Team Resource Management Strategy on Reducing Unplanned Extubation Events Rate of Endotracheal Tube

2.50
Hdl Handle:
http://hdl.handle.net/10755/616064
Category:
Full-text
Type:
Poster
Title:
Team Resource Management Strategy on Reducing Unplanned Extubation Events Rate of Endotracheal Tube
Author(s):
Cheng, Ciao-An; Liao, Shu-Chen; Tsao, Chia-Lo; Hsieh, Hsuan-Hen
Lead Author STTI Affiliation:
Non-member
Author Details:
Ciao-An Cheng, RN, ywcheng3@vghtpe.gov.tw; Shu-Chen Liao, RN; Chia-Lo Tsao, RN; Hsuan-Hen Hsieh, RN
Abstract:
Session presented on Thursday, July 21, 2016 and Friday, July 22, 2016: Purpose: The purpose of this study is to reduce the rate of unplanned endotracheal tube removal in ICU.In order to learn about the process of team resources management mode and how to plan decrease the the rate of unplanned endotracheal tube removal in order to protect patient's safety. Methods: After cause analyzing from the 20 cases who were suffered unplanned endotracheal tube removal in ICU in 2011. The team resources management mode was utilized to build up certain interventions in order to improve this situation, such as leadership, situational monitoring, team supporting and communication.Thus,we plan in-service education. Establish the standard unplanned endotracheal tube removal. Plan I'M SAFE activity. Establish the partner system in clinical care.Innovate zero extubation by patient. Interprerfessional meeting take place for'effectively to communicate'the patient clinical care plan.'Results: After engaging interventions from January 2012 to May 2013, the rate of unplanned endotracheal tube removal has decreased from 0.27% in 2011 to 0.14% in 2012 by 12 cases. This reached the study goal.The zero extubation by patient from January 2012 to May 2013,we culculate the days no patient extubation by himself in the duration is achieve 104 days. The Interprerfessional meeting'all participants attendance rate is 95%. Conclusion: The endotracheal tube safety is the way to promote patient's safety and it also be serious problem for public health care system. This kind of patients care is focus on physycal restraint and'protect the invasive tube. This study not only applied the team resources management mode to prevent unplanned endotracheal tube removal which had achieved significant positive result, but also increased patients? safety. Besides, positive negotiation climate in working place had established through management strategy. This study obtain many special glory,and Iin our hospital that become a TRM pole with a trophy hung on it. This successful experience is expend to other hospital. We hope the team resources management mode can continue to promote patient's safety in order to provide excellent medical treatment quality.
Keywords:
Team Resource Management Strategy; Unplanned endotracheal tube removal; endotracheal tube
Repository Posting Date:
13-Jul-2016
Date of Publication:
13-Jul-2016 ; 13-Jul-2016
Other Identifiers:
INRC16PST32; INRC16PST32
Conference Date:
2016
Conference Name:
27th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Cape Town, South Africa
Description:
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePosteren
dc.titleTeam Resource Management Strategy on Reducing Unplanned Extubation Events Rate of Endotracheal Tubeen
dc.contributor.authorCheng, Ciao-Anen
dc.contributor.authorLiao, Shu-Chenen
dc.contributor.authorTsao, Chia-Loen
dc.contributor.authorHsieh, Hsuan-Henen
dc.contributor.departmentNon-memberen
dc.author.detailsCiao-An Cheng, RN, ywcheng3@vghtpe.gov.tw; Shu-Chen Liao, RN; Chia-Lo Tsao, RN; Hsuan-Hen Hsieh, RNen
dc.identifier.urihttp://hdl.handle.net/10755/616064-
dc.description.abstractSession presented on Thursday, July 21, 2016 and Friday, July 22, 2016: Purpose: The purpose of this study is to reduce the rate of unplanned endotracheal tube removal in ICU.In order to learn about the process of team resources management mode and how to plan decrease the the rate of unplanned endotracheal tube removal in order to protect patient's safety. Methods: After cause analyzing from the 20 cases who were suffered unplanned endotracheal tube removal in ICU in 2011. The team resources management mode was utilized to build up certain interventions in order to improve this situation, such as leadership, situational monitoring, team supporting and communication.Thus,we plan in-service education. Establish the standard unplanned endotracheal tube removal. Plan I'M SAFE activity. Establish the partner system in clinical care.Innovate zero extubation by patient. Interprerfessional meeting take place for'effectively to communicate'the patient clinical care plan.'Results: After engaging interventions from January 2012 to May 2013, the rate of unplanned endotracheal tube removal has decreased from 0.27% in 2011 to 0.14% in 2012 by 12 cases. This reached the study goal.The zero extubation by patient from January 2012 to May 2013,we culculate the days no patient extubation by himself in the duration is achieve 104 days. The Interprerfessional meeting'all participants attendance rate is 95%. Conclusion: The endotracheal tube safety is the way to promote patient's safety and it also be serious problem for public health care system. This kind of patients care is focus on physycal restraint and'protect the invasive tube. This study not only applied the team resources management mode to prevent unplanned endotracheal tube removal which had achieved significant positive result, but also increased patients? safety. Besides, positive negotiation climate in working place had established through management strategy. This study obtain many special glory,and Iin our hospital that become a TRM pole with a trophy hung on it. This successful experience is expend to other hospital. We hope the team resources management mode can continue to promote patient's safety in order to provide excellent medical treatment quality.en
dc.subjectTeam Resource Management Strategyen
dc.subjectUnplanned endotracheal tube removalen
dc.subjectendotracheal tubeen
dc.date.available2016-07-13T11:03:30Z-
dc.date.issued2016-07-13-
dc.date.issued2016-07-13en
dc.date.accessioned2016-07-13T11:03:30Z-
dc.conference.date2016en
dc.conference.name27th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationCape Town, South Africaen
dc.descriptionTheme: Leading Global Research: Advancing Practice, Advocacy, and Policyen
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