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Total out-of-pocket expenses were significantly greater for non-urban this website patients (median, $133 non-urban and $40 urban, p?=?0.03) and distance from residential address to the hospital correlated strongly with days off paid work (r?=?0.90, p?Dabigatran A Western Health Introduction:?There is an increasing trend in literature suggesting that multidisciplinary tracheostomy teams may improve safety, enhance outcomes and promote excellence. Aim:?To evaluate the effect of introduction of a TRS on patient outcomes and staff attitudes. Method:?A multidisciplinary TRS commenced in March 2012 reviewing all patients with tracheostomies on general wards, excluding ENT patients. Data were collected via medical record audit. Two years of retrospective data of pre-TRS patients (n?=?39) were compared with 12 months of prospective post-TRS patients (n?=?28) for: Cannulation time (LOC), length of stay (total and ICU LOS), adverse events and speaking valve (PMV) usage. Medical, nursing and allied health staff were surveyed regarding knowledge and confidence in tracheostomy management. Results:?Analysis of the data demonstrated a mean (SD) APACHE score of 22.0 in the post-TRS group and 27.3 in the pre-TRS group (p?=?0.01). There was a significant increase in frequency of PMV use (p?=?0.01) post-TRS. No click here statistical difference was demonstrated in: LOC, LOS (total and ICU), time to trial PMV and adverse events. Results from staff surveys show improvement in staff (median years experience 3.0, IQR 1�C6) self-reported knowledge and confidence in basic care and complex areas of tracheostomy management post-TRS (p?