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.
[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
[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
@article{"International Journal of Business, Human and Social Sciences:63450", author = "Jih-Rue Pan and Feng-Chuan Pan", title = "Reducing Unplanned Extubation in Psychiatric LTC", abstract = "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 = "Unplanned extubation, patient safety, error information", volume = "5", number = "10", pages = "1289-3", }