英文摘要 |
Insertion of endotracheal tubes (ETTs) was the common procedure in critical care units. Once ETT dislodged unexpectedly, it may not only increase the medical expense but also endanger the patients’ safety. Our current project aim to reduce the incidence rate of ETT dislodgement by utilizing Breakthough Series (BTS) Model. This model consisted of seven items, including (1) a checklist for ETT fixation procedures, (2) a checklist for standard physical constraints, (3) a standard protocal for sedation and analgesia, (4) identification of high-risk patients of dislodgement, (5) a reminder card at bedside, (6) primary care nursing who can speak patients’ mother language, and (7) continuous medical education about ETT care. After implementation of this model for 9 months, the incidence rate of ETT dislodgement dramatically dropped from 0.65% in 2008 to 0.22% in 2009. Our succeful experiences demonstrated that BTS Model can be generally applied to other units who were also making efforts to reduce unexpected tube dislodgement and to promote healthcare quality. |