Patient Safety and Unplanned Extubation in a Pediatric Intensive Care Unit: A Analytical Observational Study
Journal Title: Journal of Quality in Health Care & Economics (JQHE) - Year 2021, Vol 4, Issue 2
Abstract
Introduction: Unplanned extubation (UE) is characterized by the removal or displacement of the endotracheal tube (ETT). Objectives: To analyze the incidence of unplanned extubation, characterize the most prevalent cases of unplanned extubation and analyze an extubation protocol. Methodology: This study is characterized as an analytical observational study design, performed in two stages: field research to collect and analyze data from medical records and analysis of the NPE protocol used by a large hospital. Results: In the collected medical records, rates of 7.75 UE/100 days of MV for general and surgical ICU and 4.68 UE/100 days of MV for cardiopediatric ICU were found. The female gender was predominant in the group of patients evaluated and the cause of unknown origin was the most prevalent. We identified 19 unplanned extubations in the general and surgical ICU, and 9 episodes of unplanned extubation in the cardiopediatric ICU, 28 occurrences. For the protocol evaluation the AGREE II instrument was used and the following scores were obtained: domain 1 with 85.19%; domain 2 with 72.22%; domain 3 with 35.42%; domain 4 with 96.30%; domain 5 with 76.39% and domain 6 with 100%. The general score of the protocol evaluation was grade four. Conclusion: The data presented can be of great benefit for prevention, identification and early intervention of UE episodes in pediatric patients with higher risk factors.
Authors and Affiliations
Ribeiro ER*, Pellis IC, Maranhao JGW, Gennari RL, Simao M and Pamplona RAC
Keywords
Related Articles
- EP ID EP751040
- DOI 10.23880/jqhe-16000211
- Views 72
- Downloads 0
Orthoptists Services: A Review of Benefits Paid By Medical Schemes, South Africa
Background: Orthoptists are specialists in diagnosing and treating ocular movement disorders and problems related to how the eyes work together, known as binocular vision. There is currently about 1 100 orthoptist regist...
Tetravalent Flu Vaccine in Italy: A Budget Impact Analysis (BIA)
Introduction: Influenza is an important problem of Public Health and source of costs: it’s the main cause of school and work absences, GP (general practitioner) consultation, hospitalization for the possible implication...
A Review of the Efforts Made by Several African Countries to Reach UNAIDS Targets and the Effects of the Covid-19 on People Living with HIV
Even though COVID-19 has spread faster than any other health problem in the last 100 years, it is not the first pandemic that the modern world has had to deal with. As countries try to deal with the COVID-19 pandemic, wh...
An Intervention Study on Worm Infestation among School Going Children in Rural Areas of South India
Background: World Health Organization had estimated that about 1400 million people worldwide are infected with any one of the three kinds of intestinal helminths. They are a roundworm, hookworm and whipworm infestation....
Performance Evaluation on Science and Innovation Management Process in A Cuban Medical University
Quality represents a form of management focused and concerned on user satisfaction, as well as processes and results improvement. In an institution like the university, quality must involve all academic and administrati...