Patient-initiated device removal in intensive care units: A national prevalence study

Critical Care Medicine

Volumn 35, Issue 12, 2007, Pages 2714-2720

  Mion, Lorraine C ^a   Minnick, Ann F ^b   Leipzig, Rosanne M ^c   Catrambone, Catherine D ^d   Johnson, Mary E ^d  

^a METROHEALTH MEDICAL CENTER   (United States)

^b VANDERBILT UNIVERSITY   (United States)

^c MOUNT SINAI SCHOOL OF MEDICINE   (United States)

^d RUSH UNIVERSITY   (United States)

Author keywords

Device removal; Physical restraint; Self extubation; Therapy disruption; Treatment interference

Indexed keywords

ADOLESCENT; ADULT; AGED; DEVICE REMOVAL; FEMALE; HUMAN; INTENSIVE CARE UNIT; MAJOR CLINICAL STUDY; MALE; MORBIDITY; PREVALENCE; PRIORITY JOURNAL; PROSPECTIVE STUDY; REVIEW; SCHOOL CHILD; SELF CARE; SURGICAL DRAINAGE;

EID: 36448930203     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.CCM.0000291651.12767.52     Document Type: Article

References (40)

1. Minnick AF, Mion LC, Leipzig R, et al: Prevalence and patterns of physical restraint use in the acute care setting. J Nurs Adm 1998; 28:19-24
2. Mion LC, Minnick A, Palmer R, et al: Physical restraint use in the hospital setting: Unresolved issues and directions. Milbank Q 1996; 74:411-433
3. Centers for Medicare and Medicaid Services: Medicare and Medicaid Programs; Hospital Conditions of Participation: Patients' Rights; Final Rule. 42CFR Part 482. Federal Register Volume 71, Number 236. Washington, DC, US Government Printing Office, December 8, 2006
4. Joint Commission of Accreditation of Healthcare Organizations: The Joint Commission 2006 Comprehensive Accreditation Manual for Hospitals: The Official Handbook (CAMH). Oakbrook Terrace, IL, Joint Commission of Accreditation of Healthcare Organizations, 2006
5. Christie JM, Dethlefsen M, Cane RD: Unplanned endotracheal extubation in the intensive care unit. J Clin Anesthesia 1996; 8:289-293
6. Fraser GL, Riker RR, Prato BS, et al: The frequency and cost of patient-initiated device removal in the ICU. Pharmacotherapy 2001; 21:1-6
7. Frezza EE. Carleton GL, Valenziano CP: A quality improvement and risk management initiative for surgical ICU patients: A study of the effects of physical restraints and sedation on the incidence of self-extubation. Am J Med Qual 2000; 15:221-225
8. Moons P, Sels K, De Becker W, et al: Development of a risk assessment tool for deliberate self-extubation in intensive care patients. Intensive Care Med 2004; 30:1348-1355
9. Boulain T: Unplanned extubations in the adult intensive care unit: A prospective multicenter study. Am J Respir Crit Care Med 1998; 157:1131-1137
10. Carrion MI, Ayuso D, Marcos M, et al: Accidental removal of endotracheal and nasogastric tubes and intravascular catheters. Crit Care Med 2000; 28:63-66
11. Betbese AJ, Perez M, Bak E, et al: A prospective study of unplanned endotracheal extubation in intensive care unit patients. Crit Care Med 1998; 26:1180-1186
12. 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
13. Kapadia FN, Bajan KB, Raje KV: Airway accidents in intubated intensive care unit patients: An epidemiologic study. Crit Care Med 2000; 28:659-664
14. Chiang AA, Lee KC, Lee JC, et al: Effectiveness of a continuous quality improvement program aiming to reduce unplanned extubations: A prospective study. Intensive Care Med 1996; 22:1269-1271
15. Mion LC, Fogel J, Sandhu S, et al: Outcomes following physical restraint reduction programs in two acute care hospitals. Jt Comm J Qual Improv 2001; 27:605-618
16. Maccioli GA, Dorman T, Brown BR, et al: Clinical practice guidelines for the maintenance of patient physical safety in the intensive care unit: Use of restraining therapies. American College of Critical Care Medicine Task Force 2001-2002. Crit Care Med 2003; 31:2665-2676
