Decreasing Unplanned Extubations in the NICU, an Ongoing Quality Improvement Project

被引:0
|
作者
Bretz, Gwen [1 ,4 ]
Chang, Gordon [2 ]
Bonner, Tara [3 ]
机构
[1] Lankeanaus NICU, Qual Improvement Champ, Wynnewood, PA USA
[2] Main Line Hlth, Neonatology, Philadelphia, PA USA
[3] Lankenau Med Ctr, Resp Therapy, Wynnewood, PA USA
[4] 100 East Lancaster Ave, Wynnewood, PA 19096 USA
来源
NEONATAL NETWORK | 2023年 / 42卷 / 03期
关键词
quality improvement; respiratory; ventilation; NICU care; education;
D O I
10.1891/NN-2022-0034
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Unplanned extubations (UEs) can have devastating effects on neonates. The purpose of this quality improvement project is to decrease the number of UEs in Lankenau Medical Center's 22-bed Level III NICU. The UE rate had risen to 4.6 UEs per 100 ventilator days in 2016. Transitioning to a standardized bundle for intubated infants has decreased the UE rate to less than 2 per 100 ventilator days since 2018. The UE rate continues to be monitored for ongoing accountability and further staff education when rates increase.
引用
收藏
页码:129 / 136
页数:8
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