Skip to main content
 

Main menu

  • Home
  • Content
    • Current Issue
    • Editor's Commentary
    • Coming Next Month
    • Archives
    • Most-Read Papers of 2021
  • Authors
    • Author Guidelines
    • Submit a Manuscript
  • Reviewers
    • Reviewer Information
    • Create Reviewer Account
    • Reviewer Guidelines: Original Research
    • Reviewer Guidelines: Reviews
    • Appreciation of Reviewers
  • CRCE
    • Through the Journal
    • JournalCasts
    • AARC University
    • PowerPoint Template
  • Open Forum
    • 2022 Call for Abstracts
    • 2021 Abstracts
    • Previous Open Forums
  • Podcast
    • English
    • Español
    • Portugûes
    • 国语
  • Videos
    • Video Abstracts
    • Author Interviews
    • Highlighted Articles
    • The Journal

User menu

  • Subscribe
  • My alerts
  • Log in

Search

  • Advanced search
American Association for Respiratory Care
  • Subscribe
  • My alerts
  • Log in
American Association for Respiratory Care

Advanced Search

  • Home
  • Content
    • Current Issue
    • Editor's Commentary
    • Coming Next Month
    • Archives
    • Most-Read Papers of 2021
  • Authors
    • Author Guidelines
    • Submit a Manuscript
  • Reviewers
    • Reviewer Information
    • Create Reviewer Account
    • Reviewer Guidelines: Original Research
    • Reviewer Guidelines: Reviews
    • Appreciation of Reviewers
  • CRCE
    • Through the Journal
    • JournalCasts
    • AARC University
    • PowerPoint Template
  • Open Forum
    • 2022 Call for Abstracts
    • 2021 Abstracts
    • Previous Open Forums
  • Podcast
    • English
    • Español
    • Portugûes
    • 国语
  • Videos
    • Video Abstracts
    • Author Interviews
    • Highlighted Articles
    • The Journal
  • Twitter
  • Facebook
  • YouTube
Research ArticleOriginal Research

Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems

Julius Cuong Pham, Tamara L Williams, Erin M Sparnon, Tam K Cillie, Hilda F Scharen and William M Marella
Respiratory Care May 2016, 61 (5) 621-631; DOI: https://doi.org/10.4187/respcare.04151
Julius Cuong Pham
Department of Emergency Medicine, Department of Anesthesia and Critical Care, Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Tamara L Williams
University HealthSystem Consortium, Chicago, Illinois.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Erin M Sparnon
Pennsylvania Patient Safety Authority, Philadelphia, Pennsylvania.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Tam K Cillie
Office of Surveillance and Biometrics
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Hilda F Scharen
Office of the Center Director, Center for Devices and Radiological Health, United States Food and Drug Administration, Silver Spring, Maryland.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
William M Marella
Pennsylvania Patient Safety Authority, Philadelphia, Pennsylvania.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Supplemental
  • References
  • Info & Metrics
  • PDF
Loading

