Nurse staffing and unplanned extubation in the pediatric intensive care unit

Pediatric Critical Care Medicine

Volumn 6, Issue 3, 2005, Pages 254-257

  Marcin, James P ^b   Rutan, Elizabeth ^a   Rapetti, Paula M ^a   Brown, Jane P ^a   Rahnamayi, Roshanak ^c   Pretzlaff, Robert K ^c  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c NONE

Author keywords

Extubation; Intubation; Medical errors; Nursing; Pediatric intensive care unit; Staff ratios

Indexed keywords

AGE; AGITATION; ARTICLE; CASE CONTROL STUDY; CHILD; CONFIDENCE INTERVAL; CONTROLLED STUDY; DISEASE SEVERITY; EXPERIENCE; EXTUBATION; HUMAN; INTENSIVE CARE; INTUBATION; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; NURSING STAFF; PATIENT CARE; PEDIATRIC HOSPITAL; PRIORITY JOURNAL; RISK FACTOR;

ADOLESCENT; CASE-CONTROL STUDIES; CHILD; CHILD, PRESCHOOL; HUMANS; INFANT; INFANT, NEWBORN; INTENSIVE CARE UNITS, PEDIATRIC; INTUBATION, INTRATRACHEAL; NURSES; PERSONNEL STAFFING AND SCHEDULING; RISK FACTORS; SEVERITY OF ILLNESS INDEX;

EID: 19444386703     PISSN: 15297535     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.PCC.0000160593.75409.6B     Document Type: Article

References (25)

1. Epstein SK, Nevins ML, Chung J: Effect of unplanned extubation on outcome of mechanical ventilation. Am J Respir Crit Care Med 2000; 161:1912-1916
2. Chevron V, Menard JF, Richard JC, et al: Unplanned extubation: Risk factors of development and predictive criteria for reintubation. Crit Care Med 1998; 26:1049-1053
3. Grap MJ, Glass C, Lindamood MO: Factors related to unplanned extubation of endotracheal tubes. Crit Care Nurse 1995; 15:57-65
4. Hummel PA, Kleiber C: Spontaneous endotracheal tube extubation in infants and children. Focus Crit Care 1989; 16:311-318
5. Little LA, Koenig JC Jr, Newth CJ: Factors affecting accidental extubations in neonatal and pediatric intensive care patients. Crit Care Med 1990; 18:163-165
6. Scott PH, Eigen H, Moye LA, et al: Predictability and consequences of spontaneous extubation in a pediatric ICU. Crit Care Med 1985; 13:228-232
7. Kapadia FN, Bajan KB, Raje KV: Airway accidents in intubated intensive care unit patients: An epidemiological study. Crit Care Med 2000; 28:659-664
8. Popernack ML, Thomas NJ, Lucking SE: Decreasing unplanned extubations: Utilization of the Penn State Children's Hospital Sedation Algorithm. Pediatr Crit Care Med 2004; 5:58-62
9. Beckmann U, Baldwin I, Durie M, et al: Problems associated with nursing staff shortage: an analysis of the first 3600 incident reports submitted to the Australian Incident Monitoring Study (AIMS-ICU). Anaesth Intensive Care 1998; 26:396-400
10. Needleman J, Buerhaus P, Mattke S, et al: Nurse-staffing levels and the quality of care in hospitals. N Engl J Med 2002; 346: 1715-1722
11. Person SD, Allison JJ, Kiefe CI, et al: Nurse staffing and mortality for medicare patients with acute myocardial infarction. Med Care 2004; 42:4-12
12. Curtin LL: An integrated analysis of nurse staffing and related variables: Effects on patient outcomes. Online J Issues Nurs 2003; 8:5
13. Curtin L, Simpson R: Staffing and the quality of care. Health Manag Technol 2000; 21:42, 45
14. Amaravadi RK, Dimick JB, Pronovost PJ, et al: ICU nurse-to-patient ratio is associated with complications and resource use after esophagectomy. Intensive Care Med 2000; 26:1857-1862
15. Stanton MW. Hospital Nurse Staffing and Quality of Care (04-0029). Rockville, MD: AHRQ, May 2004
16. Aiken LH, Clarke SP, Sloane DM, et al: Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA 2002; 288:1987-1993
17. Buerhaus PI, Staiger DO, Auerbach DI: Why are shortages of hospital RNs concentrated in specialty care units? Nurs Econ 2000; 18: 111-116
18. Pollack MM, Patel KM, Ruttimann UE: PRISM III: An updated Pediatric Risk of Mortality score. Crit Care Med 1996; 24:743-752
19. Pollack MM, Ruttimann UE, Getson PR: Pediatric risk of mortality (PRISM) score. Crit Care Med 1988; 16:1110-1116
20. Armitage P. Statistical Methods in Medical Research. New York, Wiley, 1971
21. Orlowski JP, Ellis NG, Amin NP, et al: Complications of airway intrusion in 100 consecutive cases in a pediatric ICU. Crit Care Med 1980; 8:324-331
22. Maguire GP, DeLorenzo LJ, Moggio RA: Unplanned extubation in the intensive care unit: A quality-of-care concern. Crit Care Nurs Q 1994; 17:40-47
23. Frank BS, Lewis RJ: Experience with intubated patients does not affect the accidental extubation rate in pediatric intensive care units and intensive care nurseries. Pediatr Pulmonol 1997; 23:424-428
24. Tieman J: Absolute minimum. California announces its decision on nurse-staffing ratios, and other states watch and wait for the ripples to come their way. Mod Healthc 2002; 32:8-10, 16, 13
25. Sechrist KR, Keating SB: The nursing shortage in California: The public policy role of the California strategic Planning Committee For Nursing. Online J Issues Nurs 2001; 6:2.