Unplanned extubation in a paediatric intensive care unit: impact of a quality improvement programme

Unplanned extubation in a paediatric intensive care unit: impact of a quality improvement programme

Autor Silva, P. S. L. da Google Scholar
Aguiar, V. E. de Google Scholar
Neto, H. M. Google Scholar
Carvalho, W. B. de Autor UNIFESP Google Scholar
Instituição Hosp Estadual Diadema UNFESP
Universidade Federal de São Paulo (UNIFESP)
Resumo Unplanned tracheal extubation is an important quality issue in current medical practice as it is a common occurrence ill paediatric intensive care units. We have assessed the effectiveness Ora continuous quality improvement programme in reducing the incidence of unplanned extubation Over a 5-year period. After a 2-year baseline period, we developed action plans to address the issues identified. Following implementation of the programme, the developed action plans to address the issues extubation decreased form 2.9 unplanned extubations per 100 intubated patient days in the first year to 0.6 in the last year (p = 0.0001). This reduction was the result of a decrease in unplanned extubation in children younger than 2 years of age. Although mortality was similar to that of Children who did not experience an unplanned extubation, those with an unplanned extubation had a significantly longer duration of mechanical ventilation, longer stay in the intensive care unit, and longer hospital stay. We found that the implementation of a continuous quality improvement programme is effective in reducing the overall incidence of unplanned extubations.
Idioma Inglês
Data de publicação 2008-11-01
Publicado em Anaesthesia. Malden: Wiley-Blackwell Publishing, Inc, v. 63, n. 11, p. 1209-1216, 2008.
ISSN 0003-2409 (Sherpa/Romeo, fator de impacto)
Publicador Wiley-Blackwell
Extensão 1209-1216
Fonte http://dx.doi.org/10.1111/j.1365-2044.2008.05628.x
Direito de acesso Acesso aberto Open Access
Tipo Artigo
Web of Science WOS:000259937300009
Endereço permanente http://repositorio.unifesp.br/handle/11600/30982

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