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Unplanned Extubation in the NICU


  • The author reports no conflict of interest or relevant financial relationships.


Jessica A. Barber MSN, CRNP, NNP-BC, RNC, Children's Hospital of Philadelphia, Neonatal/Infant Intensive Care Unit, 34th and Civic Center Blvd., Philadelphia, PA 19104.


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.