eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association

Chinese Journal of Emergency and Critical Care Nursing ›› 2023, Vol. 4 ›› Issue (1): 17-21.doi: 10.3761/j.issn.2096-7446.2023.01.002

• Research Paper • Previous Articles     Next Articles

The optimization and effect evaluation of management process of difficult intubation after unplanned extubation in patients with tracheotomy

WANG Shuyun, SHI Yanrong, JIANG Fangfang, WU Nannan   

  1. The First Affiliated Hospital of Zhengzhou University,Zhengzhou, 450000,China
  • Received:2022-03-01 Online:2023-01-10 Published:2023-01-13

Abstract: Objective To optimize and verify the clinical effect of management procedure for difficult intubation after unplanned extubation(UE)in patients with tracheotomy. Methods An expert team was set up to sort out the unplanned extubation management process of patients with tracheotomy,apply medical failure mode and effect analysis to conduct failure analysis on the process steps,formulate optimized plans and organize implementation. The differences of each indicator before(January-December 2019)and after(January-December 2020)process optimization were compared. Results After process optimization,the unplanned extubation rescue time of patients with tracheotomy was shortened from (32.18±3.21)min before optimization to (23.28±2.01)min(P<0.05). Patients' satisfaction with nursing work increased from (86.24±4.93)to (89.48±2.48)(P<0.001). Doctors' satisfaction with nursing work increased from(75.35±7.54)to (84.80±3.65)(P<0.05). Conclusion The introduction of medical failure mode and effect analysis to optimize UE management process for patients with tracheotomy moved the risk window forward,which can effectively shorten the treatment time and improve the success rate and satisfaction of UE treatment for patients with tracheotomy.

Key words: Tracheotomy, Unplanned Extubation, Healthcare Failure Mode and Effect Analysis, Process Optimization, Critical Care Nursing