title: Unplanned extubation in the NICU.
abstract: Unplanned extubation (UE) in the neonatal intensive care unit (NICU) is a significant patient safety and quality control issue. I describe the implementation of a quality improvement program using multifactorial prevention strategies, including staff education, identification of neonates at risk for UE, extubation and weaning, standardization of procedures, and comprehensive documentation. Additional research on quality improvement with strategies for neonates may prove beneficial in reducing UE rates in neonates.
authors: Children's Hospital of Philadelphia, Neonatal/Infant Intensive Care Unit, 34th and Civic Center Blvd., Philadelphia, PA 19104, USA. jessica.barber@alumni.upenn.edu
authors: Jessica A
authors: JA
authors: Barber
mesh_terms: D060666:Airway Extubation / Q000009:adverse effects / Q000379:methods*; D002983:Clinical Competence; D003422:Critical Care; D004509:Education, Nursing, Continuing / Q000458:organization & administration; D004630:Emergencies; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D008297:Male; D010348:Patient Care Team / Q000458:organization & administration*; D061214:Patient Safety; D058996:Quality Improvement / Q000458:organization & administration*; D018570:Risk Assessment; D017749:Total Quality Management