References

  1. 1.↵
    1. Pronovost PJ,
    2. Goeschel CA,
    3. Olsen KL,
    4. Pham JC,
    5. Miller MR,
    6. Berenholtz SM,
    7. et al
    . Reducing health care hazards: lessons from the commercial aviation safety team. Health Affairs 2009;28(3):w479–w489.
    OpenUrlAbstract/FREE Full Text
  2. 2.↵
    1. Grap MJ
    . Not-so-trivial pursuit: mechanical ventilation risk reduction. Am J Crit Care 2009;18(4):299–309.
    OpenUrlAbstract/FREE Full Text
  3. 3.↵
    1. Mahmood NA,
    2. Chaudry FA,
    3. Azam H,
    4. Ali MI,
    5. Khan MA
    . Frequency of hypoxic events in patients on a mechanical ventilator. Int J Crit Illn Inj Sci 2013;3(2):124–129.
    OpenUrlPubMed
  4. 4.↵
    1. Murias G,
    2. Villagra A,
    3. Blanch L
    . Patient-ventilator dyssynchrony during assisted invasive mechanical ventilation. Minerva Anestesiol 2013;79(4):434–444.
    OpenUrlPubMed
  5. 5.↵
    1. Snijders C,
    2. van Lingen RA,
    3. van der Schaaf TW,
    4. Fetter WP,
    5. Molendijk HA
    , NEOSAFE study group. Incidents associated with mechanical ventilation and intravascular catheters in neonatal intensive care: exploration of the causes, severity and methods for prevention. Arch Dis Child Fetal Neonatal Ed 2011;96(2):F121–F126.
    OpenUrlAbstract/FREE Full Text
  6. 6.↵
    1. de Groot RI,
    2. Dekkers OM,
    3. Herold IH,
    4. de Jonge E,
    5. Arbous MS
    . Risk factors and outcomes after unplanned extubations on the ICU: a case-control study. Crit Care 2011;15(1):R19.
    OpenUrlCrossRefPubMed
  7. 7.↵
    1. Moons P,
    2. Sels K,
    3. De Becker W,
    4. De Geest S,
    5. Ferdinande P
    . Development of a risk assessment tool for deliberate self-extubation in intensive care patients. Intensive Care Med 2004;30(7):1348–1355.
    OpenUrlPubMedWeb of Science
  8. 8.↵
    1. Tindol GA Jr.,
    2. DiBenedetto RJ,
    3. Kosciuk L
    . Unplanned extubations. Chest 1994;105(6):1804–1807.
    OpenUrlCrossRefPubMedWeb of Science
  9. 9.↵
    1. Yeh SH,
    2. Lee LN,
    3. Ho TH,
    4. Chiang MC,
    5. Lin LW
    . Implications of nursing care in the occurrence and consequences of unplanned extubation in adult intensive care units. Int J Nurs Stud 2004;41(3):255–262.
    OpenUrlCrossRefPubMedWeb of Science
  10. 10.↵
    1. Curry K,
    2. Cobb S,
    3. Kutash M,
    4. Diggs C
    . Characteristics associated with unplanned extubations in a surgical intensive care unit. Am J Crit Care 2008;17(1):45–51.
    OpenUrlAbstract/FREE Full Text
  11. 11.↵
    1. Chevron V,
    2. Ménard JF,
    3. Richard JC,
    4. Girault C,
    5. Leroy J,
    6. Bonmarchand G
    . Unplanned extubation: risk factors of development and predictive criteria for reintubation. Crit Care Med 1998;26(6):1049–1053.
    OpenUrlCrossRefPubMedWeb of Science
  12. 12.↵
    1. Moons P,
    2. Boriau M,
    3. Ferdinande P
    . Self-extubation risk assessment tool: predictive validity in a real-life setting. Nurs Crit Care 2008;13(6):310–314.
    OpenUrlCrossRefPubMed
  13. 13.↵
    1. Jarachovic M,
    2. Mason M,
    3. Kerber K,
    4. McNett M
    . The role of standardized protocols in unplanned extubations in a medical intensive care unit. Am J Crit Care 2011;20(4):304–311.
    OpenUrlAbstract/FREE Full Text
  14. 14.↵
    1. Sessler CN
    . Unplanned extubations: making progress using CQI. Intensive Care Med 1997;23(2):143–145.
    OpenUrlPubMed
  15. 15.↵
    1. da Silva PS,
    2. de Aguiar VE,
    3. Neto HM,
    4. de Carvalho WB
    . Unplanned extubation in a paediatric intensive care unit: impact of a quality improvement programme. Anaesthesia 2008;63(11):1209–1216.
    OpenUrlCrossRefPubMedWeb of Science
  16. 16.↵
    1. Sadowski R,
    2. Dechert RE,
    3. Bandy KP,
    4. Juno J,
    5. Bhatt-Mehta V,
    6. Custer JR,
    7. et al
    . Continuous quality improvement: reducing unplanned extubations in a pediatric intensive care unit. Pediatrics 2004;114(3):628–632.
    OpenUrlAbstract/FREE Full Text
  17. 17.↵
    1. Kaufman J,
    2. Rannie M,
    3. Kahn MG,
    4. Vitaska M,
    5. Wathen B,
    6. Peyton C,
    7. et al
    . An interdisciplinary initiative to reduce unplanned extubations in pediatric critical care units. Pediatrics 2012;129(6):e1594–e1600.
    OpenUrlAbstract/FREE Full Text
  18. 18.
    1. Meregalli CN,
    2. Jorro Baron FA,
    3. D'Alessandro MA,
    4. Danzi EP,
    5. Debaisi GE
    . Impact of a quality improvement intervention on the incidence of unplanned extubations in a Pediatric Intensive Care Unit. Arch Argent Pediatr 2013;111(5):391–397.
    OpenUrlPubMed
  19. 19.
    1. Richmond AL,
    2. Jarog DL,
    3. Hanson VM
    . Unplanned extubation in adult critical care: quality improvement and education payoff. Crit Care Nurse 2004;24(1):32–37.
    OpenUrlFREE Full Text
  20. 20.↵
    1. Silva PS,
    2. Reis ME,
    3. Aguiar VE,
    4. Fonseca MC
    . Unplanned extubation in the neonatal ICU: a systematic review, critical appraisal, and evidence-based recommendations. Respir Care 2013;58(7):1237–1245.
    OpenUrlAbstract/FREE Full Text
  21. 21.↵
    1. Popernack ML,
    2. Thomas NJ,
    3. Lucking SE
    . Decreasing unplanned extubations: utilization of the Penn State Children's Hospital Sedation Algorithm. Pediatr Crit Care Med 2004;5(1):58–62.
    OpenUrlCrossRefPubMed
  22. 22.↵
    1. Kiekkas P,
    2. Aretha D,
    3. Panteli E,
    4. Baltopoulos GI,
    5. Filos KS
    . Unplanned extubation in critically ill adults: clinical review. Nurs Crit Care 2013;18(3):123–134.
    OpenUrlPubMed
  23. 23.↵
    1. Van Rompaey B,
    2. Elseviers MM,
    3. Schuurmans MJ,
    4. Shortridge-Baggett LM,
    5. Truijen S,
    6. Bossaert L
    . Risk factors for delirium in intensive care patients: a prospective cohort study. Crit Care 2009;13(3):R77–R78.
    OpenUrlCrossRefPubMed
PreviousNext
Back to top

