Prevention of unplanned extubations in neonates through process standardization

T. D. Fontánez-Nieves, M. Frost, E. Anday, D. Davis, D. Cooperberg, A. J. Carey

Research output: Contribution to journalArticle

10 Scopus citations


Objective : Unplanned extubation events (UPEs) in neonates are hazardous to patient safety. Our goal was to reduce UPE rate (#UPEs per 100 ventilator days) by 50% in 12 months at our 25-bed level III inborn unit. Study Design : Baseline data were gathered prospectively for 7 months. Three Plan-Do-Study-Act (PDSA) cycles targeting main causes of UPEs were developed over the next 20 months. Causes of UPEs were analyzed using Pareto charts; and a U control chart was created with QI Charts

Original languageEnglish (US)
Pages (from-to)469-473
Number of pages5
JournalJournal of Perinatology
Issue number6
StatePublished - Jun 1 2016


ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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