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Research ArticleOriginal Research

Using a Post-Intubation Checklist and Time Out to Expedite Mechanical Ventilation Monitoring: Observational Study of a Quality Improvement Intervention

Ryan A McConnell, Meeta Prasad Kerlin, William D Schweickert, Faraz Ahmad, Mitesh S Patel and Barry D Fuchs
Respiratory Care July 2016, 61 (7) 902-912; DOI: https://doi.org/10.4187/respcare.04191
Ryan A McConnell
Division of Gastroenterology, Department of Medicine, University of California, San Francisco, San Francisco, California.
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  • For correspondence: [email protected]
Meeta Prasad Kerlin
Division of Pulmonary, Allergy, and Critical Care, Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
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William D Schweickert
Division of Pulmonary, Allergy, and Critical Care, Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
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Faraz Ahmad
Division of Cardiology, Department of Medicine, Northwestern University, Chicago, Illinois.
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Mitesh S Patel
Department of Medicine, University of Pennsylvania, and Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania.
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Barry D Fuchs
Division of Pulmonary, Allergy, and Critical Care, Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
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    Fig. 1.

    Post-Intubation Time Out checklist. MD = physician; RN = nurse; ABG = arterial blood gas; CXR = chest radiograph; RT = respiratory therapist; ET = endotracheal.

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    Fig. 2.

    Flow chart. VBG = venous blood gas.

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    Fig. 3.

    Time to arterial blood gas (ABG) according to checklist completeness. Checklists were used with 58 subjects in the post-intervention period.

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    Fig. 4.

    Post-Intubation Time Out checklist sustainability. The proportion of subjects achieving the primary outcome (arterial blood gas [ABG] results ≤ 60 min) and the checklist initiation rates were tracked during each month of the study.

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Respiratory Care: 61 (7)
Respiratory Care
Vol. 61, Issue 7
1 Jul 2016
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Using a Post-Intubation Checklist and Time Out to Expedite Mechanical Ventilation Monitoring: Observational Study of a Quality Improvement Intervention
Ryan A McConnell, Meeta Prasad Kerlin, William D Schweickert, Faraz Ahmad, Mitesh S Patel, Barry D Fuchs
Respiratory Care Jul 2016, 61 (7) 902-912; DOI: 10.4187/respcare.04191

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Using a Post-Intubation Checklist and Time Out to Expedite Mechanical Ventilation Monitoring: Observational Study of a Quality Improvement Intervention
Ryan A McConnell, Meeta Prasad Kerlin, William D Schweickert, Faraz Ahmad, Mitesh S Patel, Barry D Fuchs
Respiratory Care Jul 2016, 61 (7) 902-912; DOI: 10.4187/respcare.04191
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Keywords

  • blood gas analysis
  • acidosis
  • artificial respiration
  • mechanical ventilators
  • checklist
  • quality improvement

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