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

被引：16

作者：

Frezza, EE ^{[1
]}

Carleton, GL ^{[1
]}

Valenziano, CP ^{[1
]}

机构：

[1] Morristown Mem Hosp, Dept Crit Care, Morristown, NJ USA

来源：

AMERICAN JOURNAL OF MEDICAL QUALITY | 2000年 / 15卷 / 05期

关键词：

critical-care patients; quality improvement; restraint; sedation; self-extubation; unplanned extubation;

D O I：

10.1177/106286060001500507

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The purpose of this paper is to report our experience with 2528 critical care patients we evaluated for the impact of restraints and sedation on self-extubation. During the study, using the new protocol, none of the study patients died.

引用

页码：221 / 225

页数：5

共 20 条

[11]

Pesiri A J, 1994, Crit Care Nurs Q, V17, P35

[12]

SEUDAL I, 1988, CHEST, V102, pS183

[13]

SHELTON DL, 1999, AM MED NEWS 0426, P34

[14]

SNYDER S, 1995, CRIT CARE MED JAN, pA44

[15] UNPLANNED EXTUBATIONS [J].

TINDOL, GA ;

DIBENEDETTO, RJ ;

KOSCIUK, L .

CHEST, 1994, 105 (06) :1804-1807

[16] DECREASING UNPLANNED EXTUBATIONS IN THE SURGICAL INTENSIVE-CARE UNIT [J].

TOMINAGA, GT ;

RUDZWICK, H ;

SCANNELL, G ;

WAXMAN, K .

AMERICAN JOURNAL OF SURGERY, 1995, 170 (06) :586-590

[17] PROSPECTIVE EVALUATION OF SELF-EXTUBATIONS IN A MEDICAL INTENSIVE-CARE UNIT [J].

VASSAL, T ;

ANH, NGD ;

GABILLET, JM ;

GUIDET, B ;

STAIKOWSKY, F ;

OFFENSTADT, G .

INTENSIVE CARE MEDICINE, 1993, 19 (06) :340-342

[18] UNPLANNED EXTUBATION - PREDICTORS OF SUCCESSFUL TERMINATION OF MECHANICAL VENTILATORY SUPPORT [J].

WHELAN, J ;

SIMPSON, SQ ;

LEVY, H .

CHEST, 1994, 105 (06) :1808-1812

[19]

WINDSOR D, 1995, CRIT CARE MED JAN, pA46

[20] COMPLICATIONS OF ASSISTED VENTILATION - PROSPECTIVE STUDY OF 354 CONSECUTIVE EPISODES [J].

ZWILLICH, CW ;

PIERSON, DJ ;

CREAGH, CE ;

SUTTON, FD ;

SCHATZ, E ;

PETTY, TL .

AMERICAN JOURNAL OF MEDICINE, 1974, 57 (02) :161-170

← 1 2 →