Project Information

Reducing Unplanned Extubations in the NICU

Project Description: Project Objectives 1. Reduce unplanned extubations in the NICU to less than 1 unplanned extubation per 100 patient-intubated days. 2. Investigate potential causative unplanned extubation factors. 3. Implement effective interventions to reducing the rate of unplanned extubations. Implement UE prevention bundle with key drivers: Securement and placement Standardized anatomic reference points and securement methods 2-person technique for high-risk procedures High risk situational awareness Sticky note in chart if history of UE Vent cards noting high-risk procedures Knowledge and engagement of stakeholders Skills fair education Announcement in shift huddle on days since last UE Debrief of UE ACA findings in shift huddle Multidisciplinary care coordination Multidisciplinary ACA for each event (RN, RT, MD/NP) Discussion at NICU MD quality meetings & UPC Adequate comfort and sedation & extubation readiness Active discussion on each shift of extubation readiness Future: Standardized sedation/comfort protocols

QPI: Tara, Jendzio, (

Collaborators: Candace, Rouse, (; (; (; Dawn, Disalvo, (

Advisors: (; (; David, Burchfield, (

UF Health Big Aims: Zero Harm None

MeSH Keywords: Intensive Care Units, Neonatal, Airway Extubation, Patient Safety, Airway Extubation, Patient Safety