Effect of Cluster Nursing Based on Root Cause Analysis in Preventing Unplanned Extubation Article Swipe

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Yuelei Cheng , Li Wang , Kuan‐Ching Li ·

YOU? · · 2025 · Open Access · · DOI: https://doi.org/10.54097/e1ev9047

This study investigates the efficacy of root cause analysis-based bundled nursing in preventing unplanned extubation. Methods A systematic analysis of unplanned extubation cases over the past two years was conducted using root cause analysis. Standardized catheter care protocols were developed for key components including patient assessment, catheter fixation, nursing rounds, and health education based on identified risk factors. Measures The study employed a controlled trial design, selecting patients admitted between January 1, 2025 and March 1, 2025 as the control group, and those admitted between April 1, 2025 and June 1, 2025 as the observation group. The control group received traditional catheter fixation methods and standard care protocols, while the observation group adopted innovative fixation techniques combined with standardized care. Both groups were compared in terms of effective fixation days and patient satisfaction. Results The root cause analysis-based bundled nursing model significantly improved catheter retention duration, with the observation group showing higher average retention days than the control group (statistically significant, P<0.05). Patient satisfaction also demonstrated a statistically significant advantage in the observation group. Conclusion Root cause analysis-guided bundled nursing not only reduced catheter dislodgement rates but also enhanced the systematicness and specificity of nursing interventions while establishing standardized quality management protocols. This model provides a scientific solution for clinical catheter care, offering practical value in ensuring patient safety and optimizing resource allocation.

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Type: article
Landing Page: https://doi.org/10.54097/e1ev9047
PDF: https://drpress.org/ojs/index.php/ijbls/article/download/31970/31298
OA Status: diamond
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DOI: https://doi.org/10.54097/e1ev9047

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Title: Effect of Cluster Nursing Based on Root Cause Analysis in Preventing Unplanned Extubation

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Publication year: 2025

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Publication date: 2025-10-29

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Authors: Yuelei Cheng, Li Wang, Kuan‐Ching Li

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Landing page: https://doi.org/10.54097/e1ev9047

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