Division of Pediatric Surgery Quality Improvement Project for Improving Quality of Care and Patient Satisfaction in Caring for Patients with Gastrostomy Tubes.
Project Description: There are about 20,000 feeding tubes placed annually in children less than 18 years of age in the United States, and the frequency of pediatric feeding tube placement is increasing nationally (Richards, et al). Severe complications after feeding tube placement occur in about 5-17% of patients, but minor issues are frequent and create associated financial and clinical impact (Richards, et al). Incidence of minor complications with gastrostomy tubes such as leaking, skin breakdown, infection, tube dislodgment, granulation tissue and tube occlusion are reported to be as high as 80% in children. These complications lead to increase in ED visits, nurse calls, extra clinic visits and ultimately increased expenses for hospitals. This places a significant burden on health care providers involved in caring for this population of patients, who often have many complex medical issues. There is a great need to standardize care for this complex group of patients, but literature and recommendations on how to do this are scarce. The Division of Pediatric Surgery at UF Health then surveyed health care providers to get a baseline assessment of what routine g-tube care is given, how common minor g-tube issues are handled, and what education related to feeding tubes providers would like. Using survey monkey, a survey was sent to about 150 pediatric health care providers at UF Health who care for pediatric patients with feeding tubes. This included pediatricians, ED physicians, GI specialty providers, NICU providers, surgical residents, cardiology and Neurology providers and bedside nurses. There were 58 total responses, which provided valuable feeding back to help initiate a quality improvement project at our institution. There were many inconsistencies in how providers handle routine g-tube care, but a strong interest for more education related to caring for patients with feeding tubes.
QPI: Rachel, Nettle, (Rachel.Nettle@surgery.ufl.edu)
Collaborators: (email@example.com); Moiz, Mustafa, (firstname.lastname@example.org)
Advisors: Moiz, Mustafa, (email@example.com); (Saleem.Islam@surgery.ufl.edu)
UF Health Big Aims: Reduce Variation None
MeSH Keywords: Gastrostomy, Granulation Tissue, feeding difficulties, gastrostomy tube, pediatric surgery