Title : Accidental extubation events How unplanned it is and what lessons can be learnt?
Review on accidental extubation from the literature. Effects of accidental extubation on the baby and wider impact parents/staff and outcome. Challenges of capturing data on accidental extubation. Results of a quality improvement project on accidental extubation. Extubation event is common in the neonatal unit. Accidental (unplanned) extubation should be uncommon. However, accidental extubation events are often not measured/ under reported and it’s perceived as normal’’. This quality improvement project aims to determine the frequency and characteristics of accidental extubations in preterm infants in a large neonatal unit and strategies to manage the issues around its occurrence.