Unplanned extubation: securing the tool of our trade

Mehta, Nilesh M.; Sharma, Sanjiv; Laussen, Peter C.

doi:10.1007/s00134-015-4000-1

Cited by 7 publications

(10 citation statements)

References 17 publications

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“…Of particular note is the higher incidence of UPEs 35 (34%) between 13:00 and 19:00. In another study with similar findings, the frequency of UPEs was greater during the first hours of the morning shift, when patient care was intensified [27].…”

Section: Discussionsupporting

confidence: 55%

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Effectiveness of a bundle to prevent unplanned extubation in a pediatric intensive care unit: A multidisciplinary approach

Neves¹,

Ribas²,

Miranda³

et al. 2020

Pediatr Dimensions

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Endotracheal intubation is one of the most common invasive procedures in routine pediatric intensive care. Unplanned extubation occurs when an endotracheal tube is inadvertently removed. To observe and report the incidence of unplanned extubation in children before and after the introduction of a series of measures aimed at controlling and reducing this adverse event in a pediatric intensive care unit. In 2016, a total of 312 patients were hospitalized in the pediatric intensive care unit. Of these, 120 received mechanical ventilation and there were 30 unplanned extubations, corresponding to an annual incidence of 4.24%. In 2017, the corresponding figures were 301, 163, 42 and 3.4%. In 2018, after the introduction of measures to control and reduce the number of unplanned extubations, the corresponding figures were 335, 195, 31 and 1.79%. The incidence in 2018 was statistically significantly lower than in 2017 and 2016 (p < 0.01). Systematic control of the incidence of unplanned extubation and the introduction of a bundle of measures led to a significant reduction in this type of extubation in the pediatric intensive care unit.

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Section: Discussionsupporting

confidence: 55%

“…One factor associated with UPE in pediatric patients is the size of the child, as infants have a smaller body surface on which the tube can be secured. Furthermore, these patients frequently present with excessive secretions and drooling [26,27].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a bundle to prevent unplanned extubation in a pediatric intensive care unit: A multidisciplinary approach

Neves¹,

Ribas²,

Miranda³

et al. 2020

Pediatr Dimensions

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“…3,5,6 Recent studies have set a target of ≤1.0 UEs per 100 ventilator days as a reasonable goal for institutions working to improve their UE rates. 5,7 At our institution, the baseline UE rate across the children’s hospital was above this benchmark at 1.2 per 100 ventilator days.…”

Section: Introductionmentioning

confidence: 77%

Reducing Unplanned Extubations Across a Children’s Hospital Using Quality Improvement Methods

Kandil

Emerson

Hooper

et al. 2018

Pediatric Quality &Amp; Safety

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“…A study (23) developed at University Hospital of the University of Taiwan, found UPEI of COT of 2.1%. A recent editorial (24) indicates that UPEI of COT is a measurable and comparable metric among institutions. They criticize the different metrics and call attention to the fact that the event is avoidable, and it is necessary to understand the care systems to prevent their occurrence.…”

Section: Discussionmentioning

confidence: 99%

Care time and quality indicators in Intensive Care Units

2019

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Objective: To verify the correlation between nursing care time and care quality indicators. Method: Observational, correlational study, developed in 11 Intensive Care Units. The population comprised records of the number of nursing professionals, the number of patients with at least one of the Oro/Nasogastroenteral Probe (GEPRO), Endotracheal Tube (COT) and Central Venous Catheter (CVC) therapeutic devices and the occurrences related to the losses of these artifacts. Results: The time corresponded to 18.86 hours (Hospital A), 21 hours (Hospital B) and 19.50 hours (Hospital C); the Unplanned Outflow Incidence of GEPRO indicator presented a mean of 2.19/100 patients/day; Unplanned Extubation of COT Incidence, 0.42/100 patients/day; and CVC Loss Incidence, 0.22/100 patients/day. There was no statistically significant correlation between time and indicators analyzed. Conclusion: This research may support methodological decisions for future investigations that seek the impact of human resources on the care quality and patient safety.

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Unplanned extubation: securing the tool of our trade

Cited by 7 publications

References 17 publications

Effectiveness of a bundle to prevent unplanned extubation in a pediatric intensive care unit: A multidisciplinary approach

Effectiveness of a bundle to prevent unplanned extubation in a pediatric intensive care unit: A multidisciplinary approach

Reducing Unplanned Extubations Across a Children’s Hospital Using Quality Improvement Methods

Care time and quality indicators in Intensive Care Units

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