Use of an airway bundle to reduce unplanned extubations in a neonatal intensive care unit

被引：3

作者：

Kim, Faith ^{[1
,2
]}

Eckels, Victoria Blancha ^{[1
]}

Brachio, Sandhya S. ^{[1
,2
]}

Brooks, Cristina ^{[1
]}

Ehret, Caitlin ^{[1
]}

Gomez, Gloria ^{[1
]}

Shui, Jessica E. ^{[3
]}

Villaraza-Morales, Sylvia ^{[1
]}

Vargas, Diana ^{[1
,2
]}

机构：

[1] NewYork Presbyterian Morgan Stanley Childrens Hosp, Dept Pediat, Div Neonatol, New York, NY 10032 USA

[2] Columbia Univ, Irving Med Ctr, New York, NY 10027 USA

[3] Harvard Med Sch, Massachusetts Gen Hosp, Dept Pediat, Div Newborn Med, Boston, MA USA

来源：

JOURNAL OF PERINATOLOGY | 2024年 / 44卷 / 02期

关键词：

ENDOTRACHEAL-TUBE MOVEMENT; QUALITY IMPROVEMENT; ADVERSE EVENTS; CHILDREN; INTUBATION; PRETERM; IMPACT; HARM;

D O I：

10.1038/s41372-024-01879-6

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

BackgroundFollowing the opening of an infant cardiac neonatal intensive care unit, our aim was to determine a baseline UE rate and implement initiatives to target a goal less than 0.5 UEs/100 ventilator days.MethodsWe utilized the Model for Improvement. Key stakeholders included neonatal providers, nurses, and respiratory therapists. We focused on the creation of an airway bundle that addressed securement methods, communication and education.ResultsFrom October 2017 to January 2018, our baseline UE rate was 0.92 UEs/100 ventilator days. Subsequent to the implementation of an airway bundle with high compliance, we observed a significant change in the centerline (0.45 to 0.02 UEs/100 ventilator days) during the spring of 2021, followed by a period of 480 days with no UEs.ConclusionIn a unit where UEs were infrequent events, high compliance with an airway bundle led to a significantly sustained decrease in our UE rates.

引用

页码：314 / 320

页数：7

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