17. Minnick AF, Mion LC, Johnson ME, et al: Prevalence and variation of physical restraint use in acute care settings in the US. J Nurs Scholarsh 2007; 39:30-37
18. Atkins PM, Mion LC, Mendelson W, et al: Characteristics and outcomes of patients who self-extubate from ventilatory support. Chest 1997; 112:1317-1323
19. Woods JC, Mion LC, Connor JT, et al: Severe agitation among ventilated medical intensive care unit patients: Frequency, characteristics and outcomes. Intensive Care Med 2004; 30:1066-1072
20. Minnick AF, Roberts MJ, Young WB, et al: What influences patients' reports of three aspects of hospital services? Med Care 1997; 35:399-409
21. Vermunt JK, Magidson J: Hierarchical mixture models for nested data structures. In: Classification: The Ubiquitous Challenge. Weihs C, Gaul W [Eds]. Heidelberg, Springer, 2005.
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. Taggart JA, Lind MA: Evaluating unplanned endotracheal extubations. Dimens Crit Care Nurs 1994; 13:114-120
24. Grap MJ, Glass C, Lindamood MO: Factors related to unplanned extubation of endotracheal tubes. Crit Care Nurse 1995; 15:57-65
25. Moons P, Ferdinande P: Reasons for the higher incidence of unplanned extubation in medical ICUs than in surgical ICUs. Letter. Intensive Care Med 2004; 30:2290
26. Bair N, Bobek MB, Hoffman-Hogg L, et al: Introduction of sedative, analgesic, and neuromuscular blocking agent guidelines in a medical intensive care unit: Physician and nurse adherence. Crit Care Med 2000; 28:707-713
27. Egerod I, Christensen BV, Johansen L: Nurses' and physicians' sedation practices in Danish ICUs in 2003: A national survey. Intensive Crit Care Nurs 2006; 22:22-31
28. Mehta S, Burry L, Fischer S, et al: Canadian survey of the use of sedatives, analgesics, and neuromuscular blocking agents in critically ill patients. Crit Care Med 2006; 34:374-380
29. Siegel MD: Management of agitation in the intensive care unit. Clin Chest Med 2003; 24:713-725
30. Weinert CR, Chlan L, Gross C: Sedating critically ill patients: Factors affecting nurses' delivery of sedative therapy. Am J Crit Care 2001; 10:156-165
31. Arroliga AC, Shehab N, McCarthy K, et al: Relationship of continuous infusion lorazepam to serum propylene glycol concentration in critically ill adults. Crit Care Med 2004; 32:1709-1714
32. Tuohy KA, Nicholson WJ, Schiffman F: Agitation by sedation. Lancet 2003; 361:308
33. Tung A, Tadimeti L, Caruana-Montaldo B, et al: The relationship of sedation to deliberate self-extubation. J Clin Anesth 2001; 13:24-29
34. Tominaga GT, Rudzwick H, Scannell G, et al: Decreasing unplanned extubations in the surgical intensive care unit. Am J Surg 1995; 170:586-590
35. Needleman J, Kurtzman ET, Kizer KW: Performance measurement of nursing care: State of the science and the current consensus. Med Care Res Rev 2007; 64(2 Suppl):10S-43S
36. Yeh SH, Lee LN, Ho TH, et al: Implications of nursing care in the occurrence and consequences of unplanned extubation in adult intensive care units. Int J Nurs Stud 2004; 41:255-262
37. Marcin JP, Rutan E, Rapetti PM, et al: Nurse staffing and unplanned extubation in the pediatric intensive care unit. Pediatr Crit Care Med 2005; 6:254-257
38. Baer CL: Is there an answer to preventing unplanned extubations? Crit Care Med 1998; 26:989-990
39. Kanten DN, Mulrow CD, Gerety MB, et al: Falls: An examination of three reporting methods in nursing homes. J Am Geriatr Soc 1993; 41:662-666
40. Weingart SN, Pagovich O, Sands DZ, et al: What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents. J Gen Intern Med 2005; 20:830-836