Unplanned extubation in the NICU

J Obstet Gynecol Neonatal Nurs. 2013 Mar-Apr;42(2):233-8. doi: 10.1111/1552-6909.12009. Epub 2013 Feb 1.


Unplanned extubation (UE) in the neonatal intensive care unit (NICU) is a significant patient safety and quality control issue. I describe the implementation of a quality improvement program using multifactorial prevention strategies, including staff education, identification of neonates at risk for UE, extubation and weaning, standardization of procedures, and comprehensive documentation. Additional research on quality improvement with strategies for neonates may prove beneficial in reducing UE rates in neonates.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Airway Extubation / adverse effects
  • Airway Extubation / methods*
  • Clinical Competence
  • Critical Care
  • Education, Nursing, Continuing / organization & administration
  • Emergencies
  • Female
  • Humans
  • Infant, Newborn
  • Intensive Care Units, Neonatal*
  • Male
  • Patient Care Team / organization & administration*
  • Patient Safety*
  • Quality Improvement / organization & administration*
  • Risk Assessment
  • Total Quality Management