Commitment Vinci Oncologic Center Creating Culture of Safety Contact Info Name: Antonio M. Commitment Banner Health University Medical Center Tucson Commitment to Airway Safety Contact Info Name: Kurt Denninghoff Phone: 520-626-1551 Email: [email protected] Position: Distinguished Professor of Emergency Medicine, Associate Head of Research Organization Name: Banner Health University Medical Center Tucson Organization Address: 1501 N. Campbell Avenue Tucson, Arizona US Participants: • James R. Miner, MD,Chief, Emergency Medicine • David W. Wright, MD,Professor and Vice Chair, Innovation and Discovery Commitment Details Commitment Name: Commitment to Airway Safety:: Action Plan:: The Unplanned Extubation Clinical Trial Group consists of Banner University Medical Center Tucson, Hennepin County Medical Center Minneapolis, and Emory University/Grady Memorial Hospital Atlanta. This group of hospitals are committed to improving patient safety and eliminating preventable deaths related to unintentional (unplanned) removal of patients' life sustaining breathing tubes, known as unplanned extubation. Feb 14, 2010 bajar libros de medicina en formato pdf gratis www. Dermatologia, Dianostico Clinico, Embriologia, Endocrinologia, Enfermeria, Farmacologia. Enfermeria Medico Quirurgica Linda Williams Pdf995. Download Endocrinologia De Williams in PDF. 424 williams linda enfermeria medico. Although none of our three participating facilities currently track unplanned extubation, a very clear safety signal in the medical literature suggests that approximately 7.3% of mechanically ventilated ICU patients experience an unplanned extubation. In our three facilities, we care for approximately 4,500 mechanically ventilated ICU patients years, which would predict 330 patients will experience an unplanned extubation each year. These 330 incidences of unplanned extubation will lead to: 1. 93 cases of Ventilator Associated Pneumonia (VAP) a. The rate of VAP in mechanially ventilated ICU patients experiencing Unplanned Extubation is 28% compared to the rate 14% rate of VAP seen in uncomplicated mechanically ventilated patients. $13.5 Million in wasted healthcare costs. Therefore, we are committed to clearly defining the problem in our facility and developing processes to eliminate related preventable deaths. Therefore, we will work to develop the following: 1. First, we will develop a system to track extubation data on every intubated, mechanically ventilated patient, including intentional (planned) extubation and unintentional (unplanned). ![]() Using the PSMF Core UE Dataset, we will track all incidences of unplanned extubation and develop a quality management system to decrease the rate of UE and eliminate preventable deaths from UE. We will perform a root cause analysis of every unplanned extubation 3. We will work to institute the Patient Safety Movement Foundation Actionable Patient Safety Solutions (APSS) 8B for Airway Safety- Unplanned Extubation 4. One of the Actionable Patient Safety Solutions for preventing unplanned extubation is to standardize tracheal tube restraint devices, utilizing the most proven methods/devices. However, the current literature does not clearly identify any device or technique currently on the market that is superior at preventing unplanned extubation. The PSMF Unplanned Extubation APSS 8B Technology PLan describes a restraint device that was found to restrain against significantly greater forces compared to other systems such as adhesive tape, Laerdal Thomas Tube Holder and the Hollister AnchorFast.
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