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A Bedside Checklist Kept More Breathing Tubes in Place

A five-year intensive-care initiative paired nurse education and risk review with a sustained reduction in unplanned extubations.

Published Updated Story ID: mp-2026-08-01-005
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Summary

A five-year intensive-care initiative paired nurse education and risk review with a sustained reduction in unplanned extubations.

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.

Limits and context

  • This is a long-running single-unit improvement report, not a randomized trial.

Key claims

  1. A five-year intensive-care initiative paired nurse education and risk review with a sustained reduction in unplanned extubations.

    Qualification: This is a long-running single-unit improvement report, not a randomized trial.

    Evidence: source-2026-08-01-005

Sources

  1. St. Joseph's Health via Newswise: Nurse-led unplanned-extubation initiativeSt. Joseph's Health via Newswise · secondary reporting

Corrections

No corrections have been recorded for this story.