Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Reporting unplanned extubation.

Katherine M Birkett1, Kerry A Southerland, Gavin D Leslie

  • 1Royal Perth Hospital, Wellington Street, Perth, WA 6000, Australia. Katherine.Birkett@health.wa.gov.au

Intensive & Critical Care Nursing
|March 22, 2005
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Evaluating the Scale-Up and Sustainability of the Paediatric ESCALATION System in Country Western Australia: A Multi-Methods Study.

The Australian journal of rural health·2026
Same author

Strengthening Aboriginal family involvement in the paediatric ESCALATION system: A multi-methods study of Aboriginal families' experiences in raising concerns.

Journal of pediatric nursing·2026
Same author

Hospital initiatives to involve patients and carers in recognizing clinical deterioration and escalating concerns: a scoping review including considerations for culturally and linguistically diverse populations.

JBI evidence synthesis·2026
Same author

A retrospective cohort study of patient clinical deterioration and escalation of care in hospital, considering language and country of birth.

Australian critical care : official journal of the Confederation of Australian Critical Care Nurses·2026
Same author

Difficult but doable: Health professional perspectives of assessing clinical deterioration in children with dark-coloured skin.

Australian critical care : official journal of the Confederation of Australian Critical Care Nurses·2026
Same author

Co-Design of a Framework for Person-Centred Care at Emergency Department Triage and Waiting Room.

Health expectations : an international journal of public participation in health care and health policy·2025

Unplanned extubation (UE) rates in the Intensive Care Unit (ICU) were audited between 1995-2002. Anonymous reporting and clinical pathways helped reduce UE incidence, highlighting its importance for quality of care monitoring.

Area of Science:

  • Critical Care Medicine
  • Patient Safety
  • Quality Improvement

Background:

  • Unplanned extubation (UE) is a significant concern in Intensive Care Units (ICUs).
  • Understanding UE frequency and risk factors is crucial for improving patient outcomes and care quality.
  • Previous literature reports a wide range of UE incidence rates in ICUs.

Purpose of the Study:

  • To determine the frequency and identify risk factors associated with unplanned extubation (UE) in a general and surgical ICU.
  • To evaluate the impact of interventions, such as anonymous reporting and clinical pathways, on UE rates.
  • To establish a clinical indicator for monitoring UE incidence over time.

Main Methods:

  • Seven clinical audits conducted over consecutive 12-month periods between 1995 and 2002.

Related Experiment Videos

  • Data collection included patient demographics, diagnosis, mental status, sedation, restraints, ETT placement, and precipitating causes.
  • Anonymity in reporting was introduced after the first audit; a UE rate per 100 patients was established as a clinical indicator.

    • Main Results:

    • Aggregate UE rate from 1995-2002 was 2.6%, comparing favorably to literature (2.8-22.5%).
    • Reported UE rates varied between 1.06% and 4.86%, initially increasing with anonymous reporting.
    • Patient factors included high rates of confusion (28-60%), sedation (53-70%), and restraint use (47-67%).
    • Post-intervention, UE incidence decreased in Surgical ICU following implementation of clinical pathways, early weaning, and nurse-led extubation.

    Conclusions:

    • Monitoring unplanned extubation (UE) in the Intensive Care Unit (ICU) provides valuable insights into the quality of patient care.
    • Implementing anonymous reporting systems can lead to a more accurate reflection of UE incidence.
    • Clinical pathways, early weaning protocols, and nurse-led extubation strategies can effectively reduce UE rates in surgical ICUs.