Commenced in January 2007
Frequency: Monthly
Edition: International
Paper Count: 30855
Reducing Unplanned Extubation in Psychiatric LTC

Authors: Feng-Chuan Pan, Jih-Rue Pan


Today-s healthcare industries had become more patient-centric than profession-centric, from which the issues of quality of healthcare and the patient safety are the major concerns in the modern healthcare facilities. An unplanned extubation (UE) may be detrimental to the patient-s life, and thus is one of the major indexes of patient safety and healthcare quality. A high UE rate not only defeated the healthcare quality as well as the patient safety policy but also the nurses- morality, and job satisfaction. The UE problem in a psychiatric hospital is unique and may be a tough challenge for the healthcare professionals for the patients were mostly lacking communication capabilities. We reported with this essay a particular project that was organized to reduce the UE rate from the current 2.3% to a lower and satisfactory level in the long-term care units of a psychiatric hospital. The project was conducted between March 1st, 2011 and August 31st, 2011. Based on the error information gathered from varied units of the hospital, the team analyzed the root causes with possible solutions proposed to the meetings. Four solutions were then concluded with consensus and launched to the units in question. The UE rate was now reduced to a level of 0.17%. Experience from this project, the procedure and the tools adopted would be good reference to other hospitals.

Keywords: Patient Safety, Unplanned extubation, error information

Digital Object Identifier (DOI):

Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 1401


[1] Peng SJ (1999). Prevention and management of unplanned extubation. VGH Nursing, 16(1)´╝î64-67ÒÇé
[2] Maguire, GP, Delorenzo, LJ, & Moggio, RA (1994). Unplanned extubation in the Intensive Care Unit: A quality of care concern. Care Knurs Quarterly, 17(3), 40-47.
[3] Carrion, MI., Ayuso D. & Marcos, M. (2000). Accidental removal of endotrachel and nasogaastric tubes and intravascular catheters. Crit Care Med, 28, 63-66.
[4] Chen SF, Yu JM, Wang LL, Lin YL (2000)´╝ÄA study of risk factors of unplanned extubation. The Journal of Health Science, 2(3), 250-258.
[5] Ming Y, Meng SY, Fan PL (2002)´╝ÄClinical assessment and applications of "physical restraint use," Tzu Chi Nursing Journal, 1(2), 24-30.
[6] Chang LY, Wang KW, and Chao YF. (2008). Influence of physical restraint on unplanned extubation of adult intensive care patients: a case-control study. American Journal of Critical Care., 17, 408-415