usage of the plastics cart resulted in a significant reduction in total time to treatment of 42.5 ± 60.3 minutes (P < 0.0001).Conclusions:A specialty supplies cart has quality improvement implications for patients, physicians, and hospitals. Increased accessibility of specialty supplies may significantly reduce the time to treatment for plastic surgery patient consults throughout a hospital.

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Section: Discussionmentioning

confidence: 99%

Development of a Plastic Surgery Supply Cart: Patient Outcomes and Quality of Care

Fahrenkopf

Eichhorn

2019

Plastic and Reconstructive Surgery - Global Open

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“…Limitations of emergency airway carts that may potentially lead to a poor response include the lack of, or too few such carts or their inaccessibility, an absence of up-to-date or appropriately sized equipment, and insufficient familiarity of team members with their locations and contents. The readiness of otolaryngology-specific equipment carts improves patient care, helps contain costs, and, importantly, improves access to the most essential pieces of equipment for emergencies [ 1 ]. The introduction of video laryngoscopy for endotracheal intubation is a welcome advance in the care of pediatric patients with the ability to improve glottic visualization, the potential for higher intubation success, and the use of video recordings for education and quality improvement afterward [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Quality Improvement of Pediatric Airway Emergency Carts: Standardization, Streamlining, and Simulation

Fleishhacker,

Bennion,

Manaligod

et al. 2023

Cureus

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Objective Pediatric airway emergencies are amongst the most tenuous scenarios faced by on-call providers, requiring quick access to the appropriate equipment and a timely response. In the present study, we report on the testing and improvement of pediatric airway carts at our institution. The primary objective was to optimize our pediatric airway emergency carts to improve response times. Secondarily, we aimed to implement a training scenario to improve providers’ familiarity and confidence in attaining and assembling equipment. Methods Surveys of airway cart configuration at our hospital and others were used to identify differences. Volunteer otolaryngology physicians were tasked with responding to a mock scenario using an existing cart or one modified based on the survey. Outcomes included (1) time to arrival of the provider with the appropriate equipment, (2) time from arrival to complete assembly of equipment, and (3) time for re-assembly of the equipment. Results The survey revealed differences in cart equipment and location. The inclusion of a flexible bronchoscope and a video tower, as well as the placement of the carts directly within the ICU, resulted in improved time to arrival by an average of 181 seconds, and improved equipment assembly time by an average of 85 seconds. Discussion Standardization of pediatric airway equipment on the cart and location near critically ill patients improved response efficiency. Simulation led to improved confidence and reduced reaction time among providers at all levels of experience. Conclusion The present study provides an example for the optimization of airway carts, which can be adapted by healthcare systems to their local milieu.

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The Development of a Plastic Surgery Supply Cart: Patient Outcomes and Quality of Care

Fahrenkopf

Eichhorn

2018

Plastic and Reconstructive Surgery - Global Open

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Otolaryngology Consult Carts

Abstract: The development of a self-contained otolaryngology consult cart requires coordination with a wide variety of hospital departments. This system, while requiring initial monetary and time investment, has resulted in improved patient care, cost containment, and surgeon convenience.

Cited by 6 publications

References 2 publications

Development of a Plastic Surgery Supply Cart: Patient Outcomes and Quality of Care

Development of a Plastic Surgery Supply Cart: Patient Outcomes and Quality of Care

Quality Improvement of Pediatric Airway Emergency Carts: Standardization, Streamlining, and Simulation

The Development of a Plastic Surgery Supply Cart: Patient Outcomes and Quality of Care

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