Quality improvement project to reduce unplanned extubations in a paediatric intensive care unit.

Joyce Caroline Dinelli FerreiraMilena Siciliano NascimentoSimone BrandiCristiane do PradoCintia de Cassia CintraJoão Fernando AlmeidaDaniel Tavares MalheiroAntonio Capone

Published in: BMJ open quality (2023)

The improvement project conducted in the 11-month period reduced the unplanned extubation rate to zero in our institution and sustained this result for a period of 743 days. Adherence to the new fixation model and the creation of a new restrictor model, which enabled the implementation of good practices of physical restraint were the ideas of change that had the greatest impact in achieving this result.

Keyphrases

quality improvement
intensive care unit
patient safety
primary care
mechanical ventilation
healthcare
physical activity
emergency department
mental health
minimally invasive
cardiac surgery
adipose tissue
insulin resistance
acute respiratory distress syndrome
extracorporeal membrane oxygenation