MedicalResearch.com Interview with:
John P. Galiote, M.D.
Neonatologist at Children’s National-Virginia Hospital Center NICU
Michelande Ridoré, MS, NICU
Quality improvement lead at Children’s National
Lamia Soghier, M.D., MEd, Children’s National NICU Medical Director
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: Our study emphasizes the importance of team work and real-time communication in a quality-improvement project within the neonatal intensive care unit (NICU) setting.
Through bedside huddles, weekly reviews of apparent cause analysis reports reducing the frequency of X-rays and the creation of an Airway Safety Protection Team, we were able to focus not only on reducing unintended extubations, but also on the quality-improvement project’s effect on our staff. Adhering to simple quality principles enabled us to ensure that all members of our staff were heard and had a positive effect on the progress of our project. This allowed us to implement and sustain a series of simple changes that standardized steps associated with securing and maintaining an endotracheal tube (ET). Unintended extubations are the fourth-most common adverse event in the nation’s NICUs. Continual monitoring via this quality-improvement project allowed us to intervene when our rates increased and further pushed our unintended extubation rate downward. Continue reading