In this issue

Respiratory Care: 61 (5)
Respiratory Care
Vol. 61, Issue 5
1 May 2016
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author

 

Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Association for Respiratory Care.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems
(Your Name) has sent you a message from American Association for Respiratory Care
(Your Name) thought you would like to see the American Association for Respiratory Care web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems
Julius Cuong Pham, Tamara L Williams, Erin M Sparnon, Tam K Cillie, Hilda F Scharen, William M Marella
Respiratory Care May 2016, 61 (5) 621-631; DOI: 10.4187/respcare.04151

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems
Julius Cuong Pham, Tamara L Williams, Erin M Sparnon, Tam K Cillie, Hilda F Scharen, William M Marella
Respiratory Care May 2016, 61 (5) 621-631; DOI: 10.4187/respcare.04151
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Introduction
    • Methods
    • Results
    • Discussion
    • Conclusions
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • References
  • PDF

Related Articles

Cited By...

Keywords

  • ventilator
  • adverse events
  • human factors
  • patient safety
  • public-private partnership
  • common taxonomy

Info For

  • Subscribers
  • Institutions
  • Advertisers

About Us

  • About the Journal
  • Editorial Board
  • Reprints/Permissions

AARC

  • Membership
  • Meetings
  • Clinical Practice Guidelines

More

  • Contact Us
  • RSS
American Association for Respiratory Care

Print ISSN: 0020-1324        Online ISSN: 1943-3654

© Daedalus Enterprises, Inc.

Powered by HighWire