A quality improvement project could be designed using the Model for Improvement framework.9
First identify the what you are trying to accomplish (ie what is the aim of the project) using a SMART (specific, measurable, achievable, relevant, and timely) framework.
The how do you know that a change is an improvement – what are your measures?
What can you change to result in an improvement? These are your change ideas.
Depending on what previous critical incidence have been reported with tracheostomies these findings can be used to make changes.
Multidisciplinary team involvement is much more likely to make change a success.