Readiness Assessment for Extubation Planning in the Intensive Care Unit: A Quality Improvement Initiative

Author(s): Jace D. Johnny, DNP, APRN, AGACNP-BC, OCN, CCRN

Contact Hours 1.00

CERP A 1.00

Expires May 26, 2024

Topics: Pulmonary, Quality Improvement

Population: Adult

Role: Staff

Member: Free
NonMember: $10.00

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Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Extubation failure (EF) is the reintubation of patients meeting criteria for weaning from mechanical ventilation. Failure is correlated mortality, prolonged mechanical ventilation and longer stays in the hospital and intensive care unit. Noninvasive ventilation or high-flow nasal cannula oxygen therapy has shown to prevent EF in high-risk patients. This quality improvement initiative assessed readiness for extubation planning by integrating an evidence-based extubation failure risk assessment (EFRA) into routine patient care to identify high-risk patients and determining practice compliance. Despite identifying patients considered high risk, there was no statistically significant correlation with previously identified risk factors and EF.


  • Identify extubation failure and describe its effects on patient’s outcomes.
  • Describe current treatment options available for the prevention of extubation failure.
  • Evaluate the need for routine measurement of extubation failure within the inpatient setting and potential areas of further study.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity, read Implicit Bias impacts patient outcomes, and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


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Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for 1.00 contact hours.

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