Unplanned extubation (UE) is the removal of an endotracheal tube from a patient any time before their planned extubation. In layman’s terms it is when a patient loses their airway before they were ready. These events lead to longer hospital stays, cost hospitals thousands of dollars for each case and can cause severe complications for the patient including death. Pediatric patients are a population that are at risk of UEs more so than the general population due to their inability to understand what is going on in the hospital due to their age and development, as well as their ability to metabolize sedation medications faster (Silva et al., 2017). Nurses play a key role in the identification of causes of UEs due to their proximity to the patient because of their place at the bedside (Danielis et al., 2018). Multiple safety interventions or a “safety bundle” play a large role in preventing these events from occurring and has been shown to be an effective way to lower the rate of unplanned extubations (Wu et al., 2022). The PICO question developed is: In patients in the Pediatric Intensive Care Unit (P), how does instituting a safety bundle protocol (I) compared to no safety bundle protocol (C) affect unplanned extubations (O)?

Date of publication

Fall 12-1-2023

Document Type

MSN Capstone Project



Persistent identifier



Master's of Nursing in Education

Capstone Project.pptx (1079 kB)
A presentation on the overall project