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    "story_id": "mp-2026-08-01-005",
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    "headline": "A Bedside Checklist Kept More Breathing Tubes in Place",
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    "dek": "A five-year intensive-care initiative paired nurse education and risk review with a sustained reduction in unplanned extubations.",
    "summary": "A five-year intensive-care initiative paired nurse education and risk review with a sustained reduction in unplanned extubations.",
    "body_text": "A nurse-led quality-improvement effort in St. Joseph's Health's 28-bed medical intensive-care unit followed 343 unplanned extubations. After the rate peaked at 2.0 per 100 ventilator days in late 2018, the unit reports it remained below 0.7 through 2023, compared with a stated 1.06 benchmark; 82 patients required reintubation. This is a long-running single-unit improvement report, not a randomized trial.",
    "why_it_matters": "A five-year intensive-care initiative paired nurse education and risk review with a sustained reduction in unplanned extubations.",
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    "first_published_at": "2026-08-01T09:00:00.000-04:00",
    "modified_at": "2026-08-01T09:00:00.000-04:00",
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        "qualification": "This is a long-running single-unit improvement report, not a randomized trial."
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    "tags": [
      "intensive care",
      "nursing",
      "extubation",
      "quality improvement"
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    {
      "source_id": "source-2026-08-01-005",
      "title": "St. Joseph's Health via Newswise: Nurse-led unplanned-extubation initiative",
      "publisher": "St. Joseph's Health via Newswise",
      "url": "https://www.newswise.com/articles/nurse-led-initiative-reduces-unplanned-extubations",
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      "accessed_at": "2026-08-01T08:36:00.000-04:00",
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    "title": "A Bedside Checklist Kept More Breathing Tubes in Place",
    "publisher": "The Machine Press",
    "published_at": "2026-08-01T09:00:00.000-04:00",
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