Clinical experience

Control of unplanned endotracheal extubation with Healthcare Failure Mode and Effect Analysis

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  • Cardiac Center, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai 200127, China

Online published: 2011-09-27

Abstract

Objective To improve the nursing procedure of endotracheal intubation for control of unplanned extubation with healthcare failure mode and effect analysis (HFMEA). Methods HFMEA was adopted to explore the main causes for unplanned endotracheal extubation in Cardiac Center, Shanghai Children's Medical Center affiliated to Shanghai Jiaotong University School of Medicine, and modified nursing procedure of endotracheal intubation was designed. Results After implementation of the modified nursing procedure, the unplanned endotracheal extubation rate decreased from 0.188 in 2009 to 0.113 in 2010. Conclusion Through improvement of nursing procedure of endotracheal intubation and education on medical staff on prevention of unplanned extubation with HFMEA, unplanned endotracheal extubation rate can be effectively controlled.

Cite this article

GUAN Yong-mei, SHEN Nan-ping, HE Ping-ping . Control of unplanned endotracheal extubation with Healthcare Failure Mode and Effect Analysis[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2011 , 31(9) : 1355 . DOI: 10.3969/j.issn.1674-8115.2011.09.034

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