ArticlePediatric quality & safety
Reducing Unplanned Extubations Across a Children's Hospital Using Quality Improvement Methods.
Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Quality improvement interventions to prevent unplanned extubations in pediatric critical care: a systematic review.Systematic reviews · 2022Pooled it
- Prevention of unplanned extubation in neonates with silk tie securement.Pediatric research · 2026Article
- Use of an airway bundle to reduce unplanned extubations in a neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- Pediatric Ventilator-Associated Events Before and After a Multicenter Quality Improvement Initiative.JAMA network open · 2023Article
- Experiences of a Regional Quality Improvement Collaborative to Reduce Unplanned Extubations in the Neonatal Intensive Care Unit.Children (Basel, Switzerland) · 2022Article
- Patient characteristics associated with complications during neonatal intubations.Pediatric pulmonology · 2021Article
- Frequency and Analysis of Unplanned Extubation in Coronavirus Disease 2019 Patients.Critical care explorations · 2020Article
- Synergizing Safety: A Customized Approach to Curtailing Unplanned Extubations through Shared Decision-making in the NICU.Pediatric quality & safetyArticle
- Enhancing Safety in Mechanical Ventilation: A Quality Improvement Initiative Targeting Unplanned Extubations in a Tunisian PICU.Pediatric quality & safetyArticle
- Reducing Unplanned Pediatric Extubations by Modifying Analgosedative Infusions.Pediatric quality & safetyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionChildren who require an endotracheal (ET) tube for care during critical illness are at risk of unplanned extubations (UE), or the unintended dislodgement or removal of an ET tube that can lead to significant patient harm. A proposed national benchmark is 1 UE per 100 ventilator days. We aimed to reduce the rate of UEs in our intensive care units (ICUs) from 1.20 per 100 ventilator days to below the national benchmark within 2 years.
methodsWe identified several key drivers including ET securement standardization, safety culture, and strategies for high-risk situations. We employed quality improvement methodologies including apparent cause analysis and plan-do-study-act cycles to improve our processes and outcomes.
resultsOver 2 years, we reduced the rate of UEs hospital-wide by 75% from 1.2 to 0.3 per 100 ventilator days. We eliminated UEs in the pediatric ICU during the study period, while the UE rate in the neonatal ICU also decreased from 1.2 to 0.3 per 100 ventilator days.
conclusionWe demonstrated that by using quality improvement methodology, we successfully reduced our rate of UE by 75% to a level well below the proposed national benchmark.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.