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

文
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Team Resource Management Strategy on Reducing Unplanned

Extubation Events Rate of Endotracheal Tube

Cheng, Ciao-An1 Hsieh, Hsuan-Hen1 Tsuo,Chia-Lo1 Liao,Shu-Chen2*

1RN,BSN,Nurse ,Department of Nursing, Taipei Veterans General Hospital
2RRN, MSN,Head Nurse, Department of Nursing, Taipei Veterans General Hospital

Abstract

Background: There are more than 80% patients who stay in Intensive Care Unit (ICU) has to proceed
endotracheal intubation treatment due to server respiratory failure. Unplanned removal of endotracheal tube

during stay in ICU not only could prolong the treatment period and increased the length of stay in hospital,
but also threaten life.

Purposes: The purpose of this study is to reduce the rate of unplanned endotracheal tube removal in ICU.

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 or-

der to improve this situation, such as leadership, situational monitoring, team supporting and communica-

tion.

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.

Conclusions: This study not only applied the team resources management mode to prevent unplanned

endotracheal tube removal which had achieved signiicant positive result, but also increased patients’ safety.
Besides, positive negotiation climate in working place had established through management strategy.

Keywords: Team Resource Management Strategy, Unplanned endotracheal tube removal.

Accepted for publication: January 14 , 2015

Corresponding author:Liao Shu-Chen
Address correspondence to201, Sec. 2, Shih-Pai Rd., Taipei, Taiwan. R.O.C.
:
Tel:886-2- 28757143
健
康
E-mail:scliao@vghtpe.gov.tw
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