title: Accidental decannulation: systems thinking, patient protection, and affordable care.
authors.forename: Yue
authors.initials: Y
authors.lastname: Dong
authors.forename: William F
authors.initials: WF
authors.lastname: Dunn
mesh_terms: D020878:Device Removal; D006801:Humans; D061214:Patient Safety; D014139:Tracheostomy / Q000009:adverse effects*