减少新生儿重症监护病房的非计划性拔管：一项持续的质量改进项目。

Decreasing Unplanned Extubations in the NICU, an Ongoing Quality Improvement Project.

出版信息

Neonatal Netw. 2023 Jun 1;42(3):129-136. doi: 10.1891/NN-2022-0034.

DOI:10.1891/NN-2022-0034

Abstract

Unplanned extubations (UEs) can have devastating effects on neonates. The purpose of this quality improvement project is to decrease the number of UEs in Lankenau Medical Center's 22-bed Level III NICU. The UE rate had risen to 4.6 UEs per 100 ventilator days in 2016. Transitioning to a standardized bundle for intubated infants has decreased the UE rate to less than 2 per 100 ventilator days since 2018. The UE rate continues to be monitored for ongoing accountability and further staff education when rates increase.

摘要

计划外拔管 (UEs) 可能对新生儿产生严重影响。本质量改进项目的目的是降低兰开纳医疗中心 22 张床位的三级新生儿重症监护病房的 UE 数量。2016 年，UE 率上升至每 100 个呼吸机日 4.6 例。自 2018 年以来，对插管婴儿采用标准化护理包，UE 率已降至每 100 个呼吸机日不到 2 例。当 UE 率增加时，将继续监测 UE 率以保持问责制并进一步对员工进行